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March 9, 1999CirculationOpen Access

Prenatal Features of Ductus Arteriosus Constriction and Restrictive Foramen Ovale in d-Transposition of the Great Arteries

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Key result

Prenatal echocardiographic identification of both a diminutive ductus arteriosus and abnormal foramen ovale in fetuses with TGA was associated with immediate neonatal death (2 of 2 cases).

Why the study?

Does prenatal echocardiography identify fetuses with d-transposition of the great arteries at high risk for postnatal hypoxemia and death?

Population

16 fetuses with d-transposition of the great arteries with intact ventricular septum or small ventricular…

Design

Cohort

Follow-up

early neonatal period

Authors

YMYasuki MaenoSKSteven A. KamenirBSBrian Sinclair

Discussion

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Overview

May flag high-risk TGA fetuses for specialized delivery planning; hypothesis-generating and requires validation in larger cohorts.

Study Design

Type

Observational (n=16)

Structured PICO

Does prenatal echocardiography identify fetuses with d-transposition of the great arteries at high risk for postnatal hypoxemia and death?

P
Population
16 fetuses with d-transposition of the great arteries and intact ventricular septum or small ventricular septal defect evaluated by prenatal and postnatal echocardiography.
E
Exposure
Prenatal echocardiography to assess foramen ovale (FO) and ductus arteriosus (DA) features
O
Outcome
Postnatal outcomes including restrictive FO at birth, persistent pulmonary hypertension, and early neonatal deathhard clinical

Prenatal echocardiographic identification of restrictive foramen ovale and ductus arteriosus constriction in fetuses with TGA is associated with high risk for postnatal hypoxemia and early neonatal death.

Cite This Study

Maeno et al. (1999) conducted an observational in d-transposition of the great arteries (TGA) (n=16). Abnormal features of the foramen ovale and ductus arteriosus was evaluated on Postnatal hypoxemia, restrictive foramen ovale at birth, and neonatal death. Prenatal echocardiographic identification of both a diminutive ductus arteriosus and abnormal foramen ovale in fetuses with TGA was associated with immediate neonatal death (2 of 2 cases).

synapsesocial.com/papers/6a96d533dc355c9d4e8984a2https://doi.org/10.1161/01.cir.99.9.1209
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Forewarned is forearmed: The critical role of prenatal diagnosis in managing high-risk neonates with transposition of great arteries-intact ventricular septum2025 · 1 citations
  2. 2How reliably does prenatal echocardiography predict urgent balloon atrial septostomy in fetuses with d-TGA?2023
  3. 3Cardiac output and blood flow redistribution in fetuses with D‐loop transposition of the great arteries and intact ventricular septum: insights into pathophysiology2016 · 24 citations
  4. 4Cardiac hemodynamics in fetuses with transposition of the great arteries and intact ventricular septum from diagnosis to end of pregnancy: longitudinal follow‐up2019 · 17 citations
  5. 5Postnatal Clinical Course in Fetuses Diagnosed with Tetralogy of Fallot and Double-Outlet Right Ventricle with Absent Ductus Arteriosus2026