Cardiovascular profile score in 44 fetuses with cervicofacial tumors
-
Rafal Zielinski
und
Maria Respondek-Liberska
Abstract
Background: Cervicofacial tumors are rarely detected by prenatal ultrasound, and prenatal counseling is very difficult as not much information is available about this problem in the literature, other than cases reports.
Objectives: The aim of this study was to know if fetal echocardiography examination is helpful in those cases.
Material and methods: Forty-four fetuses with cervicofacial tumors detected in utero by ultrasonography and referred to our unit were assessed and the cardiovascular profile score (CVPS) based on echocardiography examinations was calculated. The data were analyzed by the standard statistical tests and Pearson’s χ2-test (significance level P=0.05).
Results: CVPS<8 was diagnosed in 10 fetuses (23%). Structural or functional cardiovascular anomalies were present in 17 fetuses (39%). The statistically significant correlation between the CVPS<8 and the poor outcome was confirmed (P<0.05).
Conclusion: We recommend fetal echocardiography and CVPS evaluation before counseling in fetuses with cervicofacial tumors as cardiovascular dysfunction diagnosed prenatally may seriously affect survival of the fetus as well as prenatal counseling and need for cardiac treatment.
References
[1] Kurjak A, Zalud I, Jurkovic D, Alfirevic Z, Tomic K. Ultrasound diagnosis and evaluation of fetal tumors. J Perinat Med. 1989;17:173–93.Suche in Google Scholar
[2] Zielinski R, Respondek-Liberska M. Craniofacial malformations in prenatal ultrasound evaluation. Literature review. Ginekol Pol. 2013;84:801–6.Suche in Google Scholar
[3] Respondek-Liberska M, Grzesiak M, Janiak K, Foryś S, Jakubowski L. Prenatal diagnostic of cystic hygroma (CH) with evaluation of fetal cardiovascular system. Ultrason Gin Pol. 2005;1:58–62.Suche in Google Scholar
[4] Bond SJ, Harrison MR, Schmidt KG, Silverman NH, Flake AW, Slotnick RN, et al. Death due to high-output cardiac failure in fetal sacrococcygeal teratoma. J Pediatr Surg. 1990;25:1287–91.Suche in Google Scholar
[5] Alter DN, Reed KL, Marx GR, Anderson CF, Shenker L. Prenatal diagnosis of congestive heart failure in a fetus with a sacrococcygeal teratoma. Obstet Gynecol. 1988;71(Pt 2):978–81.Suche in Google Scholar
[6] Huhta JC. Fetal congestive heart failure. Semin Fetal Neonatal Med. 2005;10:542–52.Suche in Google Scholar
[7] Barboza JM, Dajani NK, Glenn LG, Angtuaco TL. Prenatal diagnosis of congenital cardiac anomalies: a practical approach using two basic views. Radiographics. 2002;22:1125–37; discussion 37–8.Suche in Google Scholar
[8] Janiak K, Respondek-Liberska M, Szaflik K, Oszukowski P, Wilczyński J, Chilarski J, et al. CVP score as a clinical prognostic factor in fetal sacrococcygeal teratoma. Ultrason Ginekol Pol. 2007;3:153–9.Suche in Google Scholar
[9] Thakur V, Fouron JC, Mertens L, Jaeggi ET. Diagnosis and management of fetal heart failure. Can J Cardiol. 2013;29:759–67.Suche in Google Scholar
[10] Ojala TH, Hornberger LK. Fetal heart failure. Front Biosci (Schol Ed). 2010;2:891–906.Suche in Google Scholar
[11] Fadler KM, Askin DF. Sacrococcygeal teratoma in the newborn: a case study of prenatal management and clinical intervention. Neonatal Netw. 2008;27:185–91.Suche in Google Scholar
[12] Yu JA, Sohaey R, Kennedy AM, Selden NR. Terminal myelocystocele and sacrococcygeal teratoma: a comparison of fetal ultrasound presentation and perinatal risk. Am J Neuroradiol. 2007;28:1058–60.Suche in Google Scholar
The authors stated that there are no conflicts of interest regarding the publication of this article.
©2015 by De Gruyter
Artikel in diesem Heft
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- Editorial
- Risk factors for preterm birth and new approaches to its early diagnosis
- Review
- Avoiding the prenatal programming effects of glucocorticoids: are there alternative treatments for the induction of antenatal lung maturation?
- Original articles – Obstetrics
- The association of first trimester bleeding with preterm delivery
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- The unborn smoker: association between smoking during pregnancy and adverse perinatal outcomes
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- First trimester tricuspid regurgitation and fetal abnormalities
- Gastroschisis: incidence and prediction of growth restriction
- Original articles – Newborn
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- Book review
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- Congress Calendar
- Congress Calendar
Artikel in diesem Heft
- Frontmatter
- Editorial
- Risk factors for preterm birth and new approaches to its early diagnosis
- Review
- Avoiding the prenatal programming effects of glucocorticoids: are there alternative treatments for the induction of antenatal lung maturation?
- Original articles – Obstetrics
- The association of first trimester bleeding with preterm delivery
- Cervical sonoelastography for improving prediction of preterm birth compared with cervical length measurement and fetal fibronectin test
- The neuroprotective effect of magnesium sulfate in preterm fetal mice
- Correlation of cervical length, fetal fibronectin, phIGFBP-1, and cytokines in spontaneous preterm birth up to 14 days from sampling
- The unborn smoker: association between smoking during pregnancy and adverse perinatal outcomes
- Association of group B streptococcus colonization with early term births
- Association of maternal whole blood fatty acid status during the prenatal period with term birth dimensions: a cross-sectional study
- Predicting onset of labor from echogenicity of the cervical gland area on vaginal ultrasonography at term
- Disparity in post-treatment maternal circulating magnesium sulfate levels between twin and singleton gestation: Is this the missing link between plurality and adverse outcome?
- Original articles – Fetus
- Cardiovascular profile score in 44 fetuses with cervicofacial tumors
- First trimester tricuspid regurgitation and fetal abnormalities
- Gastroschisis: incidence and prediction of growth restriction
- Original articles – Newborn
- Diminished HLA-DR expression on monocyte and dendritic cell subsets indicating impairment of cellular immunity in pre-term neonates: a prospective observational analysis
- First- and fifth-minute Apgar scores of 0–3 and infant mortality: a population-based study in São Paulo State of Brazil
- Feeding the feeble: steps towards nourishing preterm infants
- Book review
- Hot topics in perinatal medicine
- Erratum
- Erratum to: Impact of the nitric oxide-donor pentaerythrityl-tetranitrate on perinatal outcome in risk pregnancies: a prospective, randomized, double-blinded trial
- Congress Calendar
- Congress Calendar
