000			nab a22 7a 4500
999			_c16543 _d16543
003			PC16543
005			20210730142635.0
008			210713b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_9893 _aGómez Montes, Enery _eObstetricia y Ginecología
100			_9894 _aHerráiz García, Ignacio _eObstetricia y Ginecología
100			_9849 _aMendoza Soto, Alberto _ePediatría
100			_9895 _aEscribano Abad, David _eObstetricia y Ginecología
100			_92924 _aMartínez-Moratalla Valcárcel, José Manuel _eObstetricia y Ginecología
100			_9896 _aGalindo Izquierdo, Alberto _eObstetricia y Ginecología
245	0	0	_aPrenatal prediction of surgical approach for coarctation of the aorta repair. _h[artículo]
260			_bFetal diagnosis and therapy, _c2014
300			_a35(1):27-35.
500			_aFormato Vancouver: Gómez Montes E, Herráiz I, Mendoza A, Escribano D, Martínez- Moratalla Valcárcel JM, Galindo A. Prenatal prediction of surgical approach for coarctation of the aorta repair. Fetal Diagn Ther. 2014;35(1):27-35.
501			_aPMID: 24356526
504			_aContiene 40 referencias
520			_aObjective: To evaluate the capacity of fetal echocardiography for predicting the more likely surgical approach in newborns with coarctation of the aorta (CoAo) (left thoracotomy vs. median sternotomy). Material and methods: We selected all cases of suspected CoAo prenatally diagnosed in 2003-2012 (n = 95). 49/95 were considered at high-risk and 46/95 at low-risk of CoAo, and 38/49 and 7/46 were postnatally confirmed, respectively. We firstly evaluated in 40 cases of CoAo surgically repaired (24 thoracotomy, 16 sternotomy) whether there were differences in fetal echocardiographic parameters between both groups. Secondly, we assessed the performance of these parameters for predicting the surgical approach in fetuses at high risk of CoAo. Results: Sternotomy approach was associated with higher rate of postoperative complications and longer hospital stay compared with thoracotomy (81.3 vs. 41.7%, p = 0.014; 30.5 vs. 15.4 days, p = 0.0004, respectively). The Z-score of the aortic isthmus, measured in the sagittal plane, was significantly smaller in the sternotomy group. In fetuses at high-risk of having CoAo a cut-off value of the isthmus Z-score ≤ -2.5 had sensitivity of 78% and specificity of 82% for predicting sternotomy approach, with 9% false positive cases in which CoAo was not confirmed. Discussion: The surgical approach for CoAo repair may be prenatally predicted by means of the Z-score of aortic isthmus, measured in the sagittal plane.
710			_9427 _aServicio de Obstetricia y Ginecología
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16543.pdf _ySolicitar documento
942			_2ddc _cART _n0