000			02578na a2200277 4500
003			H12O
005			20180113071312.0
008			130622s2012 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aGalindo Izquierdo, Alberto _9896 _eObstetricia y Ginecología
100			_aGómez Montes, Enery _9893 _eObstetricia y Ginecología
100			_aHerráiz García, Ignacio _9894 _eObstetricia y Ginecología
100			_aMendoza Soto, Alberto _9849 _ePediatría
245	0	0	_aFetal Intervention in Right Outflow Tract Obstructive Disease: Selection of Candidates and Results. _h[artículo]
260			_bCardiology Research and Practice, _c2012
300			_a2012:592403.
500			_aFormato Vancouver: Gómez Montes E, Herraiz I, Mendoza A, Galindo A. Fetal intervention in right outflow tract obstructive disease: selection of candidates and results. Cardiol Res Pract. 2012;2012:592403.
501			_aPMID: 22928144
504			_aContiene 35 referencias
520			_aObjectives. To describe the process of selection of candidates for fetal cardiac intervention (FCI) in fetuses diagnosed with pulmonary atresia-critical stenosis with intact ventricular septum (PA/CS-IVS) and report our own experience with FCI for such disease. Methods. We searched our database for cases of PA/CS-IVS prenatally diagnosed in 2003-2012. Data of 38 fetuses were retrieved and analyzed. FCI were offered to 6 patients (2 refused). In the remaining it was not offered due to the presence of either favourable prognostic echocardiographic markers (n = 20) or poor prognostic indicators (n = 12). Results. The outcome of fetuses with PA/CS-IVS was accurately predicted with multiparametric scoring systems. Pulmonary valvuloplasty was technically successful in all 4 fetuses. The growth of the fetal right heart and hemodynamic parameters showed a Gaussian-like behaviour with an improvement in the first weeks and slow worsening as pregnancy advanced, probably indicating a restenosis. Conclusions. The most likely type of circulation after birth may be predicted in the second trimester of pregnancy by means of combining cardiac dimensions and functional parameters. Fetal pulmonary valvuloplasty in midgestation is technically feasible and in well-selected cases may improve right heart growth, fetal hemodynamics, and postnatal outcome.
710			_9427 _aServicio de Obstetricia y Ginecología
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3426214/ _yAcceso libre
942			_n0 _2ddc _cART
999			_c3422 _d3422