Impact of fetal cardiac intervention on congenital heart surgery

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2011;14(1):35-7. doi: 10.1053/j.pcsu.2011.01.003.

Abstract

Fetal cardiac interventions performed by interventional cardiologists are currently in a clinical experimental phase. The 3 most frequent interventions are: 1) aortic balloon valvuloplasty for critical aortic stenosis with a small left ventricle or with a normal size left ventricle but poor function; 2) atrial septostomy for highly restrictive or intact atrial septum in hypoplastic left heart syndrome; and 3) pulmonary valvuloplasty for pulmonary atresia and hypoplastic right ventricle. Current impact on everyday congenital heart surgery practice is small, but may increase in the future.

Publication types

  • Review

MeSH terms

  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / methods
  • Cardiac Surgical Procedures / adverse effects
  • Cardiac Surgical Procedures / methods*
  • Catheterization / adverse effects
  • Catheterization / methods*
  • Female
  • Fetal Diseases / diagnosis
  • Fetal Diseases / therapy
  • Fetal Heart / abnormalities
  • Fetal Heart / surgery*
  • Follow-Up Studies
  • Heart Defects, Congenital / diagnosis
  • Heart Defects, Congenital / surgery*
  • Humans
  • Infant, Newborn
  • Male
  • Pregnancy
  • Radiography, Interventional / adverse effects
  • Radiography, Interventional / methods
  • Risk Assessment
  • Survival Rate
  • Treatment Outcome