RESUMO
We analyze the intra-uterine diagnoses of congenital cardiopathies performed by means of fetal echocardiographies from 1990 to 1995 in Matanzas, Cuba. All patients were examined in search of risk factors and indicators; 39 complex cardiopathies were detected, the most frequent ones were univentricular heart, hypoplasia of the left ventricle, and pulmonary atresia. Significant references were an abnormal image of the four cavities and the associated fetal anomalies; 66% of the malformations were diagnosed before week 24 of gestation. It was observed that the group of patients not diagnosed prenatally had a significant perinatal mortality. Although 32% of the newborns' complex cardiopathies in that period were diagnosed prenatally, it is necessary to improve this result aimed at reducing the morbidity and mortality due to these anomalies, offering the best survival conditions at the time of birth.
Assuntos
Cardiopatias Congênitas/diagnóstico por imagem , Diagnóstico Pré-Natal , Ultrassonografia Pré-Natal/métodos , Cuba , Ecocardiografia/métodos , Feminino , Doenças Fetais/diagnóstico por imagem , Coração Fetal/anormalidades , Coração Fetal/diagnóstico por imagem , Humanos , Recém-Nascido , Gravidez , Resultado da GravidezRESUMO
Se presenta el análisis del diagnóstico intrauterino de cardiopatías congénitas por medio de ecocardiografia fetal realizado de 1990 a 1995 en la Provincia de Matanzas Cuba. Se revisaron todas las pacientes con factores e indicadores de riesgo. Se detectaron 39 cardiopatías complejas, siendo las más frecuentes el corazón univentricular, la hipoplasia del ventrículo izquierdo y la atresia pulmonar. Los motivos de referencia significativos fueron la vista de cuatro cavidades anormales y las anomalías fetales asociadas. El 66% de las malformaciones fueron diagnosticadas antes de las 24 semanas de gestación. Se observó que el grupo de pacientes no diagnosticados prenatalmente tuvo una mortalidad perinatal significativa. Aunque el 32% de los niños con cardiopatías complejas nacidos en ese período fue diagnosticado antenatalmente, es necesario incrementar dicho resultado buscando reducir la morbi-mortalidad debido a estas anomalías, al ofrecerle las mejores condiciones de sobrevida al momento del nacimiento.
We analyze the intra-uterine diagnoses of congenital cardiopathies performed by means of fetal echocardiographies from 1990 to 1995 in Matanzas, Cuba. All patients were examined in search of risk factors and indicators; 39 complex cardiopathies were detected, the most frequent ones were univentricular heart, hypoplasia of the left ventricle, and pulmonary atresia. Significant references were an abnormal image of the four cavities and the associated fetal anomalies; 66% of the malformations were diagnosed before week 24 of gestation. It was observed that the group of patients not diagnosed prenatally had a significant perinatal mortality. Although 32% of the new-borns' complex cardiopathies in that period were diagnosed prenatally, it is necessary to improve this result aimed at reducing the morbidity and mortality due to these anomalies, offering the best survival conditions at the time of birth. (Arch Cardiol Mex 2005; 75:159-164).