Foetal Cardiology: How to predict perinatal problems - UZ Leuven

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Cardiac problems : timing - localisation• Labour room– Activation of lung circuit– Closure atrial flap valve (complete < 3%)sec - min• D 1- 5 : Maternity– Closure arterial duct• > D 6 : Home– Drop pulmonary vascular resistancehours – daysweeks
Cardiopulmonary problems in labour room:Inadequate oxygenation• Lung pathology– Hypoplasia, hernia, pneumothorax• Severe heart dysfunction : hydrops• Inadequate pulmonary arterial perfusion– Hypoplasia vessels– Extreme pulmonary hypertension• Prenatal constriction arterial duct• Abnormal pulmonary venous return– TAPVU with obstruction ( Right atrial isomerism )– Pulmonary vein PV stenosis• Restrictive flow pulmonary blood to aorta– Intact atrial septum & TGA– Intact atrial septum & HLHS – severe MS
Page 2 and 3: CardiopathiesIncidence : 8-12 / 100
Page 4 and 5: Prenatal cardiac prediction: limita
Page 6 and 7: Normal cardiac anatomy
Page 9 and 10: HLHS: neonatal management• Norwoo
Page 11: Asymmetric 4 chamber 19 w PMApersis
Page 15: Aortic arch : growth patternsNormal
Page 21 and 22: Smooth stay in labour room:Unrestri
Page 23 and 24: Transposition Great Arteries
Page 25 and 26: TGA : management• ( Umbilical cat
Page 27 and 28: Cardiopathies with problems after d
Page 29 and 30: Critical AS with Mitral valve regur
Page 31 and 32: BD neonatal critical ASCut-off pigt
Page 33 and 34: Critical PS with Tricuspid regurgit
Page 35 and 36: 5F Ri coronary JudkinsFulguration P
Page 37 and 38: Fulguration & BD PuV6 mm Tyshack ba
Page 39 and 40: Technique : schemaBA
Page 41 and 42: Isolated “agenesis” Pulmonary v
Page 43 and 44: Isolated “agenesis” PuV 37 w ne
Page 45 and 46: Tetralogy of Fallot,16 weeks PMA
Page 47 and 48: AV-canal AVSD30% trisomy 21
Page 49 and 50: RA tumor 38 w PMA
Page 51 and 52: RA tumor: CXR
Page 53: MRI: tissue characterising : haeman

Foetal Cardiology: How to predict perinatal problems - UZ Leuven

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