Diagnosis and outcome of pregnancies with prenatally diagnosed fetal dextrocardia

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dc.authoridoncul, mahmut/0000-0002-9634-3651
dc.authoridMadazli, Riza/0000-0002-6400-1964
dc.authoridGokalp, Selman/0000-0003-3812-2081
dc.authoridOztunc, Funda/0000-0002-6921-917X
dc.authorwosidoncul, mahmut/AAC-9278-2021
dc.authorwosidMadazli, Riza/AAD-3721-2021
dc.authorwosidMadazlı, Rıza/AAA-8734-2020
dc.authorwosidGokalp, Selman/C-7730-2019
dc.authorwosidOztunc, Funda/D-1651-2019
dc.contributor.authorOztunc, Funda
dc.contributor.authorMadazli, Riza
dc.contributor.authorYuksel, Mehmet Aytac
dc.contributor.authorGokalp, Selman
dc.contributor.authorOncul, Mahmut
dc.date.accessioned2024-06-12T10:59:24Z
dc.date.available2024-06-12T10:59:24Z
dc.date.issued2015
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: To evaluate the incidence, associated cardiac and extracardiac malformations and clinical outcome of fetuses with dextrocardia. Method: A retrospective review of 3556 fetal echocardiograms between 2000 and 2011 revealed 39 cases of dextrocardia. Dextrocardia was defined as right-sided positioning of the fetal heart. Prenatal and postnatal records of the fetuses were reviewed. Results: The incidence was 1.1%. Of the 39 fetuses, 22 were primary dextrocardia and 17 were dextroposition. Diaphragmatic hernia was the most common cause of dextroposition with the incidence of 76%. Of the fetuses with dextroposition 35.5% had a cardiac anomaly. The survival rate of dextroposition was 31.2% and none of the survivors had an associated cardiac anomaly. Primary fetal dextrocardia was most common with situs solitus (45.4%), followed by situs ambiguous (36.3%) and then situs inversus totalis (18.1%). Structural cardiac malformations were found in 100%, 80% and 25% of fetuses with situs ambiguous, solitus and inversus, respectively. Of the dextroposition, 47.6% terminated pregnancy, 14.2% resulted in intrauterine death, 9.5% died after birth, and 28.5% survived. Conclusion: A wide spectrum of complex cardiac malformations are associated with fetal dextrocardia. Fetal echocardiography enables detection of complex cardiac anomalies so that parents can be appropriately counselled.en_US
dc.identifier.doi10.3109/14767058.2014.943659
dc.identifier.endpage1107en_US
dc.identifier.issn1476-7058
dc.identifier.issn1476-4954
dc.identifier.issue9en_US
dc.identifier.pmid25007986en_US
dc.identifier.scopus2-s2.0-84935509424en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1104en_US
dc.identifier.urihttps://doi.org/10.3109/14767058.2014.943659
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20429
dc.identifier.volume28en_US
dc.identifier.wosWOS:000360435400024en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal Of Maternal-Fetal & Neonatal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDextrocardiaen_US
dc.subjectFetal Echocardiographyen_US
dc.subjectPrenatal Diagnosisen_US
dc.subjectPerinatal Outcomeen_US
dc.subjectCardiac Axisen_US
dc.subjectMalformationsen_US
dc.subjectPositionen_US
dc.subjectFetusen_US
dc.titleDiagnosis and outcome of pregnancies with prenatally diagnosed fetal dextrocardiaen_US
dc.typeArticleen_US

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