Dataset Information

The prognosis of common arterial trunk from a fetal perspective: A prenatal cohort study and systematic literature review.

ABSTRACT:

Objective

The limited number of large fetal cohort studies on common arterial trunk (CAT) impedes prenatal counseling at midgestation. This study evaluates the prognosis of CAT from a fetal perspective.

Method

Fetuses with a prenatally diagnosed CAT were extracted from the PRECOR registry (2002-2016). We evaluated fetal and postnatal survival and the presence of additional morbidity at last follow-up. Literature databases were searches systematically for additional cases.

Results

Thirty-eight cases with a prenatal diagnosis of CAT were identified in our registry, of which 18/38 (47%) opted for pregnancy termination (TOP). Two cases resulted in spontaneous intrauterine demise (10%, 2/20), six cases demised postnatally (33%, 6/18), leaving 60% (12/20) alive, after exclusion of TOP, at a mean age of six (range: 2-10 years). Additional morbidity was found in 42% (5/12) of survivors, including 22q11.2 deletion syndrome, Adams-Oliver syndrome and intestinal atresia, whereas 8% (1/12) had developmental delay. The remaining 30% (6/12) of survivors appeared isolated with normal development. All of whom six required replacement of the initial right ventricle to pulmonary artery conduit. Additionally, we reviewed 197 literature cases on short-term outcome.

Conclusion

The risk of fetal and neonatal demise, as well as significant morbidity amongst survivors, should be included in prenatal counseling for CAT.

SUBMITTER: van Nisselrooij AEL

PROVIDER: S-EPMC8248090 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature

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Publications

The prognosis of common arterial trunk from a fetal perspective: A prenatal cohort study and systematic literature review.

van Nisselrooij Amber E L AEL Herling Lotta L Clur Sally-Ann SA Linskens Ingeborg H IH Pajkrt Eva E Rammeloo Lukas A LA Ten Harkel Arend D J ADJ Hazekamp Mark G MG Blom Nico A NA Haak Monique C MC

Prenatal diagnosis 20210226 6

<h4>Objective</h4>The limited number of large fetal cohort studies on common arterial trunk (CAT) impedes prenatal counseling at midgestation. This study evaluates the prognosis of CAT from a fetal perspective.<h4>Method</h4>Fetuses with a prenatally diagnosed CAT were extracted from the PRECOR registry (2002-2016). We evaluated fetal and postnatal survival and the presence of additional morbidity at last follow-up. Literature databases were searches systematically for additional cases.<h4>Resul ...[more]

PMID: 33480066

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Dataset Information

The prognosis of common arterial trunk from a fetal perspective: A prenatal cohort study and systematic literature review.

Objective

Method

Results

Conclusion

Publications

The prognosis of common arterial trunk from a fetal perspective: A prenatal cohort study and systematic literature review.

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