학술논문
Risk Factors for Mortality and Circulatory Outcome Among Neonates Prenatally Diagnosed With Ebstein Anomaly or Tricuspid Valve Dysplasia: A Multicenter Study
Document Type
article
Author
Freud, Lindsay R; McElhinney, Doff B; Kalish, Brian T; Escobar‐Diaz, Maria C; Komarlu, Rukmini; Puchalski, Michael D; Jaeggi, Edgar T; Szwast, Anita L; Freire, Grace; Levasseur, Stéphanie M; Kavanaugh‐McHugh, Ann; Michelfelder, Erik C; Moon‐Grady, Anita J; Donofrio, Mary T; Howley, Lisa W; Tierney, Elif Seda Selamet; Cuneo, Bettina F; Morris, Shaine A; Pruetz, Jay D; van der Velde, Mary E; Kovalchin, John P; Ikemba, Catherine M; Vernon, Margaret M; Samai, Cyrus; Satou, Gary M; Gotteiner, Nina L; Phoon, Colin K; Silverman, Norman H; Tworetzky, Wayne
Source
Journal of the American Heart Association. 9(21)
Subject
Language
Abstract
Background In a recent multicenter study of perinatal outcome in fetuses with Ebstein anomaly or tricuspid valve dysplasia, we found that one third of live-born patients died before hospital discharge. We sought to further describe postnatal management strategies and to define risk factors for neonatal mortality and circulatory outcome at discharge. Methods and Results This 23-center, retrospective study from 2005 to 2011 included 243 fetuses with Ebstein anomaly or tricuspid valve dysplasia. Among live-born patients, clinical and echocardiographic factors were evaluated for association with neonatal mortality and palliated versus biventricular circulation at discharge. Of 176 live-born patients, 7 received comfort care, 11 died