Evaluation of fetal cardiac tumor associated with congestive heart failure by Doppler echocardiography

WANG Hong; GENG Dan-ming; TU Xue-jun; HONG Jun-feng

Journal of China Clinic Medical Imaging ›› 2006, Vol. 17 ›› Issue (10) : 560-562.

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Evaluation of fetal cardiac tumor associated with congestive heart failure by Doppler echocardiography

WANG Hong, GENG Dan-ming, TU Xue-jun, HONG Jun-feng

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Abstract

Objective: To investigate the correlation between fetal cardiac tumor with congestive heart failure(CHF), and explore possible mechanisms of CHF. Methods: Twelve fetuses with cardiac tumor underwent echocardiographic fetal cardiac function examination. Results: ①Tumors of the heart was identified in 12 cases. ②Hydrops fetalis developed in 2 cases, with decreased ventricular fractional shortening(FS%) and combined cardiac output(CCO)(P<0.001), increased fetal cardiothoracic ratio, and asymmetrical enlargement of atrium and ventricle or myocardial hypertrophy. ③Medium to severe regurgitation of mitral valve and tricuspid valve occured in 8 cases, and regurgitation of pulmonary valve in 3 cases. Conclusion: In fetuses with cardiac tumors, Doppler echocardiography is valuable in quantifying fetal cardiac function by calculating such indices as FS and CCO, and assessing both intracardiac and peripheral hemodynamics.

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heart neoplasms / echocardiography / Doppler

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WANG Hong;GENG Dan-ming;TU Xue-jun;HONG Jun-feng. Evaluation of fetal cardiac tumor associated with congestive heart failure by Doppler echocardiography[J]. Journal of China Clinic Medical Imaging. 2006, 17(10): 560-562