Standardized delivery room management for neonates with a prenatal diagnosis of congenital heart disease: A model for improving interdisciplinary delivery room care
Restricted accessReview articleFirst published online September 13, 2021
Standardized delivery room management for neonates with a prenatal diagnosis of congenital heart disease: A model for improving interdisciplinary delivery room care
Precise characterization of cardiac anatomy and physiology through fetal echocardiography can predict early postnatal clinical course. Some neonates with prenatally defined critical congenital heart disease have anticipated precipitous compromise during perinatal transition for which specialized, diagnosis-specific delivery room care can be arranged to expeditiously stabilize cardiopulmonary hemodynamics. In this article, we describe our institutional approach to the delivery room care of neonates with prenatally diagnosed congenital heart disease, emphasizing our diagnosis-specific care pathways for newborns with critical disease.
MichelfelderE, GomezC, BorderW, GottliebsonW, FranklinC. Predictive value of fetal pulmonary venous flow patterns in identifying the need for atrial septoplasty in the newborn with hypoplastic left ventricle. Circulation. 2005;112(19):2974–9.
2.
DivanovićA, HorK, CnotaJ, HirschR, Kinsel-ZiterM, MichelfelderE. Prediction and perinatal management of severely restrictive atrial septum in fetuses with critical left heart obstruction: Clinical experience using pulmonary venous Doppler analysis. J Thorac Cardiovasc Surg. 2011;141(4):988–94.
3.
PunnR, SilvermanNH. Fetal predictors of urgent balloon atrial septostomy in neonates with complete transposition. J Am Soc Echocardiogr. 2011;24(4):425–30.
4.
MaenoYV, KamenirSA, SinclairB, van der VeldeME, SmallhornJF, HornbergerLK. Prenatal features of ductus arteriosus constriction and restrictive foramen ovale in d-transposition of the great arteries. Circulation. 1999;99(9):1209–14.
5.
JouannicJ-M, GavardL, FermontL, Le BidoisJ, ParatS, VouhéPR, et al. Sensitivity and specificity of prenatal features of physiological shunts to predict neonatal clinical status in transposition of the great arteries. Circulation. 2004;110(13):1743–6.
6.
DonofrioMT, LevyRJ, SchuetteJJ, Skurow-ToddK, StenM-B, StallingsC, et al. Specialized delivery room planning for fetuses with critical congenital heart disease. Am J Cardiol. 2013;111(5):737–47.
7.
DonofrioMT, Skurow-ToddK, BergerJT, McCarterR, FulgiumA, KrishnanA, et al. Risk-stratified postnatal care of newborns with congenital heart disease determined by fetal echocardiography. J Am Soc Echocardiogr. 2015;28(11):1339–49.
8.
DonofrioMT, Moon-GradyAJ, HornbergerLK, CopelJA, SklanskyMS, AbuhamadA, et al. Diagnosis and treatment of fetal cardiac disease: A scientific statement from the american heart association. Circulation. 2014;129(21):2183–242.
9.
SłodkiM, Respondek-LiberskaM, PruetzJD, DonofrioMT. Fetal cardiology: Changing the definition of critical heart disease in the newborn. J Perinatol. 2016;36(8):575–80.
FriedmanAH, FaheyJT. The transition from fetal to neonatal circulation: Normal responses and implications for infants with heart disease. Semin Perinatol. 1993;17(2):106–21.
MirlesseV, CruzA, Le BidoisJ, DialloP, FermontL, KiefferF, et al. Perinatal management of fetal cardiac anomalies in a specialized obstetric-pediatrics center. Am J Perinatol. 2001;18(7):363–72.
16.
PennyDJ. Management of the neonate with symptomatic congenital heart disease. Arch Dis Child - Fetal Neonatal Ed. 2001;84:141F–145.
17.
RoofthooftMTR, BergmanKA, WaterbolkTW, EbelsT, BarteldsB, BergerRMF. Persistent pulmonary hypertension of the newborn with transposition of the great arteries. Ann Thorac Surg. 2007;83(4):1446–50.
18.
GoltzD, LunkenheimerJ-M, AbediniM, HerbergU, BergC, GembruchU, et al. Left ventricular obstruction with restrictive inter-atrial communication leads to retardation in fetal lung maturation. Prenat Diagn. 2015;35(5):463–4.
19.
VlahosAP, LockJE, McElhinneyDB, van der VeldeME. Hypoplastic left heart syndrome with intact or highly restrictive atrial septum. Circulation. 2004;109(19):2326–30.
20.
FreudLR, Escobar-diazMC, KalishBT, KomarluR, PuchalskiMD, JaeggiET, et al. Congenital heart disease outcomes and predictors of perinatal mortality in fetuses with ebstein anomaly or tricuspid valve dysplasia in the current era: A multicenter study. Circulation. 2015;132(6):481–9.
21.
SatomiG, MomoiN, KikuchiN, NakazawaM, MommaK. Prenatal diagnosis and outcome of Ebstein’s anomaly and tricuspid valve dysplasia in relation to lung hypoplasia. Echocardiography. 1994;11:215–20.
22.
WaldRM, AdatiaI, Arsdell VanGS, HornbergerLK. Relation of limiting ductal patency to survival in neonatal Ebstein’s anomaly. Am J Cardiol. 2005;96(6):851–6.
23.
TenischE, RaboissonM-J, RypensF, DéryJ, GrignonA, LapierreC. Significance of lung anomalies in fetuses affected by tetralogy of Fallot with absent pulmonary valve syndrome. Cardiol Young. 2017;27(9):1740–7.
24.
GottschalkI, JehleC, HerbergU, BreuerJ, BrockmeierK, BenninkG, et al. Prenatal diagnosis of absent pulmonary valve syndrome from first trimester onwards: Novel insights into pathophysiology, associated conditions and outcome. Ultrasound Obstet Gynecol. 2017;49(5):637–42.
25.
WertaschniggD, JaeggiM, ChitayatD, ShannonP, RyanG, ThompsonM, et al. Prenatal diagnosis and outcome of absent pulmonary valve syndrome: Contemporary single-center experience and review of the literature. Ultrasound Obstet Gynecol. 2013;41(2):162–7.
26.
StayerSA, ShettyS, AndropoulosDB. Perioperative management of tetralogy of Fallot with absent pulmonary valve. Pediatr Anesth. 2002;12(8):705–11.
27.
KaramlouT, GurofskyR, Al SukhniE, ColesJG, WilliamsWG, CaldaroneCA, et al. Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation. 2007;115(12):1591–8.
28.
IzmirlyPM, SaxenaA, KimMY, WangD, SahlSK, LlanosC, et al. Maternal and fetal factors associated with mortality and morbidity in a multi-racial/ethnic registry of anti-SSA/Ro-associated cardiac neonatal lupus. Circulation. 2011;124(18):1927–35.
29.
Bravo-ValenzuelaN, RochaL, Machado NardozzaL, JúniorE. Fetal cardiac arrhythmias: Current evidence. Ann Pediatr Cardiol. 2018;11(2):148–63.
30.
Wacker-gussmannA, StrasburgerJF, CuneoBF, WakaiRT. Diagnosis and treatment of fetal arrhythmia. Am J Perinatol. 2015;31(7):617–28.
