In-utero intervention for severe congenital heart disease.
Best Pract Res Clin Obstet Gynaecol
; 22(1): 49-61, 2008 Feb.
Article
en En
| MEDLINE
| ID: mdl-17697798
ABSTRACT
The concept of fetal therapy is well established for many disorders diagnosed before birth but practical issues regarding its introduction into clinical practice are more difficult. Cardiac malformations are common, with major lesions affecting about 3.5 per thousand pregnancies; however, only a small proportion of these is likely to benefit from an intrauterine intervention. In addition, there are no good animal models of human cardiac disease and our knowledge of the underlying mechanisms is at best sketchy. This combination of factors has resulted in slow progress in developing effective therapies for the intrauterine management of cardiac disease. Recent research and clinical developments have included percutaneous valvuloplasty for severe aortic and pulmonary stenosis, perforation of the closed or restrictive inter-atrial septum and pacing for complete heart block. Progress in these endeavours has been variable but - overall - shows promise for treatment of the human fetus.
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Banco de datos:
MEDLINE
Asunto principal:
Terapias Fetales
/
Enfermedades Fetales
/
Cardiopatías Congénitas
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Best Pract Res Clin Obstet Gynaecol
Asunto de la revista:
GINECOLOGIA
/
OBSTETRICIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Reino Unido