title: Incidence of antenatal moderate and severe congenital cardiac anomalies in Cairo (a multi-center retrospective study).
abstract: OBJECTIVE
  To determine the prenatal incidence of moderate and severe cardiac anomalies and determine the prenatal pattern of CHD.
  
  
  METHODS
  Multi-center retrospective observational study.
  
  
  METHODS
  Cairo, Al-Azhar and 6th October Universities.
  
  
  METHODS
  5499 pregnant women in the second and third trimester attending the fetal medicine unit in the three universities from January 2012 to June 2013 for anomaly scan were retrospectively reviewed.
  
  
  RESULTS
  One hundred and five cases were diagnosed as severe and moderate CHD with a incidence of 1.9%. Severe forms were approximately ten folds higher than moderate forms. The commonest lesions in order of frequency were VSD (34.3%), HLHS (21.9%) and AVSD (20%). Cases having associated anomalies were 56.2% of affected cases and those with ultrasound markers of chromosomal anomalies were 34.3%.
  
  
  CONCLUSIONS
  Prenatal pattern of CHD differs from its postnatal pattern with dominance of severe forms. Prenatally diagnosed cases have poorer prognosis than those diagnosed postnatal with high associations with other anomalies especially chromosomal defects.
authors.affiliation: Department of Obstetrics & Gynecology, 6th October University, Egypt. Electronic address: haithamtorky@yahoo.com.
authors.forename: Haitham
authors.initials: H
authors.lastname: Torky
authors.affiliation: Department of Obstetrics & Gynecology, Al-Azhar University, Egypt. Electronic address: asemanwar54@gmail.com.
authors.forename: Asem
authors.initials: A
authors.lastname: Anwar
authors.affiliation: Department of Obstetrics & Gynecology, Cairo University, Egypt. Electronic address: dramoussa77@hotmail.com.
authors.forename: Alaa
authors.initials: A
authors.lastname: Elebrashy
authors.affiliation: Department of Obstetrics & Gynecology, Al-Azhar University, Egypt. Electronic address: fahdelomda@yahoo.com.
authors.forename: Fahd
authors.initials: F
authors.lastname: Elomda
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000453:epidemiology / Q000235:genetics; D000293:Adolescent; D000328:Adult; D025063:Chromosome Disorders / Q000175:diagnosis / Q000453:epidemiology; D004534:Egypt / Q000453:epidemiology; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000453:epidemiology* / Q000235:genetics; D006801:Humans; D015994:Incidence; D011247:Pregnancy; D011296:Prenatal Diagnosis; D011379:Prognosis; D012189:Retrospective Studies; D012720:Severity of Illness Index; D055815:Young Adult
keywords: Diagnosis; Fetal echo; Heart defects