title: Intrauterine therapy for structural congenital heart disease: Contemporary results and Canadian experience.
abstract: Percutaneous, ultrasound-guided fetal cardiac intervention (FCI) is increasingly used to alter the prognosis of specific forms of congenital heart disease. Careful patient selection and postnatal management strategy are essential for optimal outcomes. This article discusses the rationale, patient selection criteria, procedural techniques, and contemporary results of FCI. Sources of information included published patient series, the International Fetal Cardiac Intervention Registry, and the Toronto experience as the Canadian referral center.
authors.affiliation: Fetal Cardiac Program, Department of Pediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada. Electronic address: edgar.jaeggi@sickkids.ca.
authors.forename: Edgar
authors.initials: E
authors.lastname: Jaeggi
authors.affiliation: Fetal Cardiac Program, Department of Pediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
authors.forename: Claudia
authors.initials: C
authors.lastname: Renaud
authors.affiliation: Fetal Medicine Unit, Department of Obstetrics & Gynecology, Mount Sinai Hospital University of Toronto, Toronto, ON, Canada.
authors.forename: Greg
authors.initials: G
authors.lastname: Ryan
authors.affiliation: Interventional Cardiac Program, Department of Pediatrics, Labatt Family Heart Centre, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Chaturvedi
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D004452:Echocardiography; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D018579:Patient Selection; D011237:Predictive Value of Tests; D011247:Pregnancy; D012307:Risk Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*; D016216:Ultrasonography, Prenatal
keywords: Congenital heart disease; Echocardiography; Fetal; Interventions; Therapy