en

Fetal echocardiography Marton, Ulla; Stanojević, Milan; Mišković, berigoj & Kurjak, Asim Abstract Advanced technology as well as an increased capability of the ultrasonographers have expanded the use of the ultrasound as a diagnostic tool for the evaluation of the fetal heart. The ultrasound has enabled us to examine in detail embryonic and fetal development. With existing technology, it is possible to detect fetal abnormalities including heart anomalies at the end of the first trimester of pregnancy. The introducing 3D, 4D and STIC techology gave us more opportunity in the examination of the fetal heart. During the last two decades the fetal echocardiography has been established as a reliable, non – invasive technique for the evaluation of the detailed anatomy of the fetal heart. With the combination of the skilled staff and modern technology, it ispossible to detected most of the structural anomalies, and, through the use of socalled “soft” or “minor” markers, achieve great success in identifying pregnancies at increased risk for aneuploidy. Keywords chromosomal anomalies; fetal heart; ultrasound

hr

Fetalna ehokardiografija Marton, Ulla; Stanojević, Milan; Mišković, berigoj & Kurjak, Asim Napretkom tehnologije i umijećem pretraživača fetalna ehokardiografija postala je sastavni dio suvremene perinatologije. Ona nam omogućuje procjenu struktura i funkciju fetalnog kardiovaskularnog sustava, a time i prognozu ploda, ishod trudnoće, kao i ocjenu moguće postnatalne intervencije. Dvodimenzionalnom ultrazvučnom slikom, bilo transvaginalnim ili transabdominalnim putem, ocjenjujemo kvalitativne anatomske odnose, primjenom dopplera u boji i pulsirajućeg dopplera pristupamo ocjeni funkcionalnog stanja kardiovaskularnog sustava, dok uvođenje 3D, 4D i STIC tehnologije omogućuje još jasniju evaluaciju fetalnog srca u svim presjecima. Strukturne anomalije srca i velikih krvnih žila relativno su često zastupljene u populaciji, u 8 do 9 na 1.000 živorođene djece, dok gotovo pola zahvaćenih fetusa ima pridružene ekstrakardijalne ili kromosomske anomalije. Upravo otkrivanje fetusa s mogućom srčanom greškom i njegova daljnja evaluacija pridonosi značaju primjene fetalne ehokardiografije. kromosomske anomalije; fetalno srce; ultrazvuk

© Copyright © 2008 - Croatian Medical Association - Rijeka branch
Alternative site location: http://hrcak.srce.hr/medicina