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| Evaluation of fetal cardiac tumor associated with congestive heart failure by Doppler echocardiography |
| WANG Hong, GENG Dan-ming, TU Xue-jun, HONG Jun-feng |
| Department of Echocardiography, Fuzhou General Hospital of PLA, Fuzhou 350025, China |
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Abstract Objective: To investigate the correlation between fetal cardiac tumor with congestive heart failure(CHF), and explore possible mechanisms of CHF. Methods: Twelve fetuses with cardiac tumor underwent echocardiographic fetal cardiac function examination. Results: ①Tumors of the heart was identified in 12 cases. ②Hydrops fetalis developed in 2 cases, with decreased ventricular fractional shortening(FS%) and combined cardiac output(CCO)(P<0.001), increased fetal cardiothoracic ratio, and asymmetrical enlargement of atrium and ventricle or myocardial hypertrophy. ③Medium to severe regurgitation of mitral valve and tricuspid valve occured in 8 cases, and regurgitation of pulmonary valve in 3 cases. Conclusion: In fetuses with cardiac tumors, Doppler echocardiography is valuable in quantifying fetal cardiac function by calculating such indices as FS and CCO, and assessing both intracardiac and peripheral hemodynamics.
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Received: 20 March 2006
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2006, Vol. 17 
