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Federación Mexicana de Ginecología y Obstetricia, A.C.

2013, Número 06

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Ginecol Obstet Mex 2013; 81 (06)


Avances en el diagnóstico prenatal de las cardiopatías congénitas

Muner-Hernando M, Gil-Mira M, Zapardiel I

Idioma: Español
Referencias bibliográficas: 64
Paginas: 334-344
Archivo PDF: 335.89 Kb.


RESUMEN

Las cardiopatías congénitas son la causa más frecuente de malformaciones al nacimiento. Su gran importancia radica, principalmente, en que suponen 46% de las muertes neonatales y en que se asocian, a más largo plazo, con moderada morbilidad, sin dejar de ser uno de los grupos de malformaciones más difíciles de diagnosticar. El objetivo de esta revisión es: analizar las técnicas de imagen actualmente disponibles y reconocer su utilidad real frente a la ecocardiografía convencional para la detección temprana de cardiopatías congénitas. La introducción de nuevas técnicas de diagnóstico ecocardiográfico prenatal ha supuesto un cambio en la orientación de la detección de cardiopatías congénitas que permiten la obtención de imágenes de mayor calidad y resolución anatómica, la posibilidad de análisis a distancia y la ventaja en comparación con el diagnóstico de estructuras hasta entonces muy difíciles de evaluar, como las venas pulmonares. Sin embargo, no se dispone de estudios poblacionales a gran escala que hayan podido traducir esa ventajas en mejoras reales en la tasa de diagnóstico de cardiopatías en poblaciones no seleccionadas, aunque los resultados sean prometedores.


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