Structural heart disease in the fetus

John M. Simpson*, Caroline B. Jones

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Congenital heart defects can be diagnosed by ultrasound during fetal life with a high degree of diagnostic accuracy at specialist centers. Cardiac defects characterized by an abnormal four-chamber view of the heart have higher detection rates than those lesions which depend on views of the outflow tracts for their detection. Prenatal detection allows appropriate preparation for delivery and for the prenatal identification of associated anomalies. Prediction of babies who will require emergency postnatal intervention means that planning the site of delivery and emergency management is facilitated. There is evidence that postnatal outcome may be improved by prenatal diagnosis of some cardiac lesions including hypoplastic left heart syndrome, transposition of the great arteries, and coarctation of the aorta.

Original languageEnglish
Title of host publicationPediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care
PublisherSpringer-Verlag London Ltd
Number of pages25
ISBN (Electronic)9781447146193
ISBN (Print)9781447146186
Publication statusPublished - 1 Jan 2014
Externally publishedYes

Bibliographical note

Publisher Copyright:
© Springer-Verlag London 2014.


  • Cardiac defect
  • Congenital heart disease
  • Echocardiography
  • Fetal heart
  • Fetus
  • Prenatal diagnosis
  • Ultrasound


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