Özet:

Cardiac anomalies occur in about 1% of newborn infants and form the most common group of congenital anomalies. Congenital heart diseases are the most common cause of early neonatal deaths due to congenital anomalies. Early recognition of congenital heart diseases has great importance for the pre-determination of necessary medical or surgical treatments. A total of 152 pregnant women who underwent fetal echocardiographic evaluation between March 2014 and January 2016 were reviewed retrospectively from the pediatric cardiology outpatient clinic records. 16 pregnancies (10.52%) were diagnosed with complex CHD. All fetuses diagnosed with complex CHD were interviewed at the prenatal period with the congenital heart intervention center for fetuses whose intervention or surgical intervention was foreseen, and the delivery was coordinated with a multidisciplinary approach. Of the 16 fetuses, 4 had aortic coarctation, 5 had tetralogy of fallot, 1 had no fallot absent pulmonary valve, 2 had hypoplastic left heart syndrome, 2 had transposition of great arteries, 2 had double inlet left ventricle. In our study, all of the patients who needed postpartum emergency interventional treatment were planned in the prenatal period and the center was set up and the patients were referred by starting PGE1 in the postnatal period. The fetus, which may need urgent intervention in the delivery room, is directed to the center prenatally. No hemodynamic instability has occurred in patients during and after birth. As a result; the prenatal diagnosis of CHD and postnatal risk determination, can reduce the neoanatal mortality significantly because it allows the interventional treatment to be coordinated with the center.

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