Advances in noninvasive exploration of the unborn child offer better reporting of congenital heart disease in utero, and have allowed for more children with congenital cardiac malformations to receive the care they needed and go on to grow to have children themselves. All in all, congenital heart disease accounts for 80% of all cardiovascular disease in Western Europe and North American pregnancies, as opposed to only 10% in other countries (1). Increasingly, modern child care starts in intrauterine life. As a result, prognosis is improved from earlier diagnosis. For example, in first trimester pregnancy high time and spatial resolution in B mode (0,1-0,01 mm), color Doppler, power color Doppler, and spectral Doppler with gate as little as 0,5 mm give us the chance to obtain detailed assessment starting at 11 weeks of gestational age as part of a routine screening practice and starting at 13-14 weeks for specialised echocardiography evaluation (4). Here we point out risk of cardiovascular congenital anomalies and achievements in intrauterine fetal evaluation.
Authors: Calomfirescu M. Calomfirescu E.