Tools in Fetal Heart Procedures

  • Cleisson Fábio Andrioli PeraltaEmail author
  • Simone Rolim Fernandes Fontes Pedra
  • Carlos Augusto Cardoso Pedra


Fetal cardiac interventions have gained acceptance in the fetal medicine and cardiology fields as their efficacy and safety have been demonstrated throughout the world. The tools used for fetal cardiac interventions nowadays are relatively simple and widely available. Despite new instruments, as catheters and dilating devices, are welcome and may help to improve results in the future, it seems that the success of fetal cardiac intervention relies mainly on the expertise of a dedicated multidisciplinary team.


Interatrial Septum Fetal Intervention Chiba Needle External Version Coronary Balloon 
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  1. 1.
    Maxwell D, Allan L, Tynan MJ. Balloon dilation of the aortic valve in the fetus: a report of two cases. Br Heart J. 1991;65(5):256–8.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Kohl T, Sharland G, Allan LD, Gembruch U, Chaoui R, Lopes LM, et al. World experience of percutaneous ultrasound- guided balloon valvuloplasty in human fetuses with severe aortic valve obstruction. Am J Cardiol. 2000;85(10):1230–3.CrossRefPubMedGoogle Scholar
  3. 3.
    Tworetzky W, Wilkins-Haug L, Jennings RW, van der Velde ME, Marshall AC, Marx GR, et al. Balloon dilation of severe aortic stenosis in the fetus: potential for prevention of hypoplastic left heart syndrome: candidate selection, technique, and results of successful intervention. Circulation. 2004;110(15):2125–31.CrossRefPubMedGoogle Scholar
  4. 4.
    Marshall AC, Tworetzky W, Bergersen L, McElhinney DB, Benson CB, Jennings RW, et al. Aortic valvuloplasty in the fetus: technical characteristics of successful balloon dilation. J Pediatr. 2005;147(4):535–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Wilkins-Haug LE, Tworetzky W, Benson CB, Marshall AC, Jennings RW, Lock JE. Factors affecting technical success of fetal aortic valve dilation. Ultrasound Obstet Gynecol. 2006;28(1):47–52.CrossRefPubMedGoogle Scholar
  6. 6.
    Arzt W, Werttaschnigg D, Veit I, Klement F, Gitter R, Tulzer G. Intrauterine aortic valvuloplasty in fetuses with critical aortic stenosis: experience and results of 24 procedures. Ultrasound Obstet Gynecol. 2011;37(6):689–95.CrossRefPubMedGoogle Scholar
  7. 7.
    Marshall AC, Levine J, Morash D, Silva V, Lock JE, Benson CB, et al. Results of in utero atrial septoplasty in fetuses with hypoplastic left heart syndrome. Prenat Diagn. 2008;28(11):1023–8.CrossRefPubMedGoogle Scholar
  8. 8.
    Tulzer G, Arzt W, Franklin RC, Loughna PV, Mair R, Gardiner HM. Fetal pulmonary valvuloplasty for critical pulmonary stenosis or atresia with intact septum. Lancet. 2002;360(9345):1567–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Arzt W, Tulzer G, Aigner M, Mair R, Hafner E. Invasive intrauterine treatment of pulmonary atresia/intact ventricular septum with heart failure. Ultrasound Obstet Gynecol. 2003;21(2):186–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Galindo A, Gutierrez-Larraya F, Velasco JM, de la Fuente P. Pulmonary balloon valvuloplasty in a fetus with critical pulmonary stenosis/atresia with intact ventricular septum and heart failure. Fetal Diagn Ther. 2006;21(1):100–4.CrossRefPubMedGoogle Scholar
  11. 11.
    Tworetzky W, McElhinney DB, Marx GR, Benson CB, Brusseau R, Morash D, et al. In utero valvuloplasty for pulmonary atresia with hypoplastic right ventricle: techniques and outcomes. Pediatrics. 2009;124(3):e510–8.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Pedra SF, Peralta CF, Pedra CAC. Future directions of fetal interventions in congenital heart disease. Intervent Cardiol Clin. 2013;2:1–10.CrossRefGoogle Scholar
  13. 13.
    Pedra SR, Peralta CF, Crema L, Jatene IB, da Costa RN, Pedra CA. Fetal interventions for congenital heart disease in Brazil. Pediatr Cardiol. 2014;35(3):399–405.CrossRefPubMedGoogle Scholar
  14. 14.
    Tavares NM, Ferreira SG, Bennini JR, Marussi EF, Barini R, Peralta CF. Longitudinal reference intervals of maternal-fetal Doppler parameters. Rev Bras Ginecol Obstet. 2013;35(1):33–8.CrossRefPubMedGoogle Scholar
  15. 15.
    Gomes Neto O, Marins M, Botelho RD, Nivoloni RC, Saura GE, Vessoni Arias A, Barini R, Peralta CF. Feasibility and reproducibility of diffusion-weighted magnetic resonance imaging of the fetal brain in twin-twin transfusion syndrome. Prenat Diagn. 2014;34(12):1182–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Luminoso D, Figueira CO, Marins M, Peralta CF. Fetal brain lesion associated with spontaneous twin anemia-polycythemia sequence. Ultrasound Obstet Gynecol. 2013;42(6):721–2.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Cleisson Fábio Andrioli Peralta
    • 1
    Email author
  • Simone Rolim Fernandes Fontes Pedra
    • 1
  • Carlos Augusto Cardoso Pedra
    • 1
  1. 1.Fetal Cardiology UnitHeart HospitalSao PauloBrazil

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