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PO-0416 2nd Trimester Head Size In Fetuses With Congenital Heart Disease: A Cohort Study
  1. MH Lauridsen1,
  2. OB Petersen2,
  3. EM Vestergaard3,
  4. TB Henriksen1,
  5. JR Østergaard1,
  6. NB Matthiesen1,
  7. VE Hjortdal4
  1. 1Paediatrics, Aarhus University Hospital, Aarhus N, Denmark
  2. 2Obstetrics and Gynaecology, Aarhus University Hospital, Aarhus N, Denmark
  3. 3Clinical Genetics, Aarhus University Hospital, Aarhus N, Denmark
  4. 4Cardio-Thoracic Surgery, Aarhus University Hospital, Aarhus N, Denmark

Abstract

Background and aims Congenital heart disease (CHD) is associated with neuro-developmental disorder. The influence of CHD on the brain is believed to begin during pregnancy. The aim of this study is to describe a 2-year cohort of fetuses with major and minor CHD and to investigate if and when during pregnancy cerebral growth is disrupted. We hypothesise that fetal cerebral growth is impaired as early as 2nd trimester.

Method Pregnant women in Denmark (more than 95%) attend two publicly funded ultrasound scans; at 12 weeks gestational age (GA) and at 19–20 weeks GA. Fetal biometrics and abnormal ultrasound findings are registered. Fetuses in Western Denmark (2.9 mill inhabitants) screened between January 1st 2012 and December 31st 2013, diagnosed with any structural, non-syndromic CHD either during pregnancy or up to six months after birth, are included in the study.

Results 129 fetuses with CHD were identified prenatally. Ninety-eight (76%) were genetically screened, primarily by chromosomal micro-array analysis (n = 72). Nineteen pregnant women (15%) declined invasive testing. Twenty-three fetuses (18%) were excluded due to genetic syndromes, mainly aneuploidies (n = 14) and seven (5%) were excluded due to extra-cardiac malformations. Ninety-nine fetuses (77%) with presumed non-syndromic CHD were included. Head circumference in week 19–20 was significantly smaller than average with a mean z score of -0.4 (95% CI: -0.7, -0.2) (p < 0.01). Analyses are undergoing and results will be presented at the meeting.

Conclusions Preliminary unadjusted results suggest that fetal cerebral growth in children with CHD may be disrupted as early as 2nd trimester.

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