Adverse effect left congenital diaphragmatic hernia to position and function of the fetal heart

Adhi Pribadi*, Johanes Cornelius Mose

International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Pribadi A et al. Int J Reprod Contracept Obstet Gynecol. 2015 Dec;4(6):1863-1867


Background: There many heart problems in patients with CDH.
Methods: Between January 2012 and July 2015, three pregnancies (1:2153) performed ultrasound examination to
investigate suspected CDH. All symptoms displayed descriptively in table.
Results: In prenatal life, ultrasonography has a high sensitivity for detection of congenital diaphragmatic hernia. The
definite ultrasonographic diagnosis of fetal congenital diaphragmatic hernia lies on the visualization of abdominal
organs in the chest. The ultrasonographic hallmark of this condition is a fluid-filled mass in same level with fetal
heart. Ultrasonographic features indicative of congenital diaphragmatic hernia include polyhydramnios; an absent or
intraabdominal stomach bubble, mediastinal-cardiac shift away from the side of the herniation and a small fetal
abdominal circumference or growth retarded. The effect of stomach pressure results 100% the position of the heart
and affect the effectiveness of the heart such as pressure on the heart resulting tamponade effect.
Conclusions: Cardiac changes due to the insistence by CDH can lead to changes position, anatomical and cardiac
Keywords: CDH, Complication, Fetal heart