{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T12:19:22Z","timestamp":1784204362565,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Outcome of common arterial trunk (CAT) depends mainly on truncal valve function, presence of coronary artery abnormalities and presence of interrupted aortic arch. The main objective of this study was to evaluate the accuracy of prenatal diagnosis of CAT by analyzing prenatal <jats:italic>vs<\/jats:italic> postnatal assessment of: (1) anatomic subtypes and (2) truncal valve function. The secondary objective was to assess the potential impact of prenatal diagnosis of CAT on postnatal mortality and morbidity by comparing prenatally <jats:italic>vs<\/jats:italic> postnatally diagnosed patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective analysis of all CAT patients diagnosed either prenatally, with postnatal or fetopsy confirmation, or postnatally, from 2011 to 2019 in a single tertiary center. Cohen's kappa statistic was used to evaluate agreement between pre\u2010 and postnatal assessment of anatomic subtypes according to Van Praagh and of truncal valve function. Mortality and morbidity variables were compared between prenatally <jats:italic>vs<\/jats:italic> postnatally diagnosed CAT patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 84 patients (62 liveborn with prenatal diagnosis, 16 liveborn with postnatal diagnosis and six terminations of pregnancy with fetopsy) met the inclusion criteria. The accuracy of prenatal diagnosis of CAT anatomic subtype was 80.3%, and prenatal and postnatal concordance for subtype diagnosis was only moderate (\u03ba\u2009=\u20090.43), with no patient with CAT Type\u2009A3 (0\/4) and only half of patients with CAT Type\u2009A4 (8\/17) being diagnosed prenatally. Fetal evaluation of truncal valve function underestimated the presence (no agreement; \u03ba\u2009=\u20090.09) and severity (slight agreement; \u03ba\u2009=\u20090.19) of insufficiency. However, four of five cases of postnatally confirmed significant  truncal valve stenosis were diagnosed prenatally, with fair agreement for both presence and severity of stenosis (\u03ba\u2009=\u20090.38 and 0.24, respectively). Mortality was comparable in patients with and those without prenatal diagnosis (log\u2010rank <jats:italic>P<\/jats:italic>\u2009=\u20090.87). CAT patients with fetal diagnosis underwent earlier intervention (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), had shorter intubation time (<jats:italic>P<\/jats:italic>\u2009=\u20090.047) and shorter global hospital stay (<jats:italic>P<\/jats:italic>\u2009=\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The accuracy of prenatal diagnosis of CAT is insufficient to tailor neonatal management and to predict outcome. Fetal assessment of truncal valve dysfunction appears unreliable due to perinatal transition. Improvement is necessary in the fetal diagnosis of anatomic subtypes of CAT requiring postnatal prostaglandin infusion. \u00a9 2022 International Society of Ultrasound in Obstetrics and Gynecology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.24873","type":"journal-article","created":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T03:08:51Z","timestamp":1643944131000},"page":"223-233","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Accuracy and impact of prenatal diagnosis of common arterial trunk"],"prefix":"10.1002","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1057-9314","authenticated-orcid":false,"given":"D.","family":"Laux","sequence":"first","affiliation":[{"name":"UE3C\u2010Unit\u00e9 d'Explorations Cardiologiques des Cardiopathies Cong\u00e9nitales  Paris France"},{"name":"Service de Cardiologie Cong\u00e9nitale et P\u00e9diatrique, M3C\u2010Necker H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Derridj","sequence":"additional","affiliation":[{"name":"Service de Cardiologie Cong\u00e9nitale et P\u00e9diatrique, M3C\u2010Necker H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"},{"name":"Universit\u00e9\u0301 de Paris, CRESS, INSERM, INRA  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Stirnemann","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie\u2010Obst\u00e9trique H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Lucron","sequence":"additional","affiliation":[{"name":"Cardiologie Cong\u00e9nitale et P\u00e9diatrique, Centre de Comp\u00e9tence M3C\u2010Antilles\u2010Guyane CHU de la Martinique  Fort\u2010de\u2010France Martinique France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Stos","sequence":"additional","affiliation":[{"name":"UE3C\u2010Unit\u00e9 d'Explorations Cardiologiques des Cardiopathies Cong\u00e9nitales  Paris France"},{"name":"Service de Cardiologie Cong\u00e9nitale et P\u00e9diatrique, M3C\u2010Necker H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Levy","sequence":"additional","affiliation":[{"name":"UE3C\u2010Unit\u00e9 d'Explorations Cardiologiques des Cardiopathies Cong\u00e9nitales  Paris France"},{"name":"Service de Cardiologie Cong\u00e9nitale et P\u00e9diatrique, M3C\u2010Necker H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Houyel","sequence":"additional","affiliation":[{"name":"Service de Cardiologie Cong\u00e9nitale et P\u00e9diatrique, M3C\u2010Necker H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Bonnet","sequence":"additional","affiliation":[{"name":"Service de Cardiologie Cong\u00e9nitale et P\u00e9diatrique, M3C\u2010Necker H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.04.008"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(76)80400-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaa423"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.12.115"},{"key":"e_1_2_8_6_1","first-page":"1205","article-title":"Outcomes after common arterial trunk repair: Impact of the surgical technique","author":"Derridj N","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.08.094"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2018.12.006"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.15964"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy080"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12403"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12373"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000433430"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(01)02117-8"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-008-9328-7"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404\u2010021\u201006157\u2010w"},{"key":"e_1_2_8_17_1","unstructured":"LansacJ BessisR. 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