Table 1. Summary of maternal hyperoxygenation in congenital heart disease.
Reference | Diagnosis | Oxygen delivery | Protocol | Goals |
---|---|---|---|---|
Szwast et al. [2010] | HLHS with or without RAS/IAS | Acute | 60% eFiO2, assessed after 10 min | Assess for fetal pulmonary vasculopathy |
Enzensberger et al. [2016] | HLH with or without RAS/IAS | Acute | 60% eFiO2, assessed after 10 min | Assess for fetal pulmonary vasculopathy |
Kohl et al. [2010] | Hypoplastic heart structures | Chronic | 50–60% eFiO2, 3×4 hours of MH/day | Improve cardiac structural growth |
Kohl et al. [2011] | Foramen ovale closure, aortic isthmus hypoplasia, turbulent distal arch flow | Chronic | 45% eFiO2, 3×4 hours of MH/day | Improve aortic isthmus dimensions |
Zeng et al. [2016] | Isolated coarctation | Chronic | 45% eFiO2, 2×3 hours of MH/day | Improve left-sided cardiac structural growth |
Zeng et al. [2017] | Isolated coarctation | Chronic | 45% eFiO2, 2×3 hours of MH/day | Improve left-sided cardiac structural growth |
Lara et al. [2016] | LHH | Chronic | 50% eFiO2, >8 hours of MH/day | Improve left-sided cardiac structural growth |
Channing et al. [2015] | Fetal atrial septum aneurysm with small LV | Acute | 60% eFiO2, assessed after 10 min | Improve left-heart filling |
Porayette et al. [2016] | CHD | Acute | 70% eFiO2, assessed after 10 min | Validate CMR in fetuses with CHD |
Borik et al. [2015] | Borderline LVH with retrograde flow across the aortic isthmus | Acute | 70% eFiO2, assessed after 20 min | Fetal circulatory assessment in CHD |
Szwast et al. [2018] | HLHS variants | Acute | 60% eFiO2, assessed after 10 min | Assess cerebrovascular response |
Hogan et al. [2020] | LSOL, RSOL, d-TGA | Acute | 60% eFiO2, assessed after 10 min | Assess cerebrovascular response |
You et al. [2020] | CHD | Acute | 70% eFiO2, assessed for 6 min | Identify cerebral oxygenation |
Edwards et al. [2019] | LHH | Chronic | 50% eFiO2, >8 hours of MH/day | Improve fetal brain development |
HLHS, hypoplastic left heart syndrome; RAS, restrictive atrial septum; IAS, intact atrial septum; HLH, hypoplastic left heart; LHH, left heart hypoplasia; LV, left ventricle; CHD, congenital heart disease; LSOL, left-sided obstructive lesion; RSOL, right-sided obstructive lesion; d-TGA, dextro-transposition of the great arteries; CMR, cardiac magnetic resonance; LVH, left ventricular hypoplasia; eFiO2, effective fraction of inspired oxygen.