Paulo Franco Taitson, Daniela Divino Kwong, Gabriela Cristina de Araújo Lima, Ludmila Santos Coelho, Wanessa Dias Bruce, Nicole de Oliveira Bernardes
JBRA Assist. Reprod. 2014; 18 (2):52-54
Received February 07, 2014
Accepted June 04, 2014
Abstract
The aim of this study is to identify the occurrence of cardiac malformations occurred in children conceived by assisted reproduction techniques (ART) in the international literature in Medline database from 1999 to 2012. The search returned data on 32,000 births, whose 21,000 were conceived naturally and 11,000 were conceived for ICSI and/or IVF. The incidence of cardiac malformations in general population situations was 0.4%. The incidence of cardiac malformations by ART was 1.8% ICSI and IVF. Among the situations of conceived naturally was observed 88 cases of cardiac malformations, which were: Atrial Septal Defect: 26 cases 29.55%, Change in the interventricular septum: 18 cases 20.45%, coarctation of the aorta: 13 cases 14.77%, aortic stenosis: 11 cases 12.5%, tetralogy of Fallot: 5.68% 5 cases, stenosis of the pulmonary trunk: 5 cases 5.68% other: 11.37% 10 cases. In cases of cardiac malformations in children conceived by IVF and ICSI, 198 cases were found, which were: CIA: 58 cases 29.30%, Change in the interventricular septum: 37 cases 18.69%, coarctation of the aorta: 20 cases 10.10%, aortic stenosis: 18 cases 9.09%, tetralogy of Fallot: 11 cases 5.55%, stenosis of the pulmonary trunk: 6 cases 3.03%, Other: 48 cases 24.24%. We conclude that cardiac malformations showed up with a low incidence in the general population of malformations observed in children where the parents were subjected to ART. Thus, it is essential to understand the concept of infertility, its causes, risk factors involving ART, the population prevalence of pregnancies from such techniques and congenital malformations occurred.