Evidence map›Paper›PMID 38420785›Full record

ArticleJournal of the American Heart Association2024

Placental Pathology Contributes to Impaired Volumetric Brain Development in Neonates With Congenital Heart Disease.

Maaike Nijman, Lotte E van der Meeren, Peter G J Nikkels, Raymond Stegeman, Johannes M P J Breur, Nicolaas J G Jansen, Henriette Ter Heide, Trinette J Steenhuis, Roel de Heus, Mireille N Bekker and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
13.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Brain volumes in fetuses with congenital heart disease and placental vascular abnormalities.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  13. The "Heart-and-Brain Interaction" in Newborns with Complex Congenital Heart Disease.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
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  16. Observational
  17. Cord blood levels of insulin-like growth factor-1 and insulin-like growth factor binding protein-3 correlate with perinatal brain development in fetal congenital heart disease.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Maaike NijmanDepartment of Neonatology Wilhelmina Children's Hospital, University Medical Center Utrecht Utrecht the Netherlands.ORCID 0000-0001-9665-0291
Lotte E van der MeerenDepartment of Pathology Erasmus Medical Center Rotterdam Rotterdam the Netherlands.ORCID 0000-0002-4537-5645
Peter G J NikkelsDepartment of Pathology University Medical Center Utrecht Utrecht the Netherlands.ORCID 0000-0002-7279-4589
Raymond StegemanDepartment of Neonatology Wilhelmina Children's Hospital, University Medical Center Utrecht Utrecht the Netherlands.
Johannes M P J BreurDepartment of Pediatric Cardiology Wilhelmina Children's Hospital, University Medical Center Utrecht Utrecht the Netherlands.ORCID 0000-0001-8009-8869
Nicolaas J G JansenDepartment of Pediatrics Beatrix Children's Hospital, University Medical Center Groningen Groningen the Netherlands.
Henriette Ter HeideDepartment of Pediatric Cardiology Wilhelmina Children's Hospital, University Medical Center Utrecht Utrecht the Netherlands.ORCID 0000-0002-5755-5774
Trinette J SteenhuisDepartment of Pediatric Cardiology Wilhelmina Children's Hospital, University Medical Center Utrecht Utrecht the Netherlands.ORCID 0000-0002-2516-7822
Roel de HeusDepartment of Obstetrics and Gynecology University Medical Center Utrecht Utrecht the Netherlands.
Mireille N BekkerDepartment of Obstetrics and Gynecology University Medical Center Utrecht Utrecht the Netherlands.ORCID 0000-0002-7372-4291
Nathalie H P ClaessensDepartment of Neonatology Wilhelmina Children's Hospital, University Medical Center Utrecht Utrecht the Netherlands.ORCID 0000-0002-4221-2779
Manon J N L BendersDepartment of Neonatology Wilhelmina Children's Hospital, University Medical Center Utrecht Utrecht the Netherlands.ORCID 0000-0001-5491-9168
CHD LifeSpan Study Group ‡
University Medical Center Utrecht · NLUniversity Medical Center Groningen · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonates with congenital heart disease are at risk for impaired brain development in utero, predisposing children to postnatal brain injury and adverse long-term neurodevelopmental outcomes. Given the vital role of the placenta in fetal growth, we assessed the incidence of placental pathology in fetal congenital heart disease and explored its association with total and regional brain volumes, gyrification, and brain injury after birth. METHODS AND

resultsPlacentas from 96 term singleton pregnancies with severe fetal congenital heart disease were prospectively analyzed for macroscopic and microscopic pathology. We applied a placental pathology severity score to relate placental abnormalities to neurological outcome. Postnatal, presurgical magnetic resonance imaging was used to analyze brain volumes, gyrification, and brain injuries. Placental analyses revealed the following abnormalities: maternal vascular malperfusion lesions in 46%, nucleated red blood cells in 37%, chronic inflammatory lesions in 35%, delayed maturation in 30%, and placental weight below the 10th percentile in 28%. Severity of placental pathology was negatively correlated with cortical gray matter, deep gray matter, brainstem, cerebellar, and total brain volumes (

conclusionsPlacental pathology occurs frequently in neonates with severe congenital heart disease and may contribute to impaired brain development, indicated by the association between placental pathology severity and reductions in postnatal cortical, cerebellar, and total brain volumes.

Indexed as

Brain InjuriesFetal DiseasesHeart Defects, CongenitalBrainChildFemaleFetal DevelopmentHumansInfant, NewbornPlacentaPregnancybrain developmentcongenital heart diseasefetusmagnetic resonance imagingneonateneuroplacentologyplacenta

Identifiers

PMID38420785
PMCPMC10944035
OpenAlexW4392285896

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.