Morphological analysis of ventricular septal defect by echocardiography for prediction of aortic regurgitation in pediatric population.

Autor: El Louali F; Pediatric and Congenital Cardiology Department, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, Marseille, France. fedoua.el-louali@ap-hm.fr.; Laboratory of Biomechanics and Application, UMRT24, Gustave Eiffel University, Aix Marseille University, Marseille, France. fedoua.el-louali@ap-hm.fr., Soler F; Pediatric and Congenital Cardiology Department, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, Marseille, France., Fouilloux V; Pediatric and Congenital Cardiology Department, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, Marseille, France.; Laboratory of Biomechanics and Application, UMRT24, Gustave Eiffel University, Aix Marseille University, Marseille, France., Evin M; Laboratory of Biomechanics and Application, UMRT24, Gustave Eiffel University, Aix Marseille University, Marseille, France., Ovaert C; Pediatric and Congenital Cardiology Department, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, Marseille, France.; Inserm U1251, Marseille Medical Genetics, Aix Marseille University, Marseille, France.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2023 Apr 24; Vol. 13 (1), pp. 6697. Date of Electronic Publication: 2023 Apr 24.
DOI: 10.1038/s41598-023-32940-7
Abstrakt: Ventricular septal defects (VSD) are the most common congenital heart diseases in children. Among them, perimembranous VSD (pm-VSD) have a higher risk of complications, including aortic valve prolapse and aortic regurgitation (AR). The aim of our study was to assess echocardiographic criteria associated with AR during follow-up of pm-VSD. Forty children with restrictive pm-VSD, followed-up in our unit and who underwent a workable echocardiographic evaluation between 2015 and 2019 were included and retrospectively analyzed. The propensity score was used to match 15 patients with AR to 15 patients without AR. Median age was 2.2 year [1.4-5.7]. Median weight was 14 kg [9.9-20.3]. Aortic annulus z-score, Valsalva sinus z-score, sinotubular junction z-score, valve prolapse and commissure commitment were significantly different between the two groups (p = 0.047, p = 0.001, p = 0.010, p = 0.007, p < 0.001 respectively). Aortic root dilatation, aortic valve prolapse and commissure commitment to a perimembranous VSD are associated to aortic regurgitation.
(© 2023. The Author(s).)
Databáze: MEDLINE
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