Follow-up of Secundum ASD, Muscular VSD, or PDA Diagnosed During Newborn Hospitalization.
| Autor: | Faultersack J; University of North Carolina at Chapel Hill., Johnstad C; Intermountain Healthcare., Zhang X; University of Wisconsin-Madison., Greco M; University of Wisconsin-Madison., Hokanson J; University of Wisconsin-Madison. |
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| Jazyk: | angličtina |
| Zdroj: | Research square [Res Sq] 2024 Jan 18. Date of Electronic Publication: 2024 Jan 18. |
| DOI: | 10.21203/rs.3.rs-3871102/v1 |
| Abstrakt: | Background: The ideal follow-up of neonates who have a secundum atrial septal defect (ASD), muscular ventricular septal defect (VSD) or patent ductus arteriosus (PDA) remains uncertain. Methods: Newborns with findings limited to a secundum ASD, muscular VSD and/or PDA on their last birth hospital echocardiogram and at least one outpatient follow-up echocardiogram performed between 9-1-17 and 9-1-21 were evaluated and patient follow-up assessed through 9-1-23. Results: 95 babies met inclusion criteria. 43 babies had a secundum ASD, 41 had a muscular VSD and 54 had a PDA at newborn hospital discharge. 39/95 had more than one intracardiac shunt. 56 were discharged from care, 26 were still in follow-up and 13 were lost to recommended follow-up.No patients required intervention during the follow-up period of 2 to 6 years. Of those 43 with a secundum ASD 16 (37.2%) had demonstrated closure of the ASD and 13 (30.2%) were discharged from care with and ASD < 3.5 mm in diameter. 3/43 infants with secundum ASD had a defect large enough to easily warrant further follow-up. Conclusion: Even in this group who had early clinical follow-up recommended by a pediatric cardiologist, no baby discharged from their birth hospitalization with a secundum ASD, muscular VSD or PDA needed any intervention from 2 to 6 years of follow-up. Ongoing follow-up with echocardiography of those infants with a secundum ASD is of greater value than of those with muscular VSD or PDA. Competing Interests: Additional Declarations: No competing interests reported. |
| Databáze: | MEDLINE |
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