Cardiac anomalies in microtia patients at a tertiary pediatric care center
| Autor: | Sameer D. Kini, Nicole L. Alexander, Yi-Chun C. Liu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Heart Defects
Congenital Male Pediatrics medicine.medical_specialty Genetic syndromes Limb Deformities Congenital Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Prevalence medicine Humans CARDIAC ANOMALY Abnormalities Multiple Significant risk Child 030223 otorhinolaryngology Congenital Microtia Retrospective Studies Tetralogy of Fallot business.industry Microtia Genetic Diseases X-Linked General Medicine Ichthyosiform Erythroderma Congenital medicine.disease Otorhinolaryngology Echocardiography Pediatrics Perinatology and Child Health cardiovascular system Female Physical exam Pediatric care business |
| Zdroj: | International Journal of Pediatric Otorhinolaryngology. 136:110211 |
| ISSN: | 0165-5876 |
| DOI: | 10.1016/j.ijporl.2020.110211 |
| Popis: | Objective Microtia is a congenital condition that is known to be associated with cardiac abnormalities. Current guidelines suggest performing an echocardiogram or other cardiac work-up in the presence of ear anomalies with dysmorphic features but not isolated microtia. We report on the prevalence and characteristics of cardiac anomalies among microtia patients at a tertiary pediatric center. Methods A review of 428 children with microtia was conducted. Patients were identified as syndromic or non-syndromic. Data included echocardiograms performed, anomalies detected, need for cardiology follow-up, and need for surgical intervention. Results In the 428 patients with microtia, 77 patients (18%) were syndromic, the most common being Goldenhar (26%). 23.5% (101) of patients overall had documented echocardiograms, with structural anomalies found in 75.9% of patients screened and 18.5% overall, including disorders ranging from minor septal defects to Tetralogy of Fallot. The most common anomalies were left-right shunts in 77.2% of anomalies. Syndromic patients had a greater percentage of echocardiograms performed, cardiac anomalies, and cardiology follow-up compared to non-syndromic microtia patients. Conclusion Children with microtia are at significant risk for cardiac abnormalities. Many patients with lesions required treatment and cardiology follow-up. Anomalies may have been missed in those who did not receive an echocardiogram. Given the risk of cardiac anomalies going unnoticed at the time of birth, we recommend a thorough cardiac physical exam for each microtia patient and the consideration of screening echocardiogram in syndromic children born with microtia. |
| Databáze: | OpenAIRE |
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