| Popis: |
Introduction: Congenital heart diseases may cause respiratory symptoms due to increased or decreased pulmonary flow. Method: Congenital heart disease patients with persistent respiratory symptoms were reviewed. Results: 251 patients with congenital heart disease were followed for respiratory symptoms. Six patients (2 %) had evaluated detailed because of persistent and recurrent respiratory symptoms. The mean age was 3,7±2,9 years.They had complex cardiac anomalies such as transposition of great arteries, interrupted arcus aorta, ventricular septal defect, atrial septal defect, pulmonary artery atresia, truncus arteriosus type 4. Two of them were operated. Prolonged wheezing and recurrent pneumonia in the same lobe were the most common finding. Four of them had dilated pulmonary artery, one of them had dilated ventricule and the other one had dilated descending aorta which compress to the bronchi or trachea.Although all of them had being followed since birth for congenital heart diseases, the vascular compression was diagnosed average 3,7 years later. Echocardiography and catheter angiography were perfomed before, but vascular compression was detected with CT- angiography. One of them was re-operated, one of them had operation for stent replacement then lobectomy was performed, one of them was died and the others were being followed.Conclusion: Due to flow or pressure changes, cardiac or vascular enlargement may cause compression in thoracic structures. Patients with congenital heart diseases with persistent pulmonary symptoms, should be evaluated with CT angiography in terms of contiguity and compression of the vascular or cardiac structures to pulmonary components. |
