Spectrum of cyanotic congenital heart disease diagnosed by echocardiographic evaluation in patients attending paediatric cardiology clinic of a tertiary cardiac care centre
| Autor: | Manjunath C. Nanjappa, Ravindranath K. Shankarappa, Anand Subramanian, Jayranganath Mahimaiha, Usha Mandikal Kodanda Rama Sastry, Soumya Patra |
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| Rok vydání: | 2014 |
| Předmět: |
Heart Defects
Congenital Male Pediatrics medicine.medical_specialty Adolescent Cardiac Care Facilities Heart disease Persistent truncus arteriosus Double outlet right ventricle Internal medicine medicine Humans Prospective Studies cardiovascular diseases Child Tetralogy of Fallot Cyanosis Tricuspid valve Tertiary Healthcare business.industry Infant Newborn Infant General Medicine medicine.disease medicine.anatomical_structure Echocardiography Great arteries Child Preschool Atresia Pediatrics Perinatology and Child Health Cardiology Female Cardiology and Cardiovascular Medicine Pulmonary atresia business |
| Zdroj: | Cardiology in the Young. 25:861-867 |
| ISSN: | 1467-1107 1047-9511 |
| DOI: | 10.1017/s1047951114000882 |
| Popis: | Background:Cyanotic CHD comprises up to 25% of cases of all causes of CHD.Rationale:There is lack of data about the present spectrum of congenital cyanotic heart disease in the paediatric age group.Objective:The present study was undertaken to determine the spectrum of patients with congenital cyanotic heart disease in the paediatric age group in tertiary paediatric cardiac care clinic.Design:Prospective observational study.Setting:Paediatric cardiac clinic of a tertiary cardiac care centre.Methods:All children aged 0–18 years with suspected cyanotic CHD were provisionally included in this study. They underwent a thorough echocardiographic evaluation, and those patients who had definitive diagnosis of congenital cyanotic heart disease were included for final analysis.Results:A total of 119 children met the inclusion criteria. Tetralogy of Fallot and its variant were the most common congenital cyanotic heart disease with proportion of about 44%. Other common malformations were double outlet right ventricle (14%), pulmonary atresia with ventricular septal defect (8%), total anomalous pulmonary venous connection (7%), d-transposition of the great arteries (9%), tricuspid valve anomalies − tricuspid atresia and Ebstein’s anomaly − hypoplastic left-heart syndrome, truncus arteriosus, and complex CHD such as single ventricle.Conclusion:Tetralogy of Fallot and its variants were the most common cyanotic heart disease diagnosed in our patients. As there were a significant proportion of cases with complex cyanotic CHD, paediatric cardiologists should be familiar with the diagnosis and management of all these complex congenital malformations of the heart. |
| Databáze: | OpenAIRE |
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