Cardiac evaluation of children with congenital anomalies of the kidneys and urinary tract

Atic, Nedima

doi:10.5457/p2005-114.153

Cited by 5 publications

(9 citation statements)

References 16 publications

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“…Several CHD are known to occur in children with CAKUT in syndromic or nonsyndromic patterns. [13][14][15][16] However, there are only a few studies, which have described the frequency of occurrence of CHD associated with CAKUT. [13][14][15][16]24,[28][29][30] Limited reports demonstrated the more common types of CHD were found to be associated with CAKUT.…”

Section: Hydronephrosis Is the Most Common Urogenital Anomaly Amongmentioning

confidence: 99%

“…[13][14][15][16] However, there are only a few studies, which have described the frequency of occurrence of CHD associated with CAKUT. [13][14][15][16]24,[28][29][30] Limited reports demonstrated the more common types of CHD were found to be associated with CAKUT. 13,16,[28][29][30] About two-thirds of the cases of CHD, 65.6%, were found along with the three most frequent CAKUTs, that are hydronephrosis, vesicoureteral reflux, and ureteropelvic junctional obstruction.…”

Section: Hydronephrosis Is the Most Common Urogenital Anomaly Amongmentioning

confidence: 99%

“…12 The result of this co-occurrence is the subject of research for a genetic link between CAKUT and CHD. [13][14][15] Recent findings suggest an overlapping genetic etiology for CHD and CAKUT. Also, CAKUT can be presented in nonsyndromic patterns with CHD.…”

mentioning

confidence: 99%

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The association between the congenital heart diseases and congenital anomalies of the kidney and the urinary tract in nonsyndromic children

Keleş

Dönmez

Alp

et al. 2021

Congenital Anomalies

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Several congenital heart diseases (CHD) are present in children with congenital anomalies of the kidney and the urinary tract (CAKUT) in syndromic or nonsyndromic patterns. The purpose of this study was to identify nonsyndromic children with CAKUT who required echocardiographic evaluation and to find the prevalence of CHD in these patients. Retrospective chart review of nonsyndromic patients with CAKUT between 2012 and 2018 was conducted. Types of congenital anomalies of the kidney and urinary tract and echocardiogram reports of the patients, age, gender, prematurity, prenatal diagnosis of CAKUT, and family history were noted. Among 806 children with CAKUT, 135 patients underwent transthoracic echocardiographic evaluation and CHD was detected in 91 (11.2%). The most common type of CHD was secundum type atrial septal defect that was found in 73 (80.2%) patients. On the other hand, the most frequent types of congenital anomalies of the kidney and the urinary tract were isolated hydronephrosis and primary vesicoureteral reflux (61.4% and 12.8%, respectively). Our results showed that 75.8% of the patients with congenital heart diseases had isolated hydronephrosis. Finally, only 18 (2.2%) cases out of 806 patients that were evaluated via transthoracic echocardiography due to the clinical findings and family history had a CHD that required close (<6 months) follow-up. Congenital heart diseases that required close follow-up are rarely observed in nonsyndromic patients with CAKUT. Therefore, we suggest echocardiography should be performed in cases of clinical suspicion and family history rather than routinely in this patient group.

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Section: Hydronephrosis Is the Most Common Urogenital Anomaly Amongmentioning

confidence: 99%

Section: Hydronephrosis Is the Most Common Urogenital Anomaly Amongmentioning

confidence: 99%

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The association between the congenital heart diseases and congenital anomalies of the kidney and the urinary tract in nonsyndromic children

Keleş

Dönmez

Alp

et al. 2021

Congenital Anomalies

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“…Конгениталне аномалије бубрега и уринарног тракта често су праћене конгениталним болестима срца. Проспективном кардиолошком анализом и кардиолошким прегледом деце са урођеним аномалијама уринарног тракта, забележене су клинички безначајне морфолошке и хемодинамске промене код 13 (9,0%) деце, конгенитална болест срца пронађена је код 32 (22,2%, хипертрофична кардиомиопатија код 2 а плућна хипертензија код 1 од 144 деце 9 . Ови резултати указују на значај кардиолошких контрола у случају постављања дијагнозе конгениталне болести уринарног тракта због повезаности ових аномалија.…”

Section: дискусијаunclassified

Ren arcuatus: Manifestations

Lazarević¹

2018

Opšta medicina

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Увод. Ren arcuatus представља конгениталну малформацију бубрега при којој бубрези немају нормалан облик, већ се међусобно спајају својим доњим половима и формирају једну структуру облика потковице. Приказ случаја. Пацијент стар 42 године, јавља се на преглед због болова у пределу бубрега. Раније је лечен од учесталих уринарних инфекција и калкулозе бубрега. Урађен му је ултразвук абдомена и уринарног тракта. На ултразвучном прегледу утврђено је присуство калкулуса промера 18 mm. у десном бубрегу, а у левом бубрегу више калкулуса до 6,5 mm. Затим је на Клиници за урологију рађена IVP (Intravenous Pyelogram), а затим и литотрипсија-ESWL десног бубрега, након чега је постављена дефинитивна дијагноза Ren arcuatus. На Клиници за урологију Клиничког центра Србије поново се препоручује литотрипсија-ESWL десног бубрега. На Клинику урологије примљен је 24.03.2014. год. ради планиране литотрипсије-ES-WL, од које се одустаје и предлаже хитан Lithoclast са десне стране. Lithoclast се заказује за 25.03.2014.год., када је учињен push back камена у десни бубрег и пласиран ЈЈ стент са десне стране. На Oдељењу за урологију КЦ Србије 26.06.2014. год. предлаже се да се пацијенту извади ЈЈ стент у регионалном здравственом центру, где је 04.09.2014. год. на уролошком одељењу покушана екстракција ЈЈ стента, при чему долази до његовог прекида континуитета (извучен део калцификован у дужини 6 cm.). Пацијент се упућује у терцијарну здравствену установу. Од 15.09. до 06.11.2014. пацијент хоспитализован на Уролошкој клиници у Београду, где је четири пута рађена литотрипсија-ESWL камена десно. У току хоспитализације три пута је безуспешно покушана екстракција стента. Након тога, у условима опште анестезије учињена перкутана нефролитотомија-PCNL камена у десном бубрегу и депласиран ЈЈ стент, а после два месеца хоспитализације пацијенту је успешно извађен стент који је пласиран 6 месеци пре тога. Током 2015. и 2016. год. праћене су честе уринарне инфекције. Код пацијента је изолована «супербактерија» Proteus mirabilis која је је ESBL+и продукује бета лактамазе проширеног спектра деловања. Закључак. Услед конгениталне малформације тзв. Ren arcuatus јављају се чешће уринарне опструкције и развој хидронефрозе и уринарне инфекције, као и развијање камења у бубрезима, те ова малформација представља повећан ризик за здравље пацијента и на њу треба обратити пажњу у смислу праћења и чешћих контрола уринарног тракта ради спречавања компликација.

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“…Böbrek ve üriner kanalın doğuştan anomalileri de sık görülen doğuştan anomaliler arasında olup, 1000 canlı doğumda 0,3-1,6 arasında görülür. Sendromik olsun olmasın çocuklarda DKH'larına birçok üriner sistem anomalisinin eşlik ettiği bilinmektedir (2) .…”

Section: Introductionunclassified

Urinary Tract Anomalies in Children With Congenital Heart Disease Detected During the Procedure of Cardiac Catheterization

Çağlı¹,

Erdem²,

Atmış³

et al. 2021

Terh

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Objective: Congenital heart diseases in childhood are an important cause of morbidity and mortality. The frequency of non-cardiac anomalies in children with congenital heart diseases is between 7-50%. Urinary system anomalies are an important risk factor in children with congenital heart diseases. The aim of this study was to evaluate the presence, types and frequency of urinary system anomalies detected during cardiac catheterization in children with congenital heart diseases. Methods: The cineurography records of 6000 patients who underwent cardiac catheterization due to congenital heart diseases were retrospectively analyzed. Urinary system anomalies detected were examined as renal agenesis, renal ectopia, renal fusion, dysplastic kidney, obstructive uropathy, vesicoureteral reflux, ureter anomaly and bladder anomaly. Patients were grouped as right ventricular outflow tract obstruction, left ventricular outflow tract obstruction, left-to-right shunted hearth disease and, cyanotic or complex heart diseases. The groups were compared in terms of urinary system anomaly types. Results: Seventy-six patients (47 male and 29 female) with urinary system abnormalities were detected. Obstructive uropathy was found in 43 (56.5%) patients, renal agenesis was found in 14 (18.4%) patients, ureter anomaly was found in 14 (18.4%) patients, renal fusion was found in 3 (3.9%) patients, renal ectopia was found 1 (1.3%) patient, vesicoureteral reflux was found in 1 (1.3%) patient. There was no significant difference in term of the urinary system anomaly types among the groups (p>0.05) Conclusion: Urinary system anomalies may also be frequently accompanied in children with congenital heart diseases, so urinary system should also be evaluated during the cardiac catheterization procedure.

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Cardiac evaluation of children with congenital anomalies of the kidneys and urinary tract

Cited by 5 publications

References 16 publications

The association between the congenital heart diseases and congenital anomalies of the kidney and the urinary tract in nonsyndromic children

The association between the congenital heart diseases and congenital anomalies of the kidney and the urinary tract in nonsyndromic children

Ren arcuatus: Manifestations

Urinary Tract Anomalies in Children With Congenital Heart Disease Detected During the Procedure of Cardiac Catheterization

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