Spectrum of cyanotic congenital heart disease diagnosed by echocardiographic evaluation in patients attending a tertiary cardiac care center of South Rajasthan

Objective: To determine the spectrum of cyanotic congenital heart disease (CCHD) in full term neonates attending paediatric cardiology clinic of a tertiary cardiac care centre. Study Design: Descriptive Cross-sectional study. Setting: Department of Paediatric Cardiology, Faisalabad Institute of Cardiology (FIC), Faisalabad. Period: January 2021 to June 2021. Material & Methods: All full term newborn of any gender with age range from day one to twenty eight days, presenting in emergency or out patient department of the institute and diagnosed as a case of CCHD at Faisalabad Institute of Cardiology on the basis of echocardiography were included in the study.The leading or main anatomical diagnosis of hemodynamically significance was adopted. The spectrum of CCHD was assessed by descriptive analysis. Results: A total of 87 patients were enrolled. Mean age was 15.7±7.98 days. There were 55.2% (n=48) male and 44.8% female (n=39) patients. Majority of patients (62.1%) presented as an emergency. Most CCHDs were of decreased pulmonary blood flow (69%, n=60). Tetralogy of Fallot was the most common CCHD seen in 25.3% neonates (n=22) followed by Transposition of great arteries (23%, n=20) and pulmonary atresia (18.4%, n=16). Ebstein anomaly of tricuspid valve was the least common CCHD (2.3%). Conclusion: Tetralogy of Fallot is the most common cyanotic congenital heart disease followed by TGA while Ebstein anomaly is the least common.

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“…as seen in different studies. 10,9 The results of our study are not different as male to female ratio turned out to be 1.2:1 in our study.…”

Section: Resultscontrasting

confidence: 48%

Spectrum of cyanotic congenital heart disease in full term neonates attending paediatric cardiology clinic of a Tertiary Cardiac Care Centre.

Javed

Mughal

Ahmad

et al. 2022

TPMJ

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“…Tetralogy of Fallot is the most common cyanotic congenital cardiac defect and represents approximately 10% of all congenital heart defects. 1,2 Early repair is focused on repairing the ventricular septal defect and relieving the right ventricular outflow tract (RVOT) obstruction, which is commonly done with patch augmentation. As the child grows, pulmonary insufficiency is inevitable and there is much debate on the timing of repair and more recently on the type of repair.…”

Section: Introductionmentioning

confidence: 99%

Left Anterior Mini-Incision for Pulmonary Valve Replacement in a 12-Year-Old

Vekstein

Nellis

Meza

et al. 2020

Innovations�(Phila)

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A 12-year-old, 32 kg male with history of Tetralogy of Fallot status post repair at 8 days of life presented with progressive pulmonary insufficiency and left pulmonary artery stenosis. Surgical options were discussed, and the patient and his family elected to pursue minimally invasive pulmonary valve replacement with left pulmonary artery augmentation through a 5-cm left anterior mini-incision. The procedure was performed without complication, and he was discharged on postoperative day 3. At the time of his last follow-up, the patient was recovering well without evidence of pulmonary stenosis or insufficiency.

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Clinical Characteristics and Spectrum of Cyanotic Congenital Heart Diseases Diagnosed in Pediatric Age Group

Azeez,

Habeeb

2022

Medical Journal of Babylon

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Background: It is necessary as early as possible to diagnose and treat cyanotic congenital heart defects (CCHDs) because survival of them is highly related to the time of diagnosis. But not all serious congenital heart diseases (CHDs) clinically appear with cyanosis during the first few days of life. There are several types of CCHD, some of them are more common like tetralogy of fallot (TOF), transposition of great arteries (TGA), and tricuspid atresia. Aim: This study was conducted to determine various types of cyanotic CHDs and clinical presentations of cyanotic CHDs and different procedures were done for them in children at Erbil. Materials and Methods: This was prospective, cross-sectional study, carried out in Pediatric Cardiac Department of Hawler Surgical Specialty Hospital-Cardiac Centre. All patients aged 0-18 years were included in the study. Results: During the study period, 124 cases were diagnosed with cyanotic CHDs. The common CHD type was TOF (46.8%), followed by D-TGA (12.1%), DORV (10.5%), tricuspid atresia (9.7%), and single ventricle (8.9%). Interventional management was done in 44.4% of studied children with CCHDs, total surgical repair was main procedure (14.5%). The common symptoms of cyanotic CHDs were commonly murmur (90.3%), shortness of breath (85.5%), cyanosis (76.6%), and fatigue (76.5%). Conclusion: TOF was the most common CCHD noted in our study. Ebstein anomaly, truncus arteriosus, and PPH were the least prevalence CCHD. Heart murmur was the most common presenting sign while shortness of breath and central cyanosis were the most common presenting symptoms.

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Spectrum of cyanotic congenital heart disease diagnosed by echocardiographic evaluation in patients attending a tertiary cardiac care center of South Rajasthan

Cited by 3 publications

References 3 publications

Spectrum of cyanotic congenital heart disease in full term neonates attending paediatric cardiology clinic of a Tertiary Cardiac Care Centre.

Spectrum of cyanotic congenital heart disease in full term neonates attending paediatric cardiology clinic of a Tertiary Cardiac Care Centre.

Left Anterior Mini-Incision for Pulmonary Valve Replacement in a 12-Year-Old

Clinical Characteristics and Spectrum of Cyanotic Congenital Heart Diseases Diagnosed in Pediatric Age Group

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