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Spectrum of cyanotic congenital heart disease diagnosed by echocardiographic evaluation in patients attending paediatric cardiology clinic of a tertiary cardiac care centre

Published online by Cambridge University Press:  10 June 2014

Soumya Patra ,
Usha M. K. Rama Sastry ,
J. Mahimaiha ,
Anand P. Subramanian ,
Ravindranath K. Shankarappa  and
Manjunath C. Nanjappa
Soumya Patra*
Affiliation:
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India
Usha M. K. Rama Sastry
Affiliation:
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India
J. Mahimaiha
Affiliation:
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India
Anand P. Subramanian
Affiliation:
Department of Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India
Ravindranath K. Shankarappa
Affiliation:
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India
Manjunath C. Nanjappa
Affiliation:
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India
*
Correspondence to: Dr S. Patra, MD, Post Doctoral Trainee, Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bannerghatta Road, Bangalore 560069, Karnataka, India. Tel: +91 968 648 0971; Fax: +91 080 2297 7400; E-mail: [email protected]
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Abstract

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.

Keywords

Congenital heart diseasecyanoticechocardiographypaediatric
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 5 , June 2015 , pp. 861 - 867
Copyright
© Cambridge University Press 2014 

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References

1. Mitchell, SC, Korones, SB, Berendes, HW. Congenital heart disease in 56,109 births. Incidence and natural history. Circulation 1971; 43: 323–332.CrossRefGoogle Scholar
2. Li, B, Long, ZR, Liu, ZH. Diagnostic value of color echocardiography in neonatal cyanotic congenital heart disease. Di Yi Jun Yi Da Xue Xue Bao 2004; 24: 956–957.Google Scholar
3. Ferencz, C, Rubin, JD, McCarter, RJ, et al. Congenital heart disease: prevalence at live birth. The Baltimore-Washington Infant Study. Am J Epidemiol 1985; 121: 31–36.Google Scholar
4. Bolisetty, S, Daftary, A, Ewald, D, Knight, B, Wheaton, G. Congenital heart defects in Central Australia. Med J Aust 2004; 180: 614–617.Google Scholar
5. Hoffman, JI, Kaplan, S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 1890–1900.Google Scholar
6. Humayun, KN, Atiq, M. Clinical profile and outcome of cyanotic congenital heart disease in neonates. J Coll Physicians Surg Pak 2008; 18: 290–293.Google ScholarPubMed
7. Sadoh, WE, Uzodimma, CC, Daniels, Q. Congenital heart disease in Nigerian children: a multicenter echocardiographic study. World J Pediatr Congenit Heart Surg 2013; 4: 172–176.Google Scholar
8. Saleh, HK. Pattern of congenital heart disease in Southern Yemeni children referred for echocardiography. Saudi Med J 2009; 30: 824–828.Google ScholarPubMed
9. Akhtar, K, Ahmed, W. Profile of congenital heart disease and correlation to risk adjustment for surgery; an echocardiographic study. J Coll Physicians Surg Pak 2008; 18: 334–337.Google Scholar
10. Shah, GS, Singh, MK, Pandey, TR, Kalakheti, BK, Bhandari, GP. Incidence of congenital heart disease in tertiary care hospital. Kathmandu Univ Med J 2008; 6: 33–36.Google ScholarPubMed
11. Waldman, JD, Wernly, JA. Cyanotic congenital heart disease with decreased pulmonary blood flow in children. Pediatr Clin North Am 1999; 46: 385–404.Google Scholar
12. Grifka, RG. Cyanotic congenital heart disease with increased pulmonary blood flow. Pediatr Clin North Am 1999; 46: 405–425.Google Scholar
13. Reich, JD, Miller, S, Brogdon, B, et al. The use of pulse oximetry to detect congenital heart disease. J Pediatr 2003; 142: 268–272.CrossRefGoogle ScholarPubMed