Abstract
Background: Congenital heart defects (CHD) can cause serious birth abnormalities. The present study was conducted to assess cases and management of CHDs in given population.
Materials & Methods: The present study was conducted in the department of Cardiology. It comprised of 590 cases with age range from 17 days to 70 years of both. In all cases procedure such as VSD closure, ICR for TOF, AV repair, PDA ligation, MVR+TV repair, bidirectional Glenn shunt (BDGS) and Pericardiotomy etc. was performed.
Results: Among 590 patients, 390 were males and 200 were females. It was seen that maximum cases were observed at age group of 5-20 years (359) followed by 20-40 years (105), 0-5 years (80), 40-60 years (37) and 60-80 years (9). The difference was significant (P< 0.05). Common CHDs was ASD in 262 patients, VSD in 140, TOF in 115, PDA in 65 and BD Glenn shunt in 12. The difference was significant (P< 0.05). Common procedure performed was AV repair in 165, ASD closure in 100, ICR for TOF in 75, PDA ligation in 60 and ICR for DORV in 45 etc. The difference found to be significant (P< 0.05).
Conclusion: Authors found that common CHDs among study population were ventricular septal defect, atrial septal defect, tetralogy of fallot, PDA and bidirectional Glenn shunt.
Keywords: Atrial septal defect, Tetralogy of fallot, Ventricular septal defect.
References
- Reefhuis J, Honein MA. Maternal age and non-chromosomal birth defects, Atlanta—1968–2000: Teenager or thirty-something, who is at risk? Birth Defects Res A Clin Mol Teratol. 2004;70:572–9. 23.
- Oyen N, Boyd HA, Poulsen G, Wohlfahrt J, Melbye M. Familial recurrence of midline birth defects–a nationwide danish cohort study. Am J Epidemiol. 2009;170:46–52.
- Karl TR. Tetralogy of Fallot: Current surgical perspective. Annals of pediatric cardiology. 2008 Jul;1(2):93.
- Aqel R, Al-Khatib NJ, Ra'ed GH, Al-Abbadi A, Jaber M, Al-Jabari M, Obeidat N. Case Report First Percutaneous Balloon Pericardiotomy (PBP) or Pericardioplasty in Jordan: A Case Report and Review of Literature. J Med J 2010; 44 (4):481- 485.
- Miller A, Riehle-Colarusso T, Siffel C, Frías JL, Correa A. Maternal age and prevalence of isolated congenital heart defects in an urban area of the United States. Am J Med Genet A. 2011;155 A:2137–45.
- Messer LC, Luben TJ, Mendola P, Carozza SE, Horel SA, Langlois PH. Urbanrural residence and the occurrence of cleft lip and cleft palate in Texas, 1999–2003. Ann Epidemiol. 2010;20:32–9.
- Luo YL, Cheng YL, Gao XH, Tan SQ, Li JM, Wang W, Chen Q. Maternal age, parity and isolated birth defects: a population-based case-control study in Shenzhen, China. PLoS One. 2013;8:81369.
- Kapoor R, Gupta S. Prevalence of congenital heart disease, Kanpur, India. Indian Pediatrics. 2008 Apr 1;45(4):309.
- Pei L, Kang Y, Zhao Y, Yan H. Prevalence and risk factors of congenital heart defects among live births: a population-based cross-sectional survey in Shaanxi province, Northwestern China. BMC pediatrics. 2017 Dec;17(1):18.
- Fernandes SM, Arendt KW, Landzberg MJ, Economy KE, Khairy P. Pregnant women with congenital heart disease: cardiac, anesthetic and obstetrical implications. Expert Rev Cardiovasc Ther. 2010;8:439–48.
- Warrier G, Dharan BS, Koshy S, Kumar S, Krishnanaik S, Rao SG. Bidirectional Glenn operation in infancy. Indian Journal of Thoracic and Cardiovascular Surgery. 2004 Oct 1;20(4):159-63.
- Liu X, Zhou X, Yan H, Wang D. Use of maternal healthcare services in 10 provinces of rural western China. Int J Gynaecol Obstet. 2011;114:260–4.
Corresponding Author
Dr Vikrampal Singh
Associate Professor, Department of Cardiac Surgery, HDMC Ludhiana, Punjab, India