Pattern of Vascular Anomalies Associated With Sinus Venosus Atrial Septal Defect.
assessment
children
ct angiography
sinus venosus atrial septal defect
vascular anomalies
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
accepted:
03
02
2022
entrez:
11
3
2022
pubmed:
12
3
2022
medline:
12
3
2022
Statut:
epublish
Résumé
Objective To evaluate children with sinus venosus atrial septal defect (SV-ASD) for associated vascular anomalies. Methodology A total of 72 children with sinus venosus atrial septal defect with partial anomalous pulmonary venous return who presented to pediatric cardiology unit, Lady Reading Hospital Peshawar, from January 2019 till June 2021 were included in this cross-sectional study. Diagnosis of sinus venosus atrial septal defect was confirmed through two-dimensional (2D) and Doppler echocardiography performed by a pediatric cardiologist. Cardiac CT angiography was performed and assessed by a pediatric cardiac interventionist and radiologist. Patients were managed according to standard protocols and guidelines. The data were entered and analyzed with Statistical Package for the Social Sciences (SPSS) version 20. Percentages were used to express frequencies. Results Mean age was 8.3 ± 2.7 years (interquartile range (IQR): two months to 18 years). There were 37 (51.4%) male and 35 (48.6%) female patients. Out of 72 patients, 64 (88.8%) patients had superior sinus venosus atrial septal defect, while inferior sinus venosus atrial septal defect was found in eight (11.1%) patients. In six (8.3%) patients, associated secundum atrial septal defect was identified. Bilateral superior vena cava was found in seven (9.7%) patients. Left aortic arch was seen in 70 (97.2%) patients, whereas two (2.7%) patients had right aortic arch. Conclusion Sinus venosus ASD is a rare type of atrial septal defect which is also associated with both pulmonary and systemic vascular anomalies. Diagnosing these vascular anomalies is of paramount importance before any corrective intervention can be done. Recognizing the pattern of these anomalies should be known to every interventional cardiologist, radiologist, and cardiac surgeon. Echocardiography alone is not a good tool to assess these extracardiac structures. Imaging modalities like CT angiography and MRI have refined our preoperative workup which is essential for the ultimate outcome of the corrective intervention.
Identifiants
pubmed: 35273854
doi: 10.7759/cureus.21892
pmc: PMC8901160
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e21892Informations de copyright
Copyright © 2022, Akbar et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Circulation. 2005 Sep 27;112(13):1953-8
pubmed: 16172274
J Pediatr Surg. 2006 Mar;41(3):479-83
pubmed: 16516619
J Cardiovasc Comput Tomogr. 2010 Jul-Aug;4(4):231-45
pubmed: 20579615
Clin Genet. 2010 Dec;78(6):533-40
pubmed: 20456451
Circulation. 2007 Jun 12;115(23):2995-3014
pubmed: 17519397
J Am Coll Cardiol. 2002 Jun 19;39(12):1890-900
pubmed: 12084585
Circulation. 1968 May;37(5):805-15
pubmed: 5646864
Radiographics. 1986 Jul;6(4):603-60
pubmed: 3685508
AJR Am J Roentgenol. 2000 Nov;175(5):1381-6
pubmed: 11044048
EuroIntervention. 2018 Oct 20;14(8):868-876
pubmed: 30012542
Eur J Epidemiol. 1992 Jul;8(4):509-15
pubmed: 1397217
Am Heart J. 1973 Feb;85(2):177-85
pubmed: 4569755
AJR Am J Roentgenol. 2009 May;192(5):1219-31
pubmed: 19380544
Clin Res Cardiol. 2010 Mar;99(3):137-47
pubmed: 20012542
Eur Heart J. 2007 Aug;28(16):1953-61
pubmed: 17611253
N Engl J Med. 1990 Dec 13;323(24):1698-700
pubmed: 2233967
Respirology. 2020 Oct;25(10):1066-1072
pubmed: 32249494
Br Heart J. 1966 Nov;28(6):722-39
pubmed: 5332779
Circulation. 2002 May 7;105(18):2179-84
pubmed: 11994252
Clin Med Insights Cardiol. 2015 Mar 23;8(Suppl 1):93-8
pubmed: 25861226