ECHOCARDIOGRAPHIC MORPHOLOGICAL EVALUATION OF TETRALOGY OF FALLOT IN SULAIMANI PEDIATRIC CARDIOLOGY DEPARTMENT /KURDISTAN /IRAQ
Aso faeq Salih a, Dalya Muhammad Rashid b and Adnan M H Hamawandi a
a Department of Pediatrics, College of Medicine, University of Sulaimani.
b Sulaimani Pediatric Teaching Hospital, Sulaimani, Iraq
Submitted: 23/3/2018; Accepted: 7/7/2018; Published 1/8/2018
DOI Link: https://doi.org/10.17656/jsmc.10158
Congenital heart diseases (CHD) are the most common of all congenital malformations. Tetralogy of fallot (TOF) is the most common of the cyanotic defects. TOF consists of four major abnormalities occurring together; subpulmonaryinfundibular stenosis, ventricular septal defect, aortic overrides and right ventricular hypertrophy. This classification of Tetralogy of fallot according to the pulmonary trunk is the first study done in Sulaimani up to our knowledge.
To determine the morphological classification of tetralogy of fallot according to the pulmonary trunk in Sulaimani pediatrics teaching hospital – cardiology department.
Patients and Methods
This is a retrospective study conducted in Pediatric teaching hospital in Sulaimani for a total 308 cases from 1st Aug 2006 - 1st Aug 2012. The source of information was the medical and echocardiography records pediatric cardiology department from Sulaimani teaching hospital.
Among 308 cases, 109 cases were hypoplastic pulmonary branches, 185 cases were good pulmonary branches, 11 cases were unclear & 3 cases were absent pulmonary branches. Tetralogy of fallot are common in children age groups about 205 cases, 86 cases of infants, 14 cases of adults & 3 cases of neonates. Tetralogy of fallot had associated lesions like patent ductus atriosus (68) cases, ventricular septal defect (86) cases, atrial septal defect (26) cases, aortopulmonary collaterals (35) cases & aortic regurgitation (31) cases. 125 of 308 cases of Tetralogy of fallot were operated.
Good pulmonary branches are common type of Tetralogy of fallot. Tetralogy of fallot is common in children age groups, slightly more common in males than in females. Additional ventricular septal defect & patent ductus atriosus are common associated lesions of Tetralogy of fallot.
Tetrallogy of Fallot, Echocardiography, Associated anomaly.
1. Hoffman JIE, Kaplan S. The incidence of congenital heart disease. J Am CollCardiol. 2002; 39(12):1890-900.
2. Apitz C, Webb GD, Redington AN. Tetralogy of fallot. Lancet.2009; 374(9699):1462-71.
3. Neill CA, Clark EB. Tetralogy of Fallot - the 1st 300 years. Texas Heart Institute Journal. 1994; 21(4):272-9.
4. Starr JP. Tetralogy of fallot: Yesterday and today. World J Surg. 2010; 34(4):658-68.
5. Gatzoulis MA, Webb GD, Daubeney PEF, editors. Diagnosis and management of adult congenital heart disease. Second ed. London: Churchill Livingstone; 2011.
6. Wyszynski DF, Correa-Villasenor A, GrahamTP, editors. Congenital heart defects from origin to treatment. New York, New York 10016: Oxford University Press, Inc.; 2010.
7. Changela V, John C, Maheshwari S. Unusual cardiac associations with tetralogy of fallot-A descriptive study. Pediatr Cardiol. 2010; 31(6):785-91.
8. Saeed S, Hyder SN, Sadiq M. Anatomical variations of pulmonary artery and associated cardiac defects in tetralogy of fallot. JColl Physicians Surg. 2009; 19(4):2114.
9. Mcmanus BM, Waller BF, Jones M, Epstein SE, Roberts WC. The case for preoperative coronary angiography in patients with tetralogy of fallot and other complex congenital heart diseases. Am Heart J. 1982; 103(3):451-6.
10. Ramaswamy P, Lytrivi ID, Thanjan MT, Nguyen T,Srivastava S, Sharma S, et al. Frequency of aberrant subclavian artery, arch laterality, and associated intracardiac anomalies detected by echocardiography. Am J Cardiol. 2008; 101(5):677-82
11. Cho JM, Puga FJ, Danielson GK, et al. Early and long-term results of the surgical treatment of tetralogy Fallot with pulmonary atresia, with or without major aortopulmonary collateral arteries.J ThoracCardiovasc Surg. 2002; 124(1):70-81.
12. Bedard E. Mccarthy KP, Dimopoulos K, Giannakoulas G, Gatzoulis MA, Ho SY. Jam collcardiol. Structural abnormalities of the pulmonary trunk in tetralogy of fallot and potential clinical implications:amorphological study. 2009 Nov 10; 54(20):1883-90. Doi: 10.1016/j.jacc.2009.06.040.
13. ChristianApitz, Robert H. Anderson, and Andrew N. Redingtion, tetralogy of fallot with pulmonary stenosis. Robert H Anderson, Edward J Baker, Daniel Penny, Andrew N Redington, Michael L Rigby, Gil Wernovsky. Pediatric cardiology.Third edition, 2010 by Churchill Livingstone. Suite 1800, Philadelphia, PA 19103-2899 page (753).
14. Berustein D, tetralogy of fallot. In: Stantonk, stGemeIII JW,Kliegman RM, Schor NF, Behrman RE(edc). Nelson Textbook of pediatrics, 19th edition.2011. Saunders, Philadelphia, PP (1576-1577).
15. Salih A. F. et al. EARLY AND LATE OUTCOMES IN REPAIRED TETRALLOGY OF FALLOT JSMC, 2012 .10024(Vol 2) No. 1(57-65); DOI Link: https://doi.org/10.17656/jsmc.10024
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