The DIAGNOSTIC CARDIAC CATHETRIZATION IN CHILDREN WITH TETRALOGY OF FALLOT: STILL RELEVANT IN DEVELOPING WORLD

Authors

  • Gul Afshan The Children Hospital & Institute of Child Health, Lahore Pakistan
  • Ahmed Usaid Qureshi The Children Hospital & Institute of Child Health, Lahore Pakistan
  • Syed Najam Haider The Children Hospital & Institute of Child Health, Lahore Pakistan
  • Tehmina Kazmi The Children Hospital & Institute of Child Health, Lahore Pakistan
  • Uzma Kazmi The Children Hospital & Institute of Child Health, Lahore Pakistan
  • Masood Sadiq The Children Hospital & Institute of Child Health, Lahore Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71i4.3485

Keywords:

Blalock taussig, Cardiac anamolies, Left pulmonary artery, Major aortopulmonary collateral arteries, Right pulmonary artery, Tetralogy of fallot, Ventricular septal defect

Abstract

Objective: To determine the frequency of various anatomical cardiac anomalies and variations in children with Tetralogy of Fallot diagnosed by cardiac catheterization.

Study Design: Cross sectional study.

Place and Duration of Study: Children's Hospital and Institute of Child Health Lahore, from Jan 2010 to Dec 2018.

Methodology: All children with tetralogy of fallot underwent standard cine-angiograms after obtaining written consent following basic laboratory workup.

Results: Out of 425 patients, 398 completed cardiac catheterization. The median age was 6 years (interquartile range 3.5-9 years). Confluent Branch pulmonary arteries were present in 395 (99%) children. Pulmonary artery abnormalities were detected in 72 (18%) patients. Two hundred and eleven (53%) children had 283 major aortopulmonary collateral arteries with 88 having 2 or more major aortopulmonary collateral arteries. Out of all, 195 (92%) had hemodynamically significant Major aortopulmonary collateral arteries (supplying ≥3 lung segments) with 54 (28%) having small (<1.33mm at origin), 105 (54%) moderate (1.33-1.67 mm at origin) and 36 (18%) large (>1.67 mm at origin) caliber.

Conclusion: The frequencies of pulmonary artery abnormalities and various anatomic variations missed on echocardiography in the studied population were high. Diagnostic cardiac catheterization is still a relevant invasive diagnostic procedure in children with tetralogy of fallot.

Keywords: , , , , , , .

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Published

27-08-2021

Issue

Section

Original Articles

How to Cite

1.
Afshan G, Qureshi AU, Haider SN, Kazmi T, Kazmi U, Sadiq M. The DIAGNOSTIC CARDIAC CATHETRIZATION IN CHILDREN WITH TETRALOGY OF FALLOT: STILL RELEVANT IN DEVELOPING WORLD. Pak Armed Forces Med J [Internet]. 2021 Aug. 27 [cited 2024 Jul. 19];71(4):1408-12. Available from: https://pafmj.org/PAFMJ/article/view/3485