Congenital cardiac anomalies in myelomeningocele patients
Objective. Myelomeningocele may be isolated but more frequently is associated with other anomalies. Congenital heart disease occurs with different incidence rate in myelomeningocele which is observed more frequently with skeletal malformations. Methods. This study was undertaken in the Children’s Ho...
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| Format: | Article |
| Language: | English |
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Academy of Sciences and Arts of Bosnia and Herzegovina
2014-11-01
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| Series: | Acta Medica Academica |
| Subjects: | |
| Online Access: | http://www.ama.ba/index.php/ama/article/view/226/pdf_52 |
| _version_ | 1818145299161415680 |
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| author | Iman Moeini Naghani Taraneh Hashemi Zonouz Shima Shahjouei Amir Azar Homayoun Farideh Nejat Mostafa El Khashab |
| author_facet | Iman Moeini Naghani Taraneh Hashemi Zonouz Shima Shahjouei Amir Azar Homayoun Farideh Nejat Mostafa El Khashab |
| author_sort | Iman Moeini Naghani |
| collection | DOAJ |
| description | Objective. Myelomeningocele may be isolated but more frequently is associated with other anomalies. Congenital heart disease occurs with different incidence rate in myelomeningocele which is observed more frequently with skeletal malformations. Methods. This study was undertaken in the Children’s Hospital Medical Center between 2010 to 2012 to evaluate 75 myelomeningocele patients for cardiac anomalies, with electrocardiography and echocardiography in addition to clinical
examination of the cardiopulmonary system. Demographic information, myelomeningocele location and characteristics, orthopedic deformities, neurological deficits and radiographic findings were studied besides cardiologic assessments. Results. The ages of the patients ranged from 1 day to 4 years. The myelomeningocele locations were lumbosacral, lumbar and sacral area in most cases. Physical examination of the heart was abnormal in 6 children, but echocardiography revealed cardiac anomalies in only two children. Both children were female patients with severe scoliosis, multiple rib deficiencies and associated vertebral anomalies. Conclusion. Congenital heart defects are not very common in MMC patients. Female patients with suspicious clinical examinations for cardiac anomalies and associated rib and vertebral anomalies are advised to be investigated by echocardiography to rule out associated cardiac anomalies. |
| first_indexed | 2024-12-11T12:01:15Z |
| format | Article |
| id | doaj.art-bf025271070247b9adb76d1f06c36d07 |
| institution | Directory Open Access Journal |
| issn | 1840-1848 1840-2879 |
| language | English |
| last_indexed | 2024-12-11T12:01:15Z |
| publishDate | 2014-11-01 |
| publisher | Academy of Sciences and Arts of Bosnia and Herzegovina |
| record_format | Article |
| series | Acta Medica Academica |
| spelling | doaj.art-bf025271070247b9adb76d1f06c36d072022-12-22T01:08:05ZengAcademy of Sciences and Arts of Bosnia and HerzegovinaActa Medica Academica1840-18481840-28792014-11-0143216016410.5644/ama2006-124.115Congenital cardiac anomalies in myelomeningocele patientsIman Moeini Naghani0Taraneh Hashemi Zonouz1Shima Shahjouei2Amir Azar Homayoun3Farideh Nejat4Mostafa El Khashab5Department of Neurosurgery, Children’s Hospital Medical Center, Tehran University of Medical Science, Tehran, IranDepartment of Neurosurgery, Children’s Hospital Medical Center, Tehran University of Medical Science, Tehran, IranDepartment of Neurosurgery, Children’s Hospital Medical Center, Tehran University of Medical Science, Tehran, IranDepartment of Neurosurgery, Sina Hospital, Tehran University of Medical Science, Tehran, IranDepartment of Neurosurgery, Children’s Hospital Medical Center, Tehran University of Medical Science, Tehran, IranDepartment of Neurosurgery, Hackensack University Medical Center, New Jersey, USObjective. Myelomeningocele may be isolated but more frequently is associated with other anomalies. Congenital heart disease occurs with different incidence rate in myelomeningocele which is observed more frequently with skeletal malformations. Methods. This study was undertaken in the Children’s Hospital Medical Center between 2010 to 2012 to evaluate 75 myelomeningocele patients for cardiac anomalies, with electrocardiography and echocardiography in addition to clinical examination of the cardiopulmonary system. Demographic information, myelomeningocele location and characteristics, orthopedic deformities, neurological deficits and radiographic findings were studied besides cardiologic assessments. Results. The ages of the patients ranged from 1 day to 4 years. The myelomeningocele locations were lumbosacral, lumbar and sacral area in most cases. Physical examination of the heart was abnormal in 6 children, but echocardiography revealed cardiac anomalies in only two children. Both children were female patients with severe scoliosis, multiple rib deficiencies and associated vertebral anomalies. Conclusion. Congenital heart defects are not very common in MMC patients. Female patients with suspicious clinical examinations for cardiac anomalies and associated rib and vertebral anomalies are advised to be investigated by echocardiography to rule out associated cardiac anomalies.http://www.ama.ba/index.php/ama/article/view/226/pdf_52Cardiac abnormalityMyelomeningoceleScreeningEchocardiography |
| spellingShingle | Iman Moeini Naghani Taraneh Hashemi Zonouz Shima Shahjouei Amir Azar Homayoun Farideh Nejat Mostafa El Khashab Congenital cardiac anomalies in myelomeningocele patients Acta Medica Academica Cardiac abnormality Myelomeningocele Screening Echocardiography |
| title | Congenital cardiac anomalies in myelomeningocele patients |
| title_full | Congenital cardiac anomalies in myelomeningocele patients |
| title_fullStr | Congenital cardiac anomalies in myelomeningocele patients |
| title_full_unstemmed | Congenital cardiac anomalies in myelomeningocele patients |
| title_short | Congenital cardiac anomalies in myelomeningocele patients |
| title_sort | congenital cardiac anomalies in myelomeningocele patients |
| topic | Cardiac abnormality Myelomeningocele Screening Echocardiography |
| url | http://www.ama.ba/index.php/ama/article/view/226/pdf_52 |
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