Congenital heart defects--chromosomal anomalies, syndromes and extracardiac malformations

Alf Meberg1, Jardar Hals, Erik Thaulow

  • 1Department of Paediatrics, Vestfold Hospital, Tønsberg, Norway. alfmeb@start.no

Insights

Nearly a quarter of congenital heart defect (CHD) cases involve chromosomal anomalies or other malformations. Muscular ventricular septal defects (VSDs) showed fewer associated conditions. Increased trisomy prevalence in CHDs may link to maternal age. Keywords: congenital heart defects, chromosomal anomalies, malformations, ventricular septal defects, maternal age.

Area of Science:

  • Cardiology
  • Genetics
  • Pediatrics

Background:

  • Congenital heart defects (CHDs) are common birth anomalies.
  • Associated chromosomal anomalies, genetic syndromes, and extracardiac malformations can impact CHD outcomes.
  • Understanding the prevalence and types of these associated conditions is crucial for diagnosis and management.

Purpose of the Study:

  • To document the occurrence of chromosomal anomalies, syndromes, and extracardiac malformations in patients diagnosed with congenital heart defects (CHDs).
  • To investigate the relationship between the location of ventricular septal defects (VSDs) and associated anomalies.
  • To analyze trends in the prevalence of CHDs with associated disorders over time and explore potential contributing factors.

Main Methods:

  • A population-based prospective observational study was conducted.
  • Data were collected on live births between 1982 and 2005.
  • Statistical analyses were performed to compare prevalence rates and identify significant associations.

Main Results:

  • Out of 57,027 live births, 662 (11.6 per 1000) had CHDs, with 146 (22%) exhibiting associated anomalies.
  • Chromosomal anomalies (excluding microdeletions) were present in 52 cases (36%), genetic syndromes/microdeletions in 26 (18%), and extracardiac malformations in 67 (46%).
  • Perimembranous VSDs had a significantly higher rate of associated anomalies (31%) compared to muscular VSDs (9%). The prevalence of CHDs with chromosomal trisomies increased from 1982-1993 to 1994-2005, correlating with an increase in maternal age at childbirth.

Conclusions:

  • Chromosomal anomalies, syndromes, and extracardiac malformations are found in approximately 22% of congenital heart defect cases.
  • Congenital heart defects associated with muscular VSDs demonstrate a lower incidence of these additional conditions.
  • The rising prevalence of CHDs with chromosomal trisomies is likely associated with the increasing average age of mothers giving birth.
Abstract

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