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Congenital cardiac malformations in neonates with apparently isolated gastrointestinal malformations

Hasim Olgun1, Mehmet Karacan, Ibrahim Caner

  • 1Department of Pediatrics, Division of Pediatric Cardiology, Faculty of Medicine, Atatörk University, Erzurum, Turkey. holgun@atauni.edu.tr

Pediatrics International : Official Journal of the Japan Pediatric Society
|May 2, 2009
PubMed

Insights

A significant number of newborns with gastrointestinal malformations also have congenital cardiac malformations (CCM). Early echocardiography screening for CCM is recommended in these infants to ensure timely treatment.

Area of Science:

  • Pediatric Cardiology
  • Neonatal Surgery
  • Medical Diagnostics

Background:

  • Congenital cardiac malformations (CCM) are known to be associated with gastrointestinal tract/abdominal wall malformations.
  • Existing data often include specific conditions with high CCM rates, necessitating research on isolated cases.
  • This study focuses on neonates with apparently isolated gastrointestinal malformations.

Purpose of the Study:

  • To determine the incidence of congenital cardiac malformations (CCM) in neonates presenting with seemingly isolated gastrointestinal malformations.
  • To investigate the prevalence of CCM in specific types of gastrointestinal malformations.
  • To highlight the importance of early cardiac evaluation in neonates with gastrointestinal anomalies.

Main Methods:

  • Echocardiography screening was performed on 201 neonates.
  • Neonates included had apparently isolated malformations of the gastrointestinal tract/abdominal wall.
  • Cardiac malformations were assessed in relation to specific gastrointestinal conditions.

Main Results:

  • Congenital cardiac malformations (CCM) were diagnosed in 17.9% (36/201) of the neonates.
  • Prevalence of CCM varied by gastrointestinal malformation: 15.9% with anal atresia, 23.7% with tracheoesophageal fistula/esophageal atresia, 8% with diaphragmatic hernia, and 29.4% with intestinal atresia.
  • Approximately 30.6% of neonates with CCM had hemodynamically significant cardiac issues requiring intervention.

Conclusions:

  • A substantial proportion of neonates with isolated gastrointestinal malformations exhibit congenital cardiac malformations (CCM).
  • Early echocardiographic evaluation for CCM is crucial for neonates with gastrointestinal tract/abdominal wall malformations.
  • Prompt cardiac assessment facilitates timely management and improves outcomes for affected infants.
Abstract

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