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Cardiovascular anomalies with imperforate anus.

O H Teixeira, K Malhotra, J Sellers

    Archives of Disease in Childhood
    |September 1, 1983
    PubMed
    Summary

    Cardiovascular anomalies (CVA) are common in patients with anorectal malformations, especially when genitourinary (GU) anomalies are also present. Ventricular septal defects were the most common CVA, often associated with type III anorectal malformations.

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    Area of Science:

    • Pediatric Surgery
    • Congenital Anomalies
    • Medical Genetics

    Background:

    • Anorectal malformations (ARM) are complex congenital conditions.
    • Associated anomalies, particularly genitourinary (GU) and cardiovascular (CV), are common in ARM patients.
    • Understanding the patterns of these co-occurring anomalies is crucial for comprehensive patient management.

    Purpose of the Study:

    • To investigate the incidence and patterns of cardiovascular anomalies (CVA) in patients with anorectal malformations (ARM).
    • To determine the relationship between CVA and co-existing genitourinary (GU) anomalies in this patient cohort.
    • To identify specific types of ARM and CVA that frequently occur together.

    Main Methods:

    • Retrospective review of 68 patients diagnosed with anorectal malformations.
    • Analysis of recorded cardiovascular and genitourinary anomalies in the patient cohort.
    • Statistical assessment of the association between ARM, CVA, and GU anomalies.

    Main Results:

    • Fifteen out of 68 patients (22%) had cardiovascular anomalies (CVA).
    • Genitourinary (GU) anomalies were present in 30 patients, and CVA were significantly more frequent (33%) in those with GU anomalies.
    • Ventricular septal defect was the most common CVA; 93% of CVA occurred in patients with type III ARM.

    Conclusions:

    • Cardiovascular anomalies are frequently associated with anorectal malformations, particularly in the presence of genitourinary anomalies.
    • Type III anorectal malformations show a high co-occurrence rate with cardiovascular anomalies.
    • The complexity of cardiac lesions does not directly correlate with the complexity of genitourinary anomalies in this population.

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