Clinical Characteristics of Children with Pulmonary Vein Abnormalities in a Tertiary Centre in an Urban Community in Nigeria
Journal Title: Heart Research – Open Journal - Year 2015, Vol 2, Issue 3
Abstract
Background: Pulmonary vein abnormalities are rare. Prompt intervention is needed to salvage the children affected. There are very few reports on occurrence of pulmonary vein abnormalities among Nigerian and African children. The aim of this study is to report the clinical characteristics of Nigerian children with Pulmonary vein abnormalities. Method: A prospective study involving consecutive subjects diagnosed with pulmonary veinous abnormalities using echocardiography at the Lagos State University Teaching Hospital (LASUTH), Nigeria between January 2007 and December 2014. Data were analysed using Microsoft Excel program supplemented by Megastat statistical package. Statistical significance was set at p-value<0.05.w Results: There were 21 cases of pulmonary venous abnormalities, which accounted for 2.07% of cases of congenital heart disease and 6 per 100,000 of the total children that presented in LASUTH during the study period, with male to female ratio of 0.8:1. Sixteen (76.2%) of the studied subjects presented in infancy and five (23.8%) cases presented above one year of age. The commonest indication for echocardiography was cyanosis, other mode of presentation were breathlessness, recurrent respiratory tract infection, congestive cardiac failure and murmur. Total anomalous pulmonary venous return accounted for 66.7%, Cortriatriatum was seen in 6 subjects (28.6%) and a case of Partial Anomalous Pulmonary Venous Connection (PAPVC) was seen (4.8%). Most of the subjects had other associated cardiac defects. Conclusion: The prevalence of pulmonary vein abnormalities among Nigerian children is comparable to that in other parts of the world. High degree of suspicion is needed to enable prompt diagnosis and intervention.
Authors and Affiliations
Barakat Adeola Animasahun
Keywords
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- EP ID EP556882
- DOI 10.17140/HROJ-2-119
- Views 128
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