Health condition analysis in adults with surgically corrected congenital heart defect (on the example of atrioventricular canal defect)

Authors

DOI:

https://doi.org/10.15587/2519-4798.2017.100113

Keywords:

congenital heart disease, atrioventricular communication, mitral insufficiency, ventricular septal defect

Abstract

The estimation of the surgery was carried out, the most common forms of the disorder, which occur after surgical treatment in adult patients with atrioventricular communication, were determined. The aim of research was to investigate the main clinical and echocardiography changes occurred in adults after surgery directed to atrioventricular communication for the further dispensary system improvement.

Methods. Retrospective analysis of the spread of congenital heart disease - atrioventricular communication in 12 adults aged 18-28 years treated in Municipal Institution Lviv Regional Children's Hospital during 2009-2016. Statistical methods included relative and average values calculation, their average errors, the assessment of  the probability of difference between the obtained results in the comparable groups using Student's t test.

 Results. It was found that both men and women after atrioventricular communication surgical treatment in childhood had poor quality of life due to physical and emotional condition worsening. Significant part of the patients still suffered from mitral and tricuspid insufficiency, heart failure of 1-2 degree, pulmonary artery regurgitation of 1 degree, and chamber hypertrophy.

Conclusion. The mentioned group of patients needs lifelong medical care by specialists (cardiologists, surgeons, psychologists, physitians and other) for timely qualified care, prescriptions determination, and reoperations within optimal terms

Author Biography

Andriana Malska, Danylo Halytskyy Lviv National Medical University Pekarska str., 69, Lviv, Ukraine, 79010

Assistant

Department of propedeutics of pediatrics 

References

  1. Lymarenco, M. P. (2005) Spadkovi zakhvoriuvannia ta pryrodzheni vady sertsia u ditej [Inherited diseases and congenital heart defects in children]. Likarska sprava, 5, 4–7.
  2. Mitchell, M. E., Litwin, S. B., Tweddell, J. S. (2007). Complex Atrioventricular Canal. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, 10 (1), 32–41. doi: 10.1053/j.pcsu.2007.01.002
  3. United Nations Secretary-General Ban Ki-moon. Global Strategy for women’s and children’s health (2010). New York: United Nations. Available at: https://www.un.org/sg/en
  4. Statystyka zakhvoriuvanosti ditej v Ukraini [Morbidity statistics of children in Ukraine]. Available at: http://medstat.gov.ua/ukr/statreports.html
  5. Strong, М. А. The effects of adult mortality on infant and child mortality. Unpublished paper presented at the Committee on Population Workshop on the Consequences of Pregnancy, Maternal Morbidity and Mortality for Women, their Families and Society. Washington: DC. Available at: https://www.nap.edu/
  6. Matushov, V. N., Synelnycov, U. S., Prochorov, S. N., Omel'chenko, A. Yu., Stenin, V. G., Chashchin, O. V., Luk'yanov, A. A. (2013) Obshhij arterial'nyj stvol: sovremennye podhody k diagnostike i lecheniju [General arterial trunk: modern approaches to diagnosis and treatment]. Sibirsky medicinsky jurnal, 28 (2), 14–19.
  7. Zadka, T. І., Tumanian, M., Levchenko, O. G. (2005). Syndrom Dauna v poiednanni z povnoiu formoiu atrioventrykuliarnoi komunikatsii: aktual'nist', diahnostyka, suputnia patolohiia, anatomiia, osoblyvosti pryrodnoho perebihu, rezul'taty khirurhichnoho likuvannia [Down syndrome combined with complete atrioventricular form of communication: relevance, diagnosis, concomitant diseases, anatomy, particularly natural flow, results of surgical treatment]. Dytiachy chvoroby sercia i sudyn, 6, 10–18.
  8. Ciach, K., Grzybowski, W., Wydra, D. et. al. (2008). Prenatal diagnosis of an atrioventricular canal in a foetus with deletion of chromosome 8 (pter–>p21). Ginekol. Pol., 79 (3), 209–211.
  9. Hung, J.-H., Lu, J.-H., Hung, C.-Y. S. (2008). Prenatal diagnosis of complete atrioventricular canal associated with tetralogy of Fallot. Journal of Clinical Ultrasound, 36 (3), 180–185. doi: 10.1002/jcu.20376
  10. Lulka, U. P., Dukelsky, O. O., Maksymenko, O. P., Kuznecova, M. A. (2014). Pro neobkhidnist' orhanizatsii dyspansernoho nahliadu osib molodoho viku, iaki maiut' mali anomalii rozvytku sertsia [On the necessity of organizing clinical supervision of young people who have small abnormalities of the heart]. Medychni perspektyvy, XIX (1), 142–147.
  11. Rekomendatsii Yevropejs'koi asotsiatsii kardiolohiv schodo vedennia patsiientiv iz vrodzhenymy vadamy [Recommendation of the European Heart Association regarding the management of patients with congenital]. Available at: http://www.strazhesko.org.ua/advice
  12. Lebed, I. G. (2014). Odnocentrovoe issledovanie hirurgicheskoj aktivnosti u vzroslyh s vrozhdennymi porokami serdca: 15-letnij retrospektivnyj analiz [One-center study of surgical activity in adults with congenital heart disease: a 15-year retrospective analysis]. Ukrainsky kardiologichny jurnal, 4, 111–118.
  13. Kasjanova, A. U., Lebed, I. G. (2014). Medyko-psykholohichni osoblyvosti iakosti zhyttia molodykh doroslykh patsiientiv iz prooperovanymy vrodzhenymy vadamy sertsia [Medical and psychological characteristics of quality of life for young adult patients with operated congenital heart disease]. J. Clin. Exp. Med. Res, 2 (3), 365–372.
  14. Malceva, E. V., Martushov, S. I. (2012). Aktual'nye problemy vrozhdjonnyh porokov serdca u vzroslyh. Obzor literatury [Actual problems of congenital heart disease in adults. Literature review]. Ekologia cheloveka, 03, 32–38.
  15. Longmuir, P. E., Brothers, J. A., de Ferranti, S. D., Hayman, L. L., Van Hare, G. F. et. al. (2013). Promotion of Physical Activity for Children and Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association. Circulation, 127 (21), 2147–2159. doi: 10.1161/cir.0b013e318293688f
  16. Samorodskaja, I. V., Abdulkasumova, S. K. (2009). Vrozhdennye poroki serdca u vzroslyh: jepidemiologija i organizacija medicinskoj pomoshhi [Congenital heart disease in adults: epidemiology and organization of medical care]. Zdravoohranenie, 6, 27–34.
  17. Brown, J. W., Ruzmetov, M., Okada, Y., Vijay, P., Turrentine, M. W. (2001). Surgical results in patients with double outlet right ventricle: a 20-year experience. The Annals of Thoracic Surgery, 72 (5), 1630–1635. doi: 10.1016/s0003-4975(01)03079-x
  18. The World Health Organization Quality of Life (WHOQOL) -bref. World Health Organization. Available at http://www.who.int/substance_abuse/research_tools/en/russian_whoqol.pdf?ua=1
  19. Bang, J. S., Jo, S., Kim, G. B., Kwon, B. S., Bae, E. J., Noh, C. I., Choi, J. Y. (2013). The mental health and quality of life of adult patients with congenital heart disease. International Journal of Cardiology, 170 (1), 49–53. doi: 10.1016/j.ijcard.2013.10.003
  20. Horner, T., Liberthson, R., Jellinek, M. S. (2000). Psychosocial Profile of Adults With Complex Congenital Heart Disease. Mayo Clinic Proceedings, 75 (1), 31–36. doi: 10.4065/75.1.31

Published

2017-04-29

How to Cite

Malska, A. (2017). Health condition analysis in adults with surgically corrected congenital heart defect (on the example of atrioventricular canal defect). ScienceRise: Medical Science, (4 (12), 28–32. https://doi.org/10.15587/2519-4798.2017.100113

Issue

Section

Medical Science