Associated Cardiac Anomalies Detected by Echocardiography in Infants and Children with Congenital Malformations. A Prospective-Analytical Study

Background: Infants with congenital malformations are more common to have cardiac malformations. Aim : To detect the frequency of associated congenital heart diseases and other congenital malformation of different systems. Subjects and methods: sixty patients who were admitted at pediatric and neonatology department at Minia health insurance hospital & Al-Azhar University-Assuit hospital aging from 1 day to 48 months (4 years) old will be included in the study between first of January 2022 and the end of November 2022. Results : A total number of 60 patients with known congenital malformations, 10 patients with Genitourinary congenital malformations (16.6% ), 9 patients with renal malformations (15% ), 8 patients with digestive malformations (13.3% ) , 9 patients with biliary atresia (15% ), 10 patients with genetic malformations (16.6% ), 14 facial congenital malformations (23.3 %). The echocardiography showed in seventy patients mild ASD (28.3%) while 5 patients showed moderate ASD (8.3%), 5 patients showed mild TR (8.3%), 17 patients showed PDA (28.3%), 6 patients showed PFO (10%), 2 patients showed mild MR (represent 3.3%), 18 patients showed VSD (represent 30%) . 29 patients showed normal PASP (48.3%), 4 patients had severe PASP (6.7%), 10 patients with moderate PASP (16.7%), 17 patients with mild PASP (28.3 %) with mean 40.3±13. Conclusions: Regarding the correlation between cardiac anomalies and other congenital malformations, there were significant correlation between cardiac anomalies and renal system, biliary system, genetic abnormalities and facial malformations, so more attention and careful cardiac examination using echocardiography in those patients is advised.