الفهرس | Only 14 pages are availabe for public view |
Abstract The present study had been performed at the pediatric department , out patient clinic , intermediate care unit , and neonatal intensive care unit (NICU) of Sohag university hospital , Upper Egypt through the period from July 2016 to July 2017. It included 50 patients at age from birth to 15 years , of them 34 (68% ) were males ,while 16 (32%) were females with male predominance. Their ages at presentation ranged from 0 days to 15 years. Most of studied cases 30 (60%) presented during infancy. The most frequent symptoms were dyspnea in (28) of patients, as for the most common sign is femoral radial delay in all cases followed by loss of femoral pulse in 64%, and the less common sign was hypertension in 42% of cases. Echocardiography is a noninvasive method and the one of choice and revealed that 58% of patients had left ventricular hypertrophy, 12% had hypoplasia of aortic arch, 22% had bicuspid aortic valve, 18% had aortic stenosis. As for associated cardiac congenital 62% of patients had associated cardiac congenital anomalies in the form of ASD, VSD 14% each of them followed by PDA in 12% and other anomalies PFO, TGA, TR, MS, Complete A-V canal defect, PDA& ASD, PDA&VSD, Shone complex and PDA,VSD& DORV in 2% for each. Extra-cardiac anomalies (ECAs) in our study, were encountered among 6% of cases anomalies in the form of Down syndrome, Turner syndrome, and hypertelorism, cleft palate, small mandible and protruded mandible for 2% of patients each. |