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616.132:611.018.63-092-053.2 (1) |
Pathology of the circulatory system, blood vessels. Cardiovascular complaints (975) |
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SM ISO690:2012 PALII, Ina, GAVRILIUC, Natalia, CIUBOTARU, Anatol, REVENCO, Ninel, EŞANU, Veronica, PÎRŢU, Lucia. Studiul morfometric al arcului aortic la copiii cu aortopatii congenitale. In: Buletin de Perinatologie, 2020, nr. 2(87), pp. 107-112. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 2(87) / 2020 / ISSN 1810-5289 | ||||||
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CZU: 616.132:611.018.63-092-053.2 | ||||||
Pag. 107-112 | ||||||
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Background. Progress in the fi eld of color EcoCG Doppler and the application of this method in investigating the morphology of the aortic arch, allow to determine the risk of development and / or the diameter changes already occurring at the level of the aorta in children with congenital aortopathies. Purpose of the study. Aortic mofometry assessment in order to prevent aortic dilatation with risk of aneurysm, dissection or aortic rupture. Materials and methods. 150 children with four types of congenital aorthopaties were evaluated: aortic stenosis-38,2%, aortic coarctation-33,7%, bicuspid aortic valve-23,6% and genetic syndromes involving aorta-4,5%. These values were interpreted in terms of body surface area and echocardiographic dimensions (Z-Detroit Data Score). Results. Th e Z score <2 SD value at the valve of aorta level was recorded at 61 (68,5%), and ≥2 SD - at 28 (31,5%) participants (χ2=23,5; p=0). The Z score<2 SD value of the sinus Valsalva was attested in 66 (74,2%), and≥2 SD- in 23 (25,8%) children (χ2=18,6; p=0). Th e score Z <2 SD of the sino-tubular junction was present in 82 (92,1%), and ≥2 SDin 7 (7,9%) subjects (χ2=5,03; p<0,05). The value of the score Z<2 SD of ascending aorta was recorded in 44 (49,4%), and ≥2 - in 45 (50,6%) participants (χ2=44,06; p=0). The value of the score Z<2 SD of the arc of the aorta was present in 76 (85,4%), and ≥2 SD- in 13 (14,6%) subjects (χ2=9,7; p<0,01). The Z score<2 SD of the descending aorta was noted in 51 (57,3%), and ≥2 SD- in 38 (42,7%) children (χ2=34.,8; p=0). A strong correlation between the diameters of the evaluated aortic segments demonstrates a dilation to at least a portion of the investigated ones, becoming also a risk factor for growth and other aortic segments. Conclusions. The possibility of early identifi cation by echocardiography of the risk and/or presence of a complication is very important in both pediatric and adult cardiology practice. Note. SD- Standart deviation |
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Cuvinte-cheie morphometry, aortic arch, children, морфометрия, дуга аорты, дети |
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<?xml version='1.0' encoding='utf-8'?> <resource xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' xmlns='http://datacite.org/schema/kernel-3' xsi:schemaLocation='http://datacite.org/schema/kernel-3 http://schema.datacite.org/meta/kernel-3/metadata.xsd'> <creators> <creator> <creatorName>Palii, I.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Gavriliuc, N.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Ciubotaru, A.</creatorName> <affiliation>IMSP Spitalul Clinic Republican „Timofei Moșneaga”, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Revenco, N.E.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Eşanu, V.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> <creator> <creatorName>Pîrţu, L.I.</creatorName> <affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation> </creator> </creators> <titles> <title xml:lang='ro'>Studiul morfometric al arcului aortic la copiii cu aortopatii congenitale</title> </titles> <publisher>Instrumentul Bibliometric National</publisher> <publicationYear>2020</publicationYear> <relatedIdentifier relatedIdentifierType='ISSN' relationType='IsPartOf'>1810-5289</relatedIdentifier> <subjects> <subject>morphometry</subject> <subject>aortic arch</subject> <subject>children</subject> <subject>морфометрия</subject> <subject>дуга аорты</subject> <subject>дети</subject> <subject schemeURI='http://udcdata.info/' subjectScheme='UDC'>616.132:611.018.63-092-053.2</subject> </subjects> <dates> <date dateType='Issued'>2020-09-01</date> </dates> <resourceType resourceTypeGeneral='Text'>Journal article</resourceType> <descriptions> <description xml:lang='en' descriptionType='Abstract'><p>Background. Progress in the fi eld of color EcoCG Doppler and the application of this method in investigating the morphology of the aortic arch, allow to determine the risk of development and / or the diameter changes already occurring at the level of the aorta in children with congenital aortopathies. Purpose of the study. Aortic mofometry assessment in order to prevent aortic dilatation with risk of aneurysm, dissection or aortic rupture. Materials and methods. 150 children with four types of congenital aorthopaties were evaluated: aortic stenosis-38,2%, aortic coarctation-33,7%, bicuspid aortic valve-23,6% and genetic syndromes involving aorta-4,5%. These values were interpreted in terms of body surface area and echocardiographic dimensions (Z-Detroit Data Score). Results. Th e Z score <2 SD value at the valve of aorta level was recorded at 61 (68,5%), and ≥2 SD - at 28 (31,5%) participants (χ2=23,5; p=0). The Z score<2 SD value of the sinus Valsalva was attested in 66 (74,2%), and≥2 SD- in 23 (25,8%) children (χ2=18,6; p=0). Th e score Z <2 SD of the sino-tubular junction was present in 82 (92,1%), and ≥2 SDin 7 (7,9%) subjects (χ2=5,03; p<0,05). The value of the score Z<2 SD of ascending aorta was recorded in 44 (49,4%), and ≥2 - in 45 (50,6%) participants (χ2=44,06; p=0). The value of the score Z<2 SD of the arc of the aorta was present in 76 (85,4%), and ≥2 SD- in 13 (14,6%) subjects (χ2=9,7; p<0,01). The Z score<2 SD of the descending aorta was noted in 51 (57,3%), and ≥2 SD- in 38 (42,7%) children (χ2=34.,8; p=0). A strong correlation between the diameters of the evaluated aortic segments demonstrates a dilation to at least a portion of the investigated ones, becoming also a risk factor for growth and other aortic segments. Conclusions. The possibility of early identifi cation by echocardiography of the risk and/or presence of a complication is very important in both pediatric and adult cardiology practice. Note. SD- Standart deviation</p></description> <description xml:lang='ru' descriptionType='Abstract'><p>Введение. Прогресс в области цветной экоКГ-допплерографии и применение этого метода при исследовании морфологии дуги аорты позволяют определить риск развития и/или изменения диаметра, уже происходящего на уровне аорты у детей с врожденными аортопатиями. Цель исследования. Оценка аортальной морфометрия, чтобы предотвратить расширение аорты с риском аневризмы, расслоения или разрыва аорты. Материалы и методы. Обследовано 150 детей с четырьмя типами врожденных аортопатий: стеноз аорты-38,2%, коарктация аорты-33,7%, двустворчатый аортальный клапан-23,6% и генетические синдромы с участием аорты-4,5%. Эти значения были интерпретированы с точки зрения площади поверхности тела и эхокардиографических измерений (Z-Detroit Data Score). Результаты. Значение Z-балла на уровне клапана аорты <2 CД было зарегистрировано у 61 (68,5%) и ≥2 CД - у 28 (31,5%) участников (χ2=23,5; p=0). Значение Z-оценки синусового Вальсальвы <2 CД было подтверждено у 66 (74,2%) и ≥2 CД у 23 (25,8%) детей (χ2=18,6; p=0). Z - оценки синотубулярный переход <2 CД присутствовал у 82 (92,1%) и ≥2 CД - у 7 (7,9%) субъектов (χ2 = 5,03; р <0,05). Значение Z-балла восходящего аорты <2 CД было зарегистрировано у 44 (49,4%) и ≥2 CД - у 45 (50,6%) участников (χ2 = 44,06; p=0). Значение Z-балла дуги аорты <2 CД присутствовало у 76 (85,4%) и ≥2 CД - у 13 (14,6%) субъектов (χ2=9,7; р <0,01), Z-показатель нисходящего аорты <2 CД о тмечен у 51 (57,3%) и ≥2 CД - у 38 (42,7%) детей (χ2=34,8; p=0). Сильная корреляция между диаметрами оцениваемых сегментов аорты демонстрирует расширение, по крайней мере, до части исследованных сегментов, становясь также фактором риска роста и других сегментов аорты. Выводы. Z-скор, диаметра аорты - это метод оценки факторов риска, которые ускоряют осложнения при врожденных аортопатий у детей. Ранние интервенционные меры необходимы для предотвращения их развития в детстве и в зрелом возрасте. Примечания. CД - стандартное девиация</p></description> </descriptions> <formats> <format>application/pdf</format> </formats> </resource>