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similare conform CZU
|Pathology of the circulatory system, blood vessels. Cardiovascular complaints (564)|
| SM ISO690:2012|
GAVRILIUC, Natalia. Factorii de risc și diagnosticul precoce în complicațiile din aortopatiile congenitale la copii. In: Buletin de Perinatologie. 2019, nr. 2(83), pp. 42-47. ISSN 1810-5289.
|Buletin de Perinatologie|
|Numărul 2(83) / 2019 / ISSN 1810-5289|
Background and aim. Congenital aortopathies (CAo) in children include a wide range of structural aortic pathologies that diff er in localization and pathophysiological mechanisms. Th ese pathologies have a very high risk of mortality due to complications that they can develop instantly: aortic aneurysm, dissection and rupture. Materials and methods. Was realized an retrospective case-control study on 150 children with AoC who had an average age of 110 ± 5,19 months, and an average body area of 1,029 ± 0.03. Th e children were divided into two lots (LI, LII) according to the results of the Z score, the aortic diameters being assessed by echocardiography and the score Z – calculated online (http://parameterz.blogspot.com). LI- 89 children with enlarged diameter of the aorta (59,3%), LII – 61 (40,6%). of children without changes in the diameter of the aorta. Results. Aortic diameters assessed in both groups of children showed an increased rate of dilatation in the proximal segment of the aorta, the ascending aorta – 45 (30,0%), followed by dilation of the descendent aorta 38 (25,3%) of cases. Th e least aff ected aortic segment was the sino-tubular junction – 7 (7,4%) of children. Th e risk factors that contributed to the development of complications in children with AoC in our study were: genetic, familial, anamnestic factors (late diagnosis, noncompliant treatment), demographic factors (age, gender), type of CAo, and type of dilation. Conclusions. Th e Z-score of aortic diameters is a method of assessing the risk factors that precipitate the complications in CAo in children. Early interventional measures are necessary to prevent their development during childhood and adulthood.
congenital aortophaties, risk factors, children,
врожденные аорты, факторы риска, дети