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616.132:611.018.63-092-053.2 (1) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (975) |
Anatomie. Anatomie umană și comparată. (237) |
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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