Majority of the patients were of acyanotic CHD (n=114, 57%) while 86 (43%) patients had
cyanotic heart disease including Eisenmenger disease.
Among the 154 with CHD, acyanotic CHD was seen in 111 (72.0%) and
cyanotic heart disease in 43 (27.9%).
Keywords: Congenital
cyanotic heart disease, Pulmonary valve preservation, Repair of Tetralogy of Fallot.
Tachypnea (68.75%) and heart murmur (65.62%) were statistically significant with clinical signs in acyanotic heart disease while cyanosis (97.36%), tachypnea (RR >60) (92.10%) and heart murmur (34.21%) had significant association with
cyanotic heart disease. Ventricular septal defect (VSD) was the commonest acyanotic CHD 8/32 (25%) whilst transportation of the great arteries (TGA) with VSD was the commonest cyanotic CHD 8/38 (21%).Fourteen neonates had critical congenital heart disease undergoing surgery or intervention 14/70 (20%).
[1] We report on the successful outcome of a pregnancy in a 32-year-old woman with newly diagnosed complex
cyanotic heart disease, presenting with progressive shortness of breath at 34 weeks' gestation.
(17) grouped 114 children according to the severity of CHD and found that QoL perception was poorer in children with
cyanotic heart disease compared with children who had left-to-right shunt anomalies and obstructive anomalies.
HOA is usually associated with lung cancer and
cyanotic heart disease. Its pathogenesis has not been elucidated, but the roles of platelet-derived growth factor produced by non-fragmented megakaryocytes that bypass the pulmonary vascular bed and prostaglandins and VEGF produced by lung cancer have been suggested (4, 5).
'It was suspected that in patients with
cyanotic heart disease, the low oxygen levels might lead directly to the growth of pheochromocytomas,' said Dr.
(23) TGA is one of the common forms of
cyanotic heart disease, and initial management can include atrial septostomy to treat the initial cyanosis.
If *
Cyanotic heart disease pregnancy is decided upon, (unrepaired) intensive specialist cardiac * Other complex congenital and obstetric monitoring heart disease needed throughout pregnancy, * Aortic dilatation 40-45 mm childbirth, and the puerperium.
Twelve (33.3%) of them had neurological diseases, followed by human immunodeficiency virus (n = 3, 8.3%), end-stage renal disease (n = 2, 5.6%), Wilson disease (n = 2, 5.6%), systemic lupus erythematosus (n = 1, 2.8%), and
cyanotic heart disease (n = 1, 2.8%) (Table 1).
In patients with
cyanotic heart disease, underlying coagulopathy and polycythaemia are responsible for predisposing them to stroke.