In:
Echocardiography, Wiley, Vol. 34, No. 8 ( 2017-08), p. 1203-1209
Abstract:
Aortic root dilatation ( ARD ) in congenital heart disease is related to aortic aneurysm, rupture, and dissection. This study aimed to investigate the factors associated with ARD in patients with surgically repaired ventricular septal defect ( VSD ). Methods This cross‐sectional study included 152 patients with surgically repaired VSD . Two definitions of ARD were used: (1) observed Valsalva diameter to body surface area ( BSA ) ratio 〉 2.1 cm/m 2 and (2) absolute value of Valsalva diameter ≥4.0 cm. Odds ratios ( OR s) and 95% confidence intervals ( CI s) of ARD presence were calculated using multivariate logistic regressions. Results The prevalence of ARD ranged between 8.6% and 32.9%. Using the definition of observed aortic root diameter/ BSA 〉 2.1 cm/m 2 , patients with nonsubarterial VSD type were more likely to have ARD ( OR 5.65, 95% CI ; 1.83–17.44, P =.003) than those with subarterial type, and patients with preoperative right‐ or noncoronary cusp prolapse ( R / NCCP ) were more likely to have ARD ( OR 3.68, 95% CI ; 1.20–11.23, P =.022) than patients without preoperative R / NCCP after adjustment for sex, age at repair (ie, shunt duration), VSD size, and postoperative follow‐up period. Using the definition of absolute Valsalva diameter ≥4 cm, nonsubarterial VSD type and presence of R / NCCP were also significantly associated with ARD after adjustment for the same covariates. Conclusions Anatomical and morphological features (nonsubarterial type and presence of preoperative R / NCCP ) are independently correlated with ARD in patients with VSD regardless of the different definitions of ARD . Patients with surgically repaired VSD may need careful monitoring for potential ARD development.
Type of Medium:
Online Resource
ISSN:
0742-2822
,
1540-8175
DOI:
10.1111/echo.2017.34.issue-8
Language:
English
Publisher:
Wiley
Publication Date:
2017
detail.hit.zdb_id:
2041033-5
Permalink