Abstract:
Background: Congenital aortopathies include a variety of disorders such as aortic stenosis, aortic coarctation, bicuspid aortic valve. The
overall mortality rate following complications is 2.49-2.78 per 100,000 population. The study aimed to assess the factors with potential for
development of complications in congenital aortopathies in children.
Material and methods: The study included 71 children aged from 1 month to 18 years (mean age of 9.26 ± 0.82 years). The ratio of girls to
boys was 1:2. A total of 55 children were from rural areas and 16 were from urban areas.
Results: Echocardiographic data and the Z score revealed distinct aortic dilatation in 30 children, the most common site of dilation being
the Valsalva sinus (26.03 ± 1.24, p<0.005). The most common pathologies associated with aortic dilatation were aortic coarctation and
bicuspid aortic valve (accounting for 63.33% cases), followed by aortic stenosis (30% cases) and genetic diseases affecting the aortic wall
structure (6.67% cases).
Conclusions: Aortic dilatation is commonly encountered in congenital aortopathies and can lead to life-threatening complications such as
aortic aneurysms, aortic dissection and rupture. Early diagnosis and close follow-up are essential in this situation.
Description:
Nicolae Testemitsanu State University of Medicine and Pharmacy, Institute for Mother and Child Health Care, Chisinau, the Republic of Moldova, The IVth Congress of Radiology and Medical Imaging of the Republic of Moldova with international participation, Chisinau, May 31 – June 2, 2018