Document Detail


Down syndrome with congenital heart malformation.
MedLine Citation:
PMID:  138359     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two hundred fifty-one patients with Down syndrome and congenital heart disease was based on clinical (41%), catheterization (38%), surgical (11%), or autopsy data (10%). The most common lesions were endocardial cushion defect (43%), ventricular septal defect (32%), secundum atrial septal defect (10%), tetralogy of Fallot (6%), and isolated patent ductus arteriosus (4%). Thirty percent had multiple cardiac defects. The most common associated lesions were patent ductus arteriosus (16%) and pulmonic stenosis (9%). Twenty-five percent of the patients uncerwent cardiac surgery. Motality in the 68 patients undergoing surgery was 26% for open heart procedures and 11% for closed heart surgery. In 32% of nonsurgically treated patients with large left-to-right shunts, irreversible pulmonary vascular disease developed. Improved medical and surgical care have decreased morbidity and mortality in these patients in recent years.
Authors:
S C Park; R A Mathews; J R Zuberbuhler; R D Rowe; W H Neches; C C Lenox
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  131     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1977 Jan 
Date Detail:
Created Date:  1977-03-15     Completed Date:  1977-03-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  29-33     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / diagnosis
Adolescent
Adult
Child
Child, Preschool
Down Syndrome / complications*
Ductus Arteriosus, Patent / complications
Female
Heart Defects, Congenital / complications*,  mortality,  surgery
Heart Septal Defects / complications
Heart Septal Defects, Atrial / complications
Heart Septal Defects, Ventricular / complications
Humans
Infant
Infant, Newborn
Male
Tetralogy of Fallot / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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