CARDIAC CATHETERIZATION IN GROWN-UP PATIENTS WITH CONGENITAL HEART DISEASES – INDICATIONS AND COMPLICATIONS
Keywords:Congenital heart defects, Atrial septal defect, Tetralogy of Fallot, Patent ductus arteriosus.
AbstractBackground: Congenital heart defects are the most common congenital
anomalies with incidence of 1% live births. The number of grown-up patients with
congenital heart defects is growing worldwide including Pakistan, with
proportionate increase in the number of diagnostic as well as interventional
cardiac catheterization procedures.
Objective: The aim of this study was to evaluate the indications and immediate
complications of cardiac catheterization in GUCH.
Methodology: This descriptive study was conducted in the Department of
Pediatrics from December, 2010 to June, 2012. All adult patients (age more than
18 years) were included in the study, who underwent cardiac catheterization for
congenital heart defects. Data analysis was computer-based using SPSS 17
version and descriptive analyses were applied where appropriate.
Results: A total of 208 cases were included with mean age of 28.7 ± 10.3 years
and 56.7% were female. 105 cases were therapeutic catheterizations and 103
cases underwent catheterization for diagnostic work-up. Therapeutic procedures
included atrial septal defect device closures (ASD) (n=65) with 92.3% success
rate, and patent ductus arteriosus device closure in 18 patients with 100%
success. Of the diagnostic catheterizations, tetralogy of Fallot, as a group
(n=30), was the most common indication. Complications encountered were
transient arrhythmias in 4 patients, failure to deploy ASD device in 5 cases and
local groin hematoma in one case.
Conclusion: The most common indications of cardiac catheterization in GUCH
are ASD device closure and diagnostic cardiac catheterization for TOF with
complication rate of less than 5%.