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Background. Progress in the fi eld of color EcoCG Doppler and the application of this method in investigating the morphology of the aortic arch, allow to determine the risk of development and / or the diameter changes already occurring at the level of the aorta in children with congenital aortopathies. Purpose of the study. Aortic mofometry assessment in order to prevent aortic dilatation with risk of aneurysm, dissection or aortic rupture. Materials and methods. 150 children with four types of congenital aorthopaties were evaluated: aortic stenosis-38,2%, aortic coarctation-33,7%, bicuspid aortic valve-23,6% and genetic syndromes involving aorta-4,5%. These values were interpreted in terms of body surface area and echocardiographic dimensions Z-Detroit Data Score. Results. Th e Z score 2 SD value at the valve of aorta level was recorded at 61 68,5%, and ge;2 SD - at 28 31,5% participants chi;2=23,5; p=0. The Z score2 SD value of the sinus Valsalva was attested in 66 74,2%, andge;2 SD- in 23 25,8% children chi;2=18,6; p=0. Th e score Z 2 SD of the sino-tubular junction was present in 82 92,1%, and ge;2 SDin 7 7,9% subjects chi;2=5,03; p0,05. The value of the score Z2 SD of ascending aorta was recorded in 44 49,4%, and ge;2 - in 45 50,6% participants chi;2=44,06; p=0. The value of the score Z2 SD of the arc of the aorta was present in 76 85,4%, and ge;2 SD- in 13 14,6% subjects chi;2=9,7; p0,01. The Z score2 SD of the descending aorta was noted in 51 57,3%, and ge;2 SD- in 38 42,7% children chi;2=34.,8; p=0. A strong correlation between the diameters of the evaluated aortic segments demonstrates a dilation to at least a portion of the investigated ones, becoming also a risk factor for growth and other aortic segments. Conclusions. The possibility of early identifi cation by echocardiography of the risk and/or presence of a complication is very important in both pediatric and adult cardiology practice. Note. SD- Standart deviation ; Введение. Прогресс в области цветной экоКГ-допплерографии и применение этого ... |