Articles
| Open Access |
https://doi.org/10.37547/ijmscr/Volume06Issue02-21
Diagnostics of Heart Failure Development in Children with Congenital Ventricular Septal Defect After Surgery
Abstract
Background: Congenital ventricular septal defect (VSD) is one of the most common congenital heart defects in pediatric populations. Surgical correction significantly improves outcomes; however, postoperative heart failure (HF) remains a crucial complication affecting morbidity and long-term prognosis.
Objective: To evaluate diagnostic strategies for detecting heart failure development in children following surgical repair of VSD.
Methods: We conducted a review of diagnostic modalities including clinical scores, biomarkers, echocardiographic parameters, and advanced imaging. A proposed diagnostic flowchart is presented.
Results: Early detection of HF relies on a combination of clinical assessment, laboratory biomarkers (e.g., NT-proBNP), and imaging methods such as echocardiography. Novel algorithms improve sensitivity and specificity.
Conclusion: A structured diagnostic pathway enhances early recognition and allows timely intervention to reduce adverse outcomes.
Keywords
Ventricular septal defect, pediatric cardiac surgery, heart failure, diagnostics
References
Hoffman J. I., Kaplan S. The incidence of congenital heart disease // J Am Coll Cardiol. — 2002. — № 12. — Р. 1890–1900.
Schoenwolf G. C., Bleyl S. B., Brauer P. R., Francis-West P. H. Larsen's human embryology. — 5th edition. — Elsevier Health Sciences, 2015. — P. 288–290.
Wernovsky G., Anderson R. H., Krishna К. et al. Anderson’s Pediatric Cardiology. — 4-th edition. — Elsevier E-Book, 2020. — 2526 p.
Morton S. U., Brodsky D. Fetal Physiology and the Transition to Extrauterine Life // Clin Perinatol. — 2016. — № 3. — Р. 395–407.
Praagh R. V. Congenital Heart Disease: A Clinical, Pathological, Embryological, And Segmental Analysis. — Elsevier, OHCE, 2022. — Р. 767–817.
Kidd L., Driscoll D. J., Gersony W. M. et al. Second natural history study of congenital heart defects. Results of treatment of patients with ventricular septal defects // Circulation. — 1993. — Vol. 87. — P. I38–51.
Jonas R. A. Comprehensive Surgical Management of Congenital Heart Disease, Second Edition. — CRC Press, 2014. — P. 331–346
Bronzetti G. Atlas of Pediatric and Youth ECG. — Springer International Publishing, 2018. — 320 p.
Lai W. W., Mertens L. L., Cohen M. S., Geva T. Echocardiography in Pediatric and Congenital Heart Disease, From Fetus to Adult. — 2nd edition. — Jonh Wiley & Sons Ltd, 2016. — P. 215–230.
Kirklin j. K., Blackstone E. H. Kirklin/Barratt-Boyes Cardiac Surgery. — 4th edition. — Elsevier Saunders, 2013. — P. 446–459, 1275–1319.
Artemiou P., Gasparovic I., Hudec V., Hulman M. Optimal therapeutic strategy for postinfarction ventricular septal defect // J Card Surg. — 2022. — № 8. — Р. 2511.
Beerman L. B. Eisenmenger Syndrome // MSD Manual. — 2023.
Shaddy R. E., Penny D. J., Feltes T. F. et al. Moss & Adams’ Heart Disease in Infants, Children and Adolescents Including the Fetus and Young Adult, Volume I–II. — 10th edition. — Wolters Kluwer, 2022. — P. 2313–2317.
Hoffman J. I. E. Congenital Heart Disease: Incidence and Inheritance. Congenital Heart Disease: Incidence and Inheritance // Pediatric Clinics of North America. — 1990. — № 1. — Р. 25–43.
Jonas R. A. Comprehensive Surgical Management of Congenital Heart Disease. — 2nd edition. — CRC Press, 2014. — 333 р.
Armstrong G. P. Infective Endocarditis // MSD Manual. — 2022.
Park I. S. An Illustrated Guide to Congenital Heart Disease. — Springer Nature Singapore Pte Ltd., 2019. — P. 34, 50.
Structural Interventions: Congenital Heart Defects // Abbott. [Электронный ресурс]. Дата обращения: 13.10.2023.
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