TY - JOUR T1 - Congenital Heart Disease in Down's Syndrome TT - Down Sendromunda Konjenital Kalp Hastalıkları AU - İmamoğlu, Ayten PY - 1979 DA - December JF - Ankara Üniversitesi Tıp Fakültesi Mecmuası PB - Ankara University WT - DergiPark SN - 0365-8104 SP - 479 EP - 486 VL - 29 IS - 4 LA - en AB - Eighty Down Syndrome cases were examined in our Pediatrics Department. Between the years 1972-1978. Twenty six of them (32.5%) were diagnosed as having congenital heart disease. The ratio of girls to boys Was 10 : 16 respectively. Eight patients (27 %) died because of congestive heart failure and respiratory diseases. Among the congenital heart diseases, Endocordial Cushion Defect “had the highest prevalance 42.3% -11 of the 26 patients. Ventricular Septal Defect (9 cases-34.6 %), Atrial Septal Defect (3 cases-11.5 %), Tetralogy of Fallot (2 cases-7.7 %) and Patent Ductus Arteriosus (1 cases-3.8 %) were following this respectively. Early diagnosis and surgical treatment will decrease mortality rate in these patients. KW - down syndrome KW - pediatrics KW - congenital heart diseases N2 - 1972 - 1978 yılları arasında kliniğimizde görülen 80 Down sendromu olgusundan 26'sında konjenital kalp hastalığı saptandı. Oran % 32.5 bulundu. Erkek- kız oranı 16/10 bulundu. Sekiz hasta (% 27) konjestif kalp yetmezliği ve akciğer hastalığı nedeni ile yitirildiler. Konjenital kalp hastalıkları arasında en olağan lezyon Endocardial Cushion Defect (11 olgu) % 42.3 olarak saptandı. Bunu sırası ile. ventriküler septal defekt (9 olgu) % 34.6, atrial septal defekt (3 olgu) % 11.5, Fallot tetralojisi (2 olgu) % 7.7 patent duktus arteriosus (1 olgu) % 3.8 izliyordu. Bizim araştırmamızdaki Down sendromu olgularında bulunan konjenital kalp hastalığı ve bunlar arasında major kalp lezyonlarının görülüş sıklığının literatürle uvgunluk gösterdiği saptandı. Erken cerrahi girişimin bu hastaların yaşamını uzatacağına dikkat çekildi. CR - 1 - Berg; I.M.; Crome, L., and France, N.E. : Congenital Cardiac Malformations in Mongolism. Brit. Heart, J. 22 : 331-346, 1960. CR - 2 - Greenwood, R.D., Nodes, A.S. : The Clinical Course of Cardiac Disease in Down's Syndrome. Pediatrics, 58 : 893-897, 1976. CR - 3 - Rowe, R.D,, Uchida, LA. : Cardiac Malformation in Mongalism. A prospective study of 184 mongoloid children. Am. J. Med. 31 : 726 - 735, 1961. CR - 4 - Leck, I. : Incidence and Epidemicity of Down Syndrome. Lancet 2 : 457-460, 1966. CR - 5 - Hoffman, J.LE. : Natural History of Congenital Heart Disease. Circulation, 37 : 97 - 125, 1968. CR - 6 - Nadas, A.S., Fyler, D.C. : Pediatric Cardiology. Third Edition, W.B. Saunders Company, 1972. CR - 7 - Vaughan, V.C., Mc Kay, RJJ.; Nelson, WE. : Nelson Text book of Pediatrics, Third Edition. W.B. Saunders Company, 1975. CR - 8 - Lindsjo, A. : Down's syndrome in Sweden. Acta Paediatr. Scand. 63 : 571-576, 1974. CR - 9 - Hall, B. : Mongolism in Newborns. A clinical and cytogenetic study. Acta Paediatr. Scand. 154 ; 1-95, 1964. CR - 10 - Campbell, M. : Causes of malformations of.the heart. Brit. Med. J. 2: 895 - 904. 1965. CR - 11 - Öster, J., Mikkelsen, M. Nielsen, A. : Mortality and Life Table in Down's Syndrome. Acta Paediatr. Scand. 64 : 322 - 326, 1975. CR - 12 - Park, S.C., Mathews, R.A., Tuberbuhler, J.R., Rowe, R.D., Neches, W.H. : Down Syndrome With congenital heart malformation Am. J. Dis. Child. Vol. 131 : 29-33, 1977. CR - 13 - Warkany, J., Passarge, E. and Smith, L.B. : Congenital malformations in Autosomal Trisomy Syndromes. Amer. J. Dis, Child. 112 : 502-517, 1966. CR - 14 - Tandon, R., Edwards, J.E. : Cardiac Malformations Associated with Down's Syndrome Circulation 47 71349 - 1355, 1973. UR - https://dergipark.org.tr/en/pub/autfm/issue//1732799 L1 - https://dergipark.org.tr/en/download/article-file/5014732 ER -