Characteristics of Patent Ductus Arteriosus in Congenital Rubella Syndrome

This study investigated the characteristics of congenital rubella syndrome (CRS)-associated cardiac complications, particularly patent ductus arteriosus (PDA). We reviewed the medical records of patients with CRS who were admitted to the Children’s Hospital 1 in Vietnam between December 2010 and Dec...

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Veröffentlicht in:Scientific reports 2019-11, Vol.9 (1), p.17105-12, Article 17105
Hauptverfasser: Toizumi, Michiko, Do, Cam Giang T., Motomura, Hideki, Do, Tin N., Fukunaga, Hirofumi, Iijima, Makiko, Le, Nhan NT, Nguyen, Hung Thanh, Moriuchi, Hiroyuki, Yoshida, Lay-Myint
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container_issue 1
container_start_page 17105
container_title Scientific reports
container_volume 9
creator Toizumi, Michiko
Do, Cam Giang T.
Motomura, Hideki
Do, Tin N.
Fukunaga, Hirofumi
Iijima, Makiko
Le, Nhan NT
Nguyen, Hung Thanh
Moriuchi, Hiroyuki
Yoshida, Lay-Myint
description This study investigated the characteristics of congenital rubella syndrome (CRS)-associated cardiac complications, particularly patent ductus arteriosus (PDA). We reviewed the medical records of patients with CRS who were admitted to the Children’s Hospital 1 in Vietnam between December 2010 and December 2012, and patients with CRS who underwent PDA transcatheter occlusion therapy at the cardiology department between December 2009 and December 2015. We compared the characteristics of PDA treated with transcatheter closure between children with CRS (CRS-PDA) and those without CRS (non-CRS-PDA) who underwent PDA transcatheter closure between July 2014 and December 2015. One-hundred-and-eight children with CRS were enrolled. Cardiac defects (99%), cataracts (72%), and hearing impairment (7%) were detected. Fifty CRS-PDA and 290 non-CRS-PDA patients were examined. CRS-PDA patients had smaller median birthweight (p 
doi_str_mv 10.1038/s41598-019-52936-6
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We reviewed the medical records of patients with CRS who were admitted to the Children’s Hospital 1 in Vietnam between December 2010 and December 2012, and patients with CRS who underwent PDA transcatheter occlusion therapy at the cardiology department between December 2009 and December 2015. We compared the characteristics of PDA treated with transcatheter closure between children with CRS (CRS-PDA) and those without CRS (non-CRS-PDA) who underwent PDA transcatheter closure between July 2014 and December 2015. One-hundred-and-eight children with CRS were enrolled. Cardiac defects (99%), cataracts (72%), and hearing impairment (7%) were detected. Fifty CRS-PDA and 290 non-CRS-PDA patients were examined. CRS-PDA patients had smaller median birthweight (p &lt; 0.001), more frequent pulmonary (p &lt; 0.001) and aortic stenosis (p &lt; 0.001), higher main pulmonary artery pressure, and higher aortic pressure in systole/diastole (p &lt; 0.001 for each) than did non-CRS-PDA patients. The proportion of tubular-type PDA was higher in CRS-PDA patients (16%) than in non-CRS-PDA patients (3%) (p = 0.020). Tubular-type PDA was frequently seen in patients with CRS and accompanied by pulmonary/systemic hypertension and pulmonary/aortic stenosis; in these patients, more cautious device selection is needed for transcatheter PDA closure.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-019-52936-6</identifier><identifier>PMID: 31745134</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4019 ; 692/699/255 ; Aortic stenosis ; Aortic Valve Stenosis - pathology ; Aortic Valve Stenosis - surgery ; Birth weight ; Cataracts ; Child, Preschool ; Children ; Congenital diseases ; Congenital rubella ; Coronary vessels ; Ductus Arteriosus, Patent - pathology ; Ductus Arteriosus, Patent - surgery ; Electrocardiography ; Female ; Hearing loss ; Heart ; Humanities and Social Sciences ; Humans ; Hypertension ; Hypertension, Pulmonary - pathology ; Hypertension, Pulmonary - surgery ; Infant ; Infant, Newborn ; Male ; Medical records ; multidisciplinary ; Occlusion ; Patients ; Pulmonary arteries ; Pulmonary artery ; Retrospective Studies ; Rubella ; Rubella Syndrome, Congenital - pathology ; Rubella Syndrome, Congenital - surgery ; Science ; Science (multidisciplinary) ; Septal Occluder Device - statistics &amp; numerical data ; Stenosis</subject><ispartof>Scientific reports, 2019-11, Vol.9 (1), p.17105-12, Article 17105</ispartof><rights>The Author(s) 2019</rights><rights>2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-5865d91b3bbb7dbab6ebd0cf4bf44b91f721ff4f1791ac90dbebcb8ecef82a0f3</citedby><cites>FETCH-LOGICAL-c518t-5865d91b3bbb7dbab6ebd0cf4bf44b91f721ff4f1791ac90dbebcb8ecef82a0f3</cites><orcidid>0000-0002-8401-9344</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863812/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863812/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,41120,42189,51576,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31745134$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toizumi, Michiko</creatorcontrib><creatorcontrib>Do, Cam Giang T.</creatorcontrib><creatorcontrib>Motomura, Hideki</creatorcontrib><creatorcontrib>Do, Tin N.</creatorcontrib><creatorcontrib>Fukunaga, Hirofumi</creatorcontrib><creatorcontrib>Iijima, Makiko</creatorcontrib><creatorcontrib>Le, Nhan NT</creatorcontrib><creatorcontrib>Nguyen, Hung Thanh</creatorcontrib><creatorcontrib>Moriuchi, Hiroyuki</creatorcontrib><creatorcontrib>Yoshida, Lay-Myint</creatorcontrib><title>Characteristics of Patent Ductus Arteriosus in Congenital Rubella Syndrome</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>This study investigated the characteristics of congenital rubella syndrome (CRS)-associated cardiac complications, particularly patent ductus arteriosus (PDA). We reviewed the medical records of patients with CRS who were admitted to the Children’s Hospital 1 in Vietnam between December 2010 and December 2012, and patients with CRS who underwent PDA transcatheter occlusion therapy at the cardiology department between December 2009 and December 2015. We compared the characteristics of PDA treated with transcatheter closure between children with CRS (CRS-PDA) and those without CRS (non-CRS-PDA) who underwent PDA transcatheter closure between July 2014 and December 2015. One-hundred-and-eight children with CRS were enrolled. Cardiac defects (99%), cataracts (72%), and hearing impairment (7%) were detected. Fifty CRS-PDA and 290 non-CRS-PDA patients were examined. CRS-PDA patients had smaller median birthweight (p &lt; 0.001), more frequent pulmonary (p &lt; 0.001) and aortic stenosis (p &lt; 0.001), higher main pulmonary artery pressure, and higher aortic pressure in systole/diastole (p &lt; 0.001 for each) than did non-CRS-PDA patients. The proportion of tubular-type PDA was higher in CRS-PDA patients (16%) than in non-CRS-PDA patients (3%) (p = 0.020). Tubular-type PDA was frequently seen in patients with CRS and accompanied by pulmonary/systemic hypertension and pulmonary/aortic stenosis; in these patients, more cautious device selection is needed for transcatheter PDA closure.</description><subject>692/4019</subject><subject>692/699/255</subject><subject>Aortic stenosis</subject><subject>Aortic Valve Stenosis - pathology</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Birth weight</subject><subject>Cataracts</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Congenital diseases</subject><subject>Congenital rubella</subject><subject>Coronary vessels</subject><subject>Ductus Arteriosus, Patent - pathology</subject><subject>Ductus Arteriosus, Patent - surgery</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Hearing loss</subject><subject>Heart</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension, Pulmonary - pathology</subject><subject>Hypertension, Pulmonary - surgery</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical records</subject><subject>multidisciplinary</subject><subject>Occlusion</subject><subject>Patients</subject><subject>Pulmonary arteries</subject><subject>Pulmonary artery</subject><subject>Retrospective Studies</subject><subject>Rubella</subject><subject>Rubella Syndrome, Congenital - pathology</subject><subject>Rubella Syndrome, Congenital - surgery</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Septal Occluder Device - statistics &amp; 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We reviewed the medical records of patients with CRS who were admitted to the Children’s Hospital 1 in Vietnam between December 2010 and December 2012, and patients with CRS who underwent PDA transcatheter occlusion therapy at the cardiology department between December 2009 and December 2015. We compared the characteristics of PDA treated with transcatheter closure between children with CRS (CRS-PDA) and those without CRS (non-CRS-PDA) who underwent PDA transcatheter closure between July 2014 and December 2015. One-hundred-and-eight children with CRS were enrolled. Cardiac defects (99%), cataracts (72%), and hearing impairment (7%) were detected. Fifty CRS-PDA and 290 non-CRS-PDA patients were examined. CRS-PDA patients had smaller median birthweight (p &lt; 0.001), more frequent pulmonary (p &lt; 0.001) and aortic stenosis (p &lt; 0.001), higher main pulmonary artery pressure, and higher aortic pressure in systole/diastole (p &lt; 0.001 for each) than did non-CRS-PDA patients. The proportion of tubular-type PDA was higher in CRS-PDA patients (16%) than in non-CRS-PDA patients (3%) (p = 0.020). Tubular-type PDA was frequently seen in patients with CRS and accompanied by pulmonary/systemic hypertension and pulmonary/aortic stenosis; in these patients, more cautious device selection is needed for transcatheter PDA closure.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>31745134</pmid><doi>10.1038/s41598-019-52936-6</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-8401-9344</orcidid><oa>free_for_read</oa></addata></record>
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subjects 692/4019
692/699/255
Aortic stenosis
Aortic Valve Stenosis - pathology
Aortic Valve Stenosis - surgery
Birth weight
Cataracts
Child, Preschool
Children
Congenital diseases
Congenital rubella
Coronary vessels
Ductus Arteriosus, Patent - pathology
Ductus Arteriosus, Patent - surgery
Electrocardiography
Female
Hearing loss
Heart
Humanities and Social Sciences
Humans
Hypertension
Hypertension, Pulmonary - pathology
Hypertension, Pulmonary - surgery
Infant
Infant, Newborn
Male
Medical records
multidisciplinary
Occlusion
Patients
Pulmonary arteries
Pulmonary artery
Retrospective Studies
Rubella
Rubella Syndrome, Congenital - pathology
Rubella Syndrome, Congenital - surgery
Science
Science (multidisciplinary)
Septal Occluder Device - statistics & numerical data
Stenosis
title Characteristics of Patent Ductus Arteriosus in Congenital Rubella Syndrome
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