Abstract
Objectives: To determine the frequency of congenital cardiac anomalies in
patients with anorectal malformations. Study Design: Retrospective study. Setting: Department
of Pediatric Surgery, Khyber Teaching Hospital, Peshawar. Period: Jan 2018 to June 2018.
Material & Methods: All patients from 0 to 30 days of life both males and females (Inclusion
criteria) with diagnosed anorectal malformation on clinical and radiological assessment,
underwent cardiovascular work up to identify any cardiovascular disease. Patients with intersex
disorders and those operated elsewhere were excluded. Mean and standard deviation were
calculated for age. Frequency and percentage were calculated for gender, type of anorectal
malformation, genital ambiguity, previous surgical intervention and congenital cardiac anomalies.
Data was stratified for age, gender, lesion level, genital ambiguity and previous surgery to see
the effect modification. Results: Out of 90 patients with anorectal malformation, there were 49
(54%) males and 41 (46%) females (M: F;1:1.19). with mean age of 7.65 ± 2.43 days. There
were 39 (43.34%) patients with low anorectal malformation and 51 (56.67%) patients with high
anorectal malformation. Genital ambiguity and previous surgical intervention was present in 8
(8.89%) and 11 (12.23%) patients, respectively. Congenital Cardiac Anomalies were diagnosed
in 16 (17.78%) patients with anorectal malformation. Congenital Cardiac Anomalies were mostly
seen in age group 1-10 days (21.95%), male children (22.45%) and high anorectal malformation
(23. 52%). Conclusion: The frequency of congenital cardiac anomalies in patients with anorectal
malformations was found lower than local figures. The majority of congenital cardiac anomalies
associated with high anorectal malformation and male gender.
Sajjad Ali, Muhammad Uzair, Fayaz ur Rehman, Mohammad Imran, Erum Behroz Khan , Muhammad Asim Khan. (2020) Frequency of congenital cardiac anomalies in patients with anorectal malformations., The Professional Medical Journal, Volume 27, Issue 12.
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