Asian Spine J.  2016 Apr;10(2):226-230. 10.4184/asj.2016.10.2.226.

A Retrospective Study of Congenital Cardiac Abnormality Associated with Scoliosis

Affiliations
  • 1Department of Cardiology, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey. ebozcali@gmail.com
  • 2Department of Orthopedics and Traumatology, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.
  • 3Department of Cardiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Abstract

STUDY DESIGN: Retrospective study. PURPOSE: To identify the incidence of congenital cardiac abnormalities in patients who had scoliosis and underwent surgical treatment for scoliosis. OVERVIEW OF LITERATURE: Congenital and idiopathic scoliosis (IS) are associated with cardiac abnormalities. We sought to establish and compare the incidence of congenital cardiac abnormalities in patients with idiopathic and congenital scoliosis (CS) who underwent surgical treatment for scoliosis.
METHODS
Ninety consecutive scoliosis patients, who underwent surgical correction of scoliosis, were classified as CS (55 patients, 28 female [51%]) and IS (35 patients, 21 female [60%]). The complete data of the patients, including medical records, plain radiograph and transthoracic echocardiography were retrospectively assessed.
RESULTS
We found that mitral valve prolapse was the most common cardiac abnormality in both patients with IS (nine patients, 26%) and CS (13 patients, 24%). Other congenital cardiac abnormalities were atrial septal aneurysm (23% of IS patients, 18% of CS patients), pulmonary insufficiency (20% of IS patients, 4% of CS patients), aortic insufficiency (17% of IS patients), atrial septal defect (11% of IS patients, 13% of CS patients), patent foramen ovale (15% of CS patients), dextrocardia (4% of CS patients), bicuspid aortic valve (3% of IS patients), aortic stenosis (2% of CS patients), ventricular septal defect (2% of CS patients), and cardiomyopathy (2% of CS patients).
CONCLUSIONS
We determined the increased incidence of congenital cardiac abnormalities among patients with congenital and IS. Mitral valve prolapse appeared to be the most prevalent congenital cardiac abnormality in both groups.

Keyword

Congenital scoliosis; Idiopathic scoliosis; Echocardiography; Congenital heart abnormality

MeSH Terms

Aneurysm
Aortic Valve
Aortic Valve Stenosis
Bicuspid
Cardiomyopathies
Dextrocardia
Echocardiography
Female
Foramen Ovale, Patent
Heart Septal Defects, Atrial
Heart Septal Defects, Ventricular
Humans
Incidence
Medical Records
Mitral Valve Prolapse
Retrospective Studies*
Scoliosis*
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