Authors : Saeed Aslan Abadi , Nasser Aslan Abadi , Omid Mashrabi , Ramin Azhough and Homa Fatorachi
Abstract: Congenital heart anomalies in patients with esophageal atresia are associated with a higher mortality but it is not the cause of it. In patients with Esophageal Atresia (EA) with and without Tracheoesophageal Fistula (TEF) the associated cardiac malformation is the most common. Form 2000 to 2006, 115 infants (66 boys and 49 girls) with EA/TEF have been diagnosed, admitted and treated at our department of pediatric surgery in general pediatric hospital, Tabriz. We study retrospectively all patients` documents with EA/TEF and collected necessary information such as: age of diagnosis, Wight, gender, type of EA, type of congenital heart anomalies and mortality rate. Data analyzed with SPSS 11.5 ant T-test and Chi-square. Descriptive finding reported as mean and present of frequency and the level of meaningfulness was considered as p<0.05. Forty five babies (26 boys and 19 girls) were died. Congenital heart disease was found in 39 out of 115 (33.9%) patients. Mean of diagnosis age in died cases was 2.96±3.39 days and in improved cases was 2.56±2.99 days and no significant difference was found between diagnosis age and mortality (p = 0.510). Mean of birth weight in died cases was 2496.33±625.73 g and in improved cases was 2706.29±524.54 g mean of birth weight in died cases was significantly higher (p = 0.031). Less birth weight was important prognostic factor and mortality was associated with low birth weight. In our study, significant correlation was found between congenital heart anomalies and mortality rates (p = 0.007). Premature infants with EA have a higher mortality and morbidity than term infants with EA.
Saeed Aslan Abadi , Nasser Aslan Abadi , Omid Mashrabi , Ramin Azhough and Homa Fatorachi , 2008. Congenital Heart Anomalies in Babies with Esophageal Atresia and its Mortality. Surgery Journal, 3: 24-26.