Congenital Malformations Of Heart In Perinatal Autopsies.

Md. Ibrahim Siddiqui; Anita A.M; Sainath K.Andola; Anuradha G. Patil

Volume : VI, Issue : I, January - 2017

Congenital Malformations Of Heart In Perinatal Autopsies.

Md. Ibrahim Siddiqui, Anita A. M, Sainath K. Andola, Anuradha G. Patil

Abstract :

Background

Congenital malformations remain a common cause of perinatal deaths and even though ultrasonogram can give fairly accurate diagnosis, perinatal autopsy is essential to confirm the diagnosis and look for associated malformations.

Objectives

To emphasize the importance of perinatal autopsy in diagnosing congenital malformations of heart and to study the distribution of congenital malformations of heart in perinatal deaths.

Materials and Methods

The present study comprised 100 hearts from consecutive perinatal autopsies conducted in Department of Pathology, M.R Medical College, Gulbarga, over a period of 1year.

The protocol included the removal of thoracic, cervical, abdominal and pelvic organs en block and subsequently dissected into organ blocks. Histological sections were taken from heart, lung, liver, kidney, thymus, ain, placenta and umbilical cord.

Results

Out of 100 cases, 05 cases (5%) showed congenital malformations of heart with M : F 1.5:1. Majority of cases with heart malformations were IUDs (60%) with maximum 03 cases between 30-34 weeks; mean Gestational age 31weeks and mean gestational weight between 2000grams. Most common congenital malformation was VSD (3 cases) followed by one case each of ASD and TGA. 01 case (ASD) presented as part of Edward�s syndrome.

Conclusion

This study highlights the importance of perinatal autopsy in confirming the diagnosis of congenital anomalies by prenatal ultrasound findings.