E.V. BORDYUGOVA¹, A.V. DUBOVAYA¹, N.A. USENKO¹, V.G. KONOV²

 ¹Gorky Donetsk State Medical University, Donetsk

²Husak Emergency and Reconstructive Surgery Institute, Donetsk

  Contact details:

Bordyugova E.V. — PhD (medicine), Associate Professor of the Department of Pediatrics

Address: 16 Ilyicha Ave., Donetsk, Donetsk People’s Republic, 283003, tel.: +380-713-34-76-50, e-mail: bordugova-ev@mail.ru

The article presents a literature review and an analysis of the authors’ clinical observations of a combination of congenital heart defects (CHD) and anorectal defects in children. Both anorectal defects (ARD) and CHD are formed at 4-9 weeks of intrauterine development. The reasons for the formation of congenital malformations are varied and are determined by genetic, infectious, environmental factors or have a multifactorial nature. Anus atresia is part of a number of genetic syndromes and associations. There are cases of familial forms of anorectal malformations. Most often ARDs are combined with defects of the genitourinary, cardiovascular and musculoskeletal systems. Not all of the indicated symptoms of the presented syndromes are found in every patient, not all symptoms can be detected from the first days of life. When an ARD is detected (often at the first examination of a newborn), it is important to continue the diagnostics to identify concomitant malformations, primarily congenital heart disease. Among the congenital heart defects, the most common diagnoses in ARD are the tetrad of Fallot, the atrial and interventricular septa defects, and abnormal drainage of the pulmonary veins. The management of such patients requires a multidisciplinary integrated approach and the interaction of different specialists. The information presented is of interest for neonatologists, pediatricians, gastroenterologists, children’s cardiologists, children’s surgeons, cardiac surgeons, and neurologists.

Key words: congenital heart defects, anorectal defects, children.

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