Undiagnosed Congenital Heart Defects as a Cause of Sudden, Unexpected Death in Children | Zendy

Serinelli Serenella | Zendy; Arunkumar Ponni | Zendy; White Steven | Zendy

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Undiagnosed Congenital Heart Defects as a Cause of Sudden, Unexpected Death in Children

Author(s) -

Serinelli Serenella,

Arunkumar Ponni,

White Steven

Publication year - 2018

Publication title -

journal of forensic sciences

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.715

H-Index - 96

eISSN - 1556-4029

pISSN - 0022-1198

DOI - 10.1111/1556-4029.13779

Subject(s) - medicine , autopsy , pediatrics , sudden death , cause of death , medical examiner , atrioventricular septal defect , sudden cardiac death , retrospective cohort study , heart disease , surgery , cardiology , poison control , injury prevention , medical emergency , disease

Despite advances in the diagnosis and treatment of congenital heart defects ( CHD s), these defects are still an important cause of sudden, unexpected death in young children. This retrospective study identified 64 cases of CHD s presenting as a cause of sudden, unexpected death in a busy, urban Medical Examiner's Office pediatric population between 2006 and 2016. The majority of cases (52 of 64, 81%) were infants. Interestingly, 52% of cases were undiagnosed prior to autopsy. Ventricular septal defects and atrioventricular septal defects were the most common simple (14%) and complex (17%) malformations observed, respectively. In many cases, there were coexistent simple and/or complex defects. Most of the cases diagnosed with CHD prior to autopsy (48%) had undergone some type of surgical repair. This study highlights the importance of considering undiagnosed CHD s as a cause of sudden, unexpected death, particularly in young children.

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