All issues > Volume 32(6); 1989

Original Article

J Korean Pediatr Soc. 1989;32(6):804-808. Published online June 30, 1989.

Urinary Tract Anomalies in Congenital Heart Disease.

Chang Youn Lee¹, Young Seo Park¹, Hae Il Cheong¹, Jung Yun Choi¹, Young Soo Yun¹, Yong Choi¹, Kwang Wook Ko¹, In One Kim², Kyung Mo Yeun², Kwang Myung Kim³, Hwang Choi³

¹Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
²Department of Radiology, College of Medicine, Seoul National University, Seoul, Korea
³Department of Urology , College of Medicine, Seoul National University, Seoul, Korea

Received: November 28, 1988;  Accepted: December 12, 1988.

Abstract

A variety of urinary tract anomalies were detected in 1,569 children with congenital heart disease during their cardiac evaluation with cardiac cineangiography in the Department of Pediatrics, Seoul National University Children’s Hospital within a period from October 1985 to April 1988. The incidence, nature and course of these urinary tract anomalies were analyzed and the results were as follows; 1) The number of male children with congenital heart disease was 912, and that of female children 657. The youngest was 1 day old and the oldest was 18 years old. 2) The incidence of urinary tract anomalies in children with congenital heart disease was 3.6%(56 patients), higher than that of general population(0.3-2%). 3) There was no statistical difference between the incidence of urinary tract anomalies in children with cyanotic heart disease(3.9%) and that in childeren with acyanotic heart disease(3%). 4) Urinalysis during follow up period revealed that the incidence of hematuria(RBC > 5/HPF) and pyuria(WBC > 5/ HPF) were 32.4% and 21.6% respectively. Renal function at cardiac cineangiography was normal in all patients. 5) Mean follow up period was 10.5 :t 1.2 months and 4 patient expired due to extrarenal cause. Conclusively, the incidence of urinary tract anomalies in children with congenital heart disease was higher than general population. Urinary tract anomalies can be easily found by taking additional abdominal scout film after cardiac cineangiography, and the early diagnosis of urinary tract anomalies with such a simple procedure is helpful to the total care of the children with congenital heart disease.

Keywords :Urinary tract anomalies, Congenital heart disease