Objectives .– To analyse adult congenital heart disease (ACHD) regarding gender.
Patients and methods .– One hundred and thirty-four patients(pts), 63 men, mean age 32.62 ± 12.85 yrs, 18–74 yrs underwent TTE and TEE.
Results:
– atrial septal defects (ASD): 48 pts 31 women (W), 17 men (M) sex ratio 1.82; type secundum ASD except one type sinus venosus ASD and one coronary sinus ASD – ventricular septal defect (VSD): eight (7W, 1M) with aortic insufficiency Laubry-Pezzi. 1W with Eisenmenger’s syndrome;
– atrio-ventricular septal defect (AVSD): eight pts (5W, 3M) with severe cleft regurgitation;
– patent ductus arteriosus (PDA): three pts (2W, 1M);
– coarctation of the aorta: two (1W); one pt with membranous sub-aortic stenosis;
– left ventricular outflow tract obstruction (LVOTO): six aortic stenosis with bicuspid valves (3W and 3M); six sub-aortic stenosis (5M and 1W all with a membranous form); 1M with supra-valvular stenosis named Williams and Beuren syndrome;
– mitral regurgitation: two pts (1W, 1M);
– right ventricular outflow tract obstruction with 15 valvular stenosis (pulmonary stenosis) 8W and 7M;
– tetralogy of Fallot: 15 (9W, 6M) of them, one with post-operative cardiac device-related infective endocarditic (CDRIE);
– double outlet RV: 1M;
– transposition of the great arteries: 3M with congenitally corrected transposition of the great arteries;
– Ebstein’s Anomaly: 3M;
– Marfan syndrome: 10 pts (8M) one died after surgery;
– man with univentricular heart, one with Tricuspide atresia with Fontan operation, one W with uniauricular heart.
Conclusion .– Majority of patients survive with morbidities. Thath’s new challenges with regard to cardiac imaging (Fig. 1).
