ABSTRACT
According to a large number of studies, there is a frequent association of congenital heart disease [CHD] and urinary tract anomalies [UTA]. The purpose of this study is to evaluate the advisability of sonographic screening of uropathy in patients with malformative heart disease. The study comprised 180 children. All of these children were investigated for CUD but none were symptomatic in terms of the urinary tract diseases. The patients were divided into 2 groups, group I included 107 patients [59.4%] with a cyanotic CHD and group II included 73 patients [40.5%] with cyanotic CHD. All patients in the study were subjected to echocardiography and sonographic screening for associated uropathy. Out of 180 children, the incidence of UTA detected by sonography was 24/180 [73.3%]. There was no significant difference in the incidence of UTA between those with a cyanotic CHD 14/107 [13.1%] and those with cyanotic CHD 10/73 [13.7%], p=0.15. However, no association between a specific CUD and a particular UTA could be found
Conclusion: sonography should be routinely performed to screen for previously undetected or silent but potentially serious UTA in children with CHD