Role of cineangiography and renal ultrasonography in the diagnosis of urinary tract abnormalities associated with congenital heart disease

Abstract

Purpose: The incidence of urinary tract anomalies (UTA) associated with congenital heart disease (CHD) is high. The aim of this study is to investigate the role of cineurography and renal ultrasonography in the diagnosis of UTA associated CHD.Patients and Method: Cineurography of the 148 patients who underwent angiography, between January 2005 and July 2005, due to CHD were evaluated. Renal ultrasonographies were also performed to these patients. Intravenous pyelography was performed to the patients who were diagnosed as UTA by renal ultrasonography and/or cineurography.Results: Urinary tract anomalies were found in 23 of 148 patients by cineurography and in 22 of 148 patients by renal ultrasonography. Thirteen patients were diagnosed as UTA by both modalities. IVP was performed to 32 patients and UTA were detected in 24 of these 32 patients. 8 cincurograms yielded false-positive and 9 cincurograms yielded false-negative results. Ultrasonography produced 2 false negative results. Cineurography was able to show 62% of UTA accurately.Conclusion: Both cineurography and renal ultrasonography can be used to image the UTA associated CHD. The postangiocardiographic cineurogram appears to be a cost-effective, easy 188 and useful method of screening for silent UTA in children with CHD.