SKELETAL CHANGES ASSOCIATED WITH ADOLESCENT CONGENITAL HEART DISEASE

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Abstract
The association of reduced bone growth, retarded skeletal maturation, scoliosis, and premature fusion of the sternum with congenital heart disease was evaluated prospectively in 129 adolescent and young adult patients. Reduced cortical bone growth, retarded bone age and premature fusion of the sternum occurred frequently and were more common in cyanotic than in acyanotic patients. Thoracic scoliosis, beginning in adolescence, was also quite common and was most severe in the cyanotic patients. It is hoped that the awareness of these skeletal abnormalities and their clinical importance will lead to improved management and understanding of the patient with congenital heart disease.

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