How often is coarctation of aorta correctly diagnosed antemortem in children with fatal illnesses? A retrospective review of medical and autopsy records

S Karande; S Kumar; P Vaideeswar

doi:10.4103/jpgm.JPGM_125_20

How often is coarctation of aorta correctly diagnosed antemortem in children with fatal illnesses? A retrospective review of medical and autopsy records

J Postgrad Med. 2020 Jul-Sep;66(3):169-171. doi: 10.4103/jpgm.JPGM_125_20.

Authors

S Karande¹, S Kumar¹, P Vaideeswar²

Affiliations

¹ Department of Pediatrics, Seth G. S. Medical College and K. E. M. Hospital, Parel, Mumbai, Maharashtra, India.
² Department of Pathology (Cardiovascular and Thoracic Division), Seth G. S. Medical College and K. E. M. Hospital, Parel, Mumbai, Maharashtra, India.

Abstract

This retrospective study analyzed the level of concordance between clinical and autopsy diagnosis of coarctation of aorta over 10 years. Utilizing the Goldmann classification, the concordance rate was found to be 16%. Major discrepancies (Class I and II) were found in 56% cases and minor discrepancies (Class III and IV) in 28% cases.

Keywords: Congenital heart defects; diagnostic errors; heart failure; medical audit; transthoracic echocardiography.

Publication types

Letter

MeSH terms

Aortic Coarctation / pathology*
Autopsy
Cause of Death
Diagnostic Errors
Echocardiography
Female
Humans
Male
Medical Audit*
Retrospective Studies