Author(s)

Mamadou Bassirou Bah^1,2, Aissatou Tiguidanké Balde¹, Amadou Diouldé Doumbouya¹, Elhadj Yaya Balde^1,2, Mamadou Aliou Balde¹, Alpha Kone¹, Sana Saoumoura¹, Hassatou Diallo¹, Abdoulaye Camara¹, Mamadou Dian Bah¹, Aliou Bah¹, Morlaye Soumaoro¹, Ibrahima Sory Barry^1,2

¹Cardiology Department, Ignace Deen Hospital, Conakry, Guinea.
²Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea.

Introduction: Tetralogy of Fallot (TF) is a cyanogenic congenital heart defect. It comprises 4 distinct anatomical elements. Objective: The aim of this study was to describe the population of patients operated on for tetralogy of Fallot at the Ignace Deen National Hospital (IDNH), Méthodologie: A retrospective study was carried out. It included 56 patients with tetralogy of Fallot (TF) collected over a period of 3 years in the cardiology department of IDNH. Résultats: At the end of our study, we found that FT preferentially affects males, with a male/female sex ratio of 2:1. The mean age of onset was 5.5 years. The 1 - 5 year age group was the most represented, with extremes of 03 months and 16 years. The mean age of onset was 9 months. Consanguinity was the most common risk factor. The majority of patients (32) diagnosed with FT had undergone surgery within a year of diagnosis, with delays ranging from 1 to 6 months. The mean age at the time of surgery was 4.8 years. Moderate pulmonary insufficiency was the most frequent postoperative complication. Immediate postoperative mortality was low (3.1% or one patient). Conclusions: Tetralogy of Fallot is the most common cyanogenic congenital heart defect. A multidisciplinary approach involving obstetricians, pediatricians and cardiopediatricians is required for early detection and management, with the aim of improving vital prognosis.

Congenital Heart Disease, Cyanogenic Heart Disease, Tetralogy of Fallot, Surgery

Bah, M. , Balde, A. , Doumbouya, A. , Balde, E. , Balde, M. , Kone, A. , Saoumoura, S. , Diallo, H. , Camara, A. , Bah, M. , Bah, A. , Soumaoro, M. and Barry, I. (2025) Tetralogy of Fallot: Epidemiological, Clinical and Management Aspects of 56 Cases at the Ignace DEEN National Hospital in Conakry. Open Journal of Pediatrics, 15, 208-216. doi: 10.4236/ojped.2025.152019.