TITLE:
Child’s Congenital Heart Diseases: A Follow-Up of 101 Cases at Charles De Gaulle Pediatric Teaching Hospital (CDG-PTH) of Ouagadougou
AUTHORS:
Georges Kinda, Koudougou Jonas Kologo, Aimé Bama, Georges Rosario Christian Millogo, Salimata Traoré, Lassina Dao, Solange Ouédraogo Yougbaré, Aïssata Kaboré, Sonia Kaboret, Kisito Nagalo, Laure Toguyéni Tamini, Relwendé Aristide Yaméogo, Fla Kouéta, Diarra Yé, Léonie Claudine Lougué Sorgho, Patrice Zabsonré
KEYWORDS:
Congenital Heart Diseases, Echocardiography, Therapeutic, Evolution, Prognosis
JOURNAL NAME:
Open Access Library Journal,
Vol.3 No.11,
November
9,
2016
ABSTRACT: Introduction: The management of congenital heart diseases in countries with limited technical facilities poses real problems to practitioners. Yet, a good medical follow- up permits to improve these children’s life quality before any eventual surgery. Our study aims at examining the evolutionary and prognostic aspects of these congenital heart diseases in order to understand their evolution in our context. Materials and Methods: Our work is a continuation of a prospective, transversal and descriptive survey concerning all the children with congenital heart diseases in hospitalization or in consultation led from January 1st 2012 to December 31st 2012 in the Charles De Gaulle Center Pediatric Teaching Hospital (CDG-PTH) in Ouagadougou. Results: In 2012, we kept under observation 101 cases of congenital heart diseases representing 69.18% of the 146 cases of heart diseases with an impact of 0.79% of the 12,838 patients who were admitted at CDG-PTH. The interventricular septal defect occupied the first place of all malformative heart diseases with 43.56% of cases. The average age of patients at the moment of the diagnosis was 17 months old with extremes ranging from two (2) days old to fifteen (15) years old. The sex-ratio was 1.06. Throughout the follow-up of the children until the end of the six months’ survey, it was possible for us to meet again 52 patients, we had no longer been in touch with 22 patients and 27 were dead. At the moment of the diagnosis, surgical treatment was recommended for 63.37% of the patients (64 cases) and only 7.81% (5 cases) were operated. The complicated cases were: Eisenmenger syndrome (6 cases representing 5.94%). We recorded a rate of 26.73% of death. Conclusion: Congenital heart diseases are relatively common at CDG-PTH. The high rate of mortality noticed is due to the lack of heart surgery and catheterism units in our country.