Le Mali medical · 2015
[A descriptive study of ventricular septal defect (VSD) in the Luxembourg mother-child Hospital in Bamako].
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Menta I, Bâ H O, Dimzoré S, Kéita A, Thiam C, Traoré D, Daffe S, Touré M, Diarra M B
Аннотация
OBJECTIVE: This work aimed to determine the incidence, epidemiological, clinical, echocardiographic aspects, and treatment of ventricular septal defect (VSD) in the Luxembourg mother-child Hospital in Bamako.
METHOD: A descriptive cross-sectional study was conducted between September 1, 2011 and May 31, 2012. It focused on children of both sexes seen in consultation or for echocardiography, in whom VSD was found through echocardiography. Were not included in the study VSD in complex malformations such as CAV, T4F, VU.
RESULTS: VSD was the first congenital heart disease noted with 39.4%. It was detected mainly in the first 2 years of life (66.7% of cases). The boy:girl sex ratio was 0.93. The perimembranous defect type and the VSD group II were dominant with respectively 76.8% and 57.4% of cases (IIa: 38.9%; IIb: 18.5%). A surgical indication was raised in 59.3% of cases based on clinical presentation and ultrasound data. Management was primarily medical, the high cost of surgical through evacuation is beyond the financial means of our patients most of the time.
CONCLUSION: VSD is the most common congenital heart disease, but its management is currently almost exclusively medical.
METHOD: A descriptive cross-sectional study was conducted between September 1, 2011 and May 31, 2012. It focused on children of both sexes seen in consultation or for echocardiography, in whom VSD was found through echocardiography. Were not included in the study VSD in complex malformations such as CAV, T4F, VU.
RESULTS: VSD was the first congenital heart disease noted with 39.4%. It was detected mainly in the first 2 years of life (66.7% of cases). The boy:girl sex ratio was 0.93. The perimembranous defect type and the VSD group II were dominant with respectively 76.8% and 57.4% of cases (IIa: 38.9%; IIb: 18.5%). A surgical indication was raised in 59.3% of cases based on clinical presentation and ultrasound data. Management was primarily medical, the high cost of surgical through evacuation is beyond the financial means of our patients most of the time.
CONCLUSION: VSD is the most common congenital heart disease, but its management is currently almost exclusively medical.