RESUMO
The congenital heart disease occurs in 0,8% of live births and they have a wide spectrum of severity and about 30-40% of patients with congenital heart disease are symptomatic during the 1[st] year of life, and these disease still one of the frequent cause of morbidity and hospital admission among the pediatric age group. This study was carried out to identify the specific types of CHD, sex and age distribution and the most common pattern of presentation among hospitalized patients. This is a retrospective study of 89 patients with congenital heart disease admitted to the fifth unit in Child Welfare Hospital in Baghdad from January 2003 to January 2004. The diagnosis was established by two dimensional and Doppler echocardiography examination. The pattern of congenital heart disease, mode of presentation, male to female incidence, and the effect of different lesions on the growth parameters had been studied. Out of 1023 patients, 89 patients 8.6% had congenital heart disease. The most common congenital heart disease were ventricular septal defect 51.8%, Tetralogy of Fallot 17.9%, Patent ductus arteriosus [13.5%], Transposition of great arteries 8.9%, Pulmonary stenosis 4.4%, and Atrial septal defect 3.4%. The most common presentation was respiratory infection and heart failure in a cyanotic patients and cyanosis in cyanotic groups. Patent ductus arteriosus and atrial septal defect defects were more common in female while all other lesions had equal male to female incidence or slightly more common in male
RESUMO
Percutaneous balloon angioplasty is a less invasive alternative to surgical repair for patients with discrete coarctation of the aorta and although the use of balloon angioplasty in patients with recurrent postoperative coarctation gained a wide consensus, the use of this technique for native coarctation is still controversial. This study was carried out to evaluate our experience in Ibn Al-Bitar cardiac center with balloon angioplasty of native coarctation of aorta. From August 2001 to May 2004, the catheterization data of 97 patients who underwent balloon angioplasty for unoperated coarctation of thoracic aorta in Ibn Al-Bitar cardiac center had been reviewed. the procedure acutely reduced the systolic gradient to less than 20 mm in 79 patients [81.3%], in 18 patients [18.7%] there was suboptimal results with residual gradient of more than 20 mmHg was reported and the systolic pressure in the ascending aorta decreased significantly [p<0.000]. Complications occurred in 17 patients [17.3%] but there were no death. This study showed that a balloon angioplasty is safe and effective treatment option alternative to surgery in the majority of patients with native coarctation and is applicable to infants, older children and adults. We recommend the use of low profile balloon to reduce arterial complications and intimal tear