One-year study of clinical course and natural history of congenital heart disease with defective pulmonary flow

ABSTRACT

30 children with various types of congenital heart disease and defective pulmonary flow were studied during (1993 -1994) for clinical course and natural history. 15 of them needed repeated hospitalization for hypercyanotic spell, and other complications. The other cases were followed the Cardiac Out-patient, Department of Yangon Children Hospital, North Okkalapa General Hospital and Insein General Hospital. Although there was no mortality, one child had bacterial endocarditis. Another two had learning difficulties. Early diagnosis, prevention and early medical management of hypoxic spell can prevent complications of hypercyanotic spell up to certam level but surgical shunt operation and corrective surgery is the choice of management for defective pulmonary flow.