Aspects epidemiologiques et e'volutifs des cardiopathies congenitales dans le service de pediatrie de Sfax: a propos de 123 cas

ABSTRACT

We report 123 cases, of congenital heart disease treated and followed in the department of general paediatrics in the University Hospital of SFAX during a period between January 1992 and December 1996. The ventricular spetal defect was the most frequent congenital cardiac malformation [28.45%] followed by the atrial septal defect [15.44%]. Only 19 children have had a surgical intervention within a median age if 2 years 9 months. The surgery has been realized in Tunisia in 84.2% of cases and abroad in 15.8% of cases. One child has died during a pallliative intervention for a complex cardiopathy. For the other children that haven't been operated, the mortality was very important [59.5%]. We analyze particularly the epidemiological and evolutive aspects of the congenital cardiopathies in our region and we propose the modalities of treatment and surveillance adapted our conditions