Interventricular Communications of the Child: Retrospective Study of 293 Cases at the Dakar Chu

Abstract

Fall AL, Basse I, Sow A, Sarr-Ndao F, Dieng YJ, Coundoul AM, Ndiaye N, Obambi DC, Boiro D, Ciss G, Diagne Gueye NR, Faye PM and Ndiaye O

Interventricular communications (IVC) are non-cyanogenic congenital heart diseases characterized by dehiscence of the interventricular septum. It represents 20 to 30% of congenital heart diseases. Our objectives were to determine the hospital frequency of isolated IVC, to describe the clinical aspects, to assess medical and surgical management and to assess the prognosis. It is a retrospective descriptive and transversal study. All patients with isolated IVC aged 0 to 15 years were included. Sphinx plus2 software was used for database design and analysis. We collected 293 files, a prevalence of 44 per 1000. The average age at the time of diagnosis was 16 months. The sex ratio was 1.02. Recurrent infections accounted for 65.9%. Parental consanguinity was found in 35.8% of cases. Heart failure was noted in 7.5% of the cases, weight loss in 48.1%. Cardiomegaly was noted in 74.1% of cases with 54.9% of pulmonary hypervascularization. Perimembranous IVC was the most frequent with 84.6%. Large IVC represented 62.5% and multiple IVC 8.2%. Pulmonary arterial hypertension (PAH) was present in 58% of cases. Diuretics were prescribed in 76.5% of cases. Fifteen (15) catheterizations were performed, ie 5.1%. A complete cure was carried out in 20.1% of the cases. IVC are frequent, serious due to the repercussions, especially in the lungs. Surgical management of impacted forms should be improved.

PDF