Background: There is a need for data on epidemiological, clinical and therapeutic\naspects of ventricular septal defect among children in Sub-Saharan Africa.\nObjective: The aim of this study was to determine the prevalence, epidemioclinical,\nechocardiographic, therapeutic and evolutionary aspects of\nventricular septal defects (VSD) in the pediatric department of the University\nHospital Center (CHUSS) of Bobo-Dioulasso. Methods: This study was a\ndescriptive cross-sectional study, conducted from November 2013 to December\n2016. All children aged 1 to 179 months seen at the pediatric consultation\nin CHUSS were included. CIV was confirmed with Doppler echocardiography.\nResults: Out of 36,240 children who received consultation in the\npediatric ward of CHUSS during the study period, one hundred (100) cases of\nthem had congenital heart disease representing a hospital prevalence of\n2.76%. This was diagnosed with Doppler echocardiography. Of these, 88%\nwere VSD isolated or associated with other cardiac malformations. Isolated\nform was reported in 54.3% of cases. The average age at diagnosis was 39.6\nmonths. The sex ratio was 1.05. Perimembranous topography and hemodynamic\ntype 2 were the highest, representing 56.8% and 35.2% respectively.\nThe indication for surgical repair was recommended for 81.8% of the cases,\nbut only 9.7% of these cases benefited from cardiac surgery. The rest were for medicalcare with a high proportion of lost to follow-up (48.9%). Conclusion:\nVSD is the most common congenital heart disease. Its care is mainly\nsurgical. This cardiac surgery is non-existent in Burkina Faso. The design\nof multidisciplinary strategies associated with an optimization of the means\nof the countries of Sub-Saharan Africa could improve the management of\nthis cardiopathy.
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