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Marmech E, Barkallah O, Selmi I, Ben Hamida N, Guizani A, Ouerda H, Khlif S, Ben Hfaiedh J, Kanzari J, Khlayfia Z, Halioui S, Azzabi O, Siala N. Congenital heart disease: Epidemiological, genetic and evolutive profil. LA TUNISIE MEDICALE 2024; 102:576-581. [PMID: 39287351 PMCID: PMC11459234 DOI: 10.62438/tunismed.v102i9.5060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Accepted: 07/08/2024] [Indexed: 09/19/2024]
Abstract
INTRODUCTION Congenital heart disease is a heterogeneous group of malformations and one of the most common causes of mortality in children. AIM The aim of this study was to investigate the clinical, genetic and evolutive characteristics of congenital heart disease. METHODS A retrospective, descriptive study was carried out between 2020 and 2023 at the pediatrics and neonatology department of Mongi Slim university hospital of Tunis. All children with confirmed congenital heart disease were included. RESULTS Forty-five patients were included, representing 5.7‰ of all admissions. The sex ratio was 1.4. A prenatal diagnosis of congenital heart disease was established in 9% of cases. The median age at the time of discovery was 18 days. The initial symptomatology was respiratory distress in 64% of cases. The main reasons for performing a cardiac ultrasound were heart murmur in 38% followed by polymalformative assessment in 27% of cases. Most of the cardiopathies were atrial septal defects (42%) and ventricular septal defects (40%). Cyanotic heart diseases represented 29% of cases, conotruncal ones 13% and ductodependent ones 16%. Congenital heart disease was associated with a genetic anomaly in 53% of patients, including 15 cases of trisomy 21 and four Di-George syndromes. The treatment was mainly medical (38%), associated with surgery in 5 cases. Death occurred in nine patients, representing a mortality rate of 20%. CONCLUSION Efforts still need to be made to improve pre- and post-natal diagnosis and ensure rapid treatment in order to reduce morbidity and mortality in our country.
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Affiliation(s)
- Emna Marmech
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Oumaima Barkallah
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Ines Selmi
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Nourzed Ben Hamida
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Amani Guizani
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Haifa Ouerda
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Syrine Khlif
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Jihen Ben Hfaiedh
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Jihed Kanzari
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Zied Khlayfia
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Sonia Halioui
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Ons Azzabi
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
| | - Nadia Siala
- Department of Pediatrics and Neonatology, Mongi Slim Hospital, La Marsa, Tunis, Tunisia. University of Tunis el Manar Faculty of Medicine of Tunis
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Pan African Medical Journal. [Retraction - double publication in article: Anaesthesia in on-pump cardiac surgery for congenital heart diseases at the Cuomo Pediatric Cardiology Center (Senegal) by Farid Pingwindé Belem et al (doi: 10.11604/pamj.2020.37.362.17659)]. Pan Afr Med J 2021; 38:177. [PMID: 33711084 PMCID: PMC7912119 DOI: 10.11604/pamj.2021.38.177.28413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 02/16/2021] [Indexed: 11/11/2022] Open
Abstract
[This retracts the article DOI: 10.11604/pamj.2020.37.362.17659.].
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