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Les communications interauriculaires chez l’enfant: diagnostic et prise en charge à propos de 49 cas aux CHU pédiatriques de Dakar

Interauricular communication (IAC) is the second most important congenital heart disease in children. It accounts for 6-8% of congenital cardiac malformations in children. However, many questions are still open about this pathology. Thus, this study aims to report the prevalence rate of IAC in hospi...

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Autores principales: Basse, Idrissa, Fall, Amadou Lamine, Seck, Ndiogou, Boiro, Djiril, Ba, Aïssatou, Diawara, Ndiémé Ndiaye, Niang, Fatou, Diop, Dina Cyrienne Obambi, Ndongo, Aliou Abdoulaye, Ba, Abou, Thiam, Lamine, Diagne/Guéye, Ndéye Rama, Ndiaye, Mouhamadou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307921/
https://www.ncbi.nlm.nih.gov/pubmed/30627306
http://dx.doi.org/10.11604/pamj.2018.30.245.14556
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author Basse, Idrissa
Fall, Amadou Lamine
Seck, Ndiogou
Boiro, Djiril
Ba, Aïssatou
Diawara, Ndiémé Ndiaye
Niang, Fatou
Diop, Dina Cyrienne Obambi
Ndongo, Aliou Abdoulaye
Ba, Abou
Thiam, Lamine
Diagne/Guéye, Ndéye Rama
Ndiaye, Mouhamadou
author_facet Basse, Idrissa
Fall, Amadou Lamine
Seck, Ndiogou
Boiro, Djiril
Ba, Aïssatou
Diawara, Ndiémé Ndiaye
Niang, Fatou
Diop, Dina Cyrienne Obambi
Ndongo, Aliou Abdoulaye
Ba, Abou
Thiam, Lamine
Diagne/Guéye, Ndéye Rama
Ndiaye, Mouhamadou
author_sort Basse, Idrissa
collection PubMed
description Interauricular communication (IAC) is the second most important congenital heart disease in children. It accounts for 6-8% of congenital cardiac malformations in children. However, many questions are still open about this pathology. Thus, this study aims to report the prevalence rate of IAC in hospital but especially to describe its clinical, paraclinical and therapeutic aspects. For this purpose, we conducted a retrospective descriptive study. Data were collected by means of a questionnaire and then entered and analyzed in Sphinx (V5). The prevalence in Hospital was 2x1000. The average age of patients was 37 months, the sex-ratio was 0,75. No prenatal diagnosis was made. Parental consanguinity was detected in 30% of cases. Respiratory infections were found in 24% of cases. Cardiomegaly was found in 35 cases with hypervascularization in 63% of cases. Ultrasound showed a predominance of ostium secundum; wide IAC was found in 63% of cases. Pulmonary stenosis was the most important associated heart attack. Pulmonary arterial hypertension was found in 63% of the cases. Treatment was based on diuretics, which were largely used and only 7 children underwent surgery. Evolution was favorable in 39 patients reflecting a rate of 79%. Early diagnosis of IAC should be improved as well as surgical treatment of IAC affecting infants.
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spelling pubmed-63079212019-01-09 Les communications interauriculaires chez l’enfant: diagnostic et prise en charge à propos de 49 cas aux CHU pédiatriques de Dakar Basse, Idrissa Fall, Amadou Lamine Seck, Ndiogou Boiro, Djiril Ba, Aïssatou Diawara, Ndiémé Ndiaye Niang, Fatou Diop, Dina Cyrienne Obambi Ndongo, Aliou Abdoulaye Ba, Abou Thiam, Lamine Diagne/Guéye, Ndéye Rama Ndiaye, Mouhamadou Pan Afr Med J Case Series Interauricular communication (IAC) is the second most important congenital heart disease in children. It accounts for 6-8% of congenital cardiac malformations in children. However, many questions are still open about this pathology. Thus, this study aims to report the prevalence rate of IAC in hospital but especially to describe its clinical, paraclinical and therapeutic aspects. For this purpose, we conducted a retrospective descriptive study. Data were collected by means of a questionnaire and then entered and analyzed in Sphinx (V5). The prevalence in Hospital was 2x1000. The average age of patients was 37 months, the sex-ratio was 0,75. No prenatal diagnosis was made. Parental consanguinity was detected in 30% of cases. Respiratory infections were found in 24% of cases. Cardiomegaly was found in 35 cases with hypervascularization in 63% of cases. Ultrasound showed a predominance of ostium secundum; wide IAC was found in 63% of cases. Pulmonary stenosis was the most important associated heart attack. Pulmonary arterial hypertension was found in 63% of the cases. Treatment was based on diuretics, which were largely used and only 7 children underwent surgery. Evolution was favorable in 39 patients reflecting a rate of 79%. Early diagnosis of IAC should be improved as well as surgical treatment of IAC affecting infants. The African Field Epidemiology Network 2018-08-02 /pmc/articles/PMC6307921/ /pubmed/30627306 http://dx.doi.org/10.11604/pamj.2018.30.245.14556 Text en © Idrissa Basse et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Basse, Idrissa
Fall, Amadou Lamine
Seck, Ndiogou
Boiro, Djiril
Ba, Aïssatou
Diawara, Ndiémé Ndiaye
Niang, Fatou
Diop, Dina Cyrienne Obambi
Ndongo, Aliou Abdoulaye
Ba, Abou
Thiam, Lamine
Diagne/Guéye, Ndéye Rama
Ndiaye, Mouhamadou
Les communications interauriculaires chez l’enfant: diagnostic et prise en charge à propos de 49 cas aux CHU pédiatriques de Dakar
title Les communications interauriculaires chez l’enfant: diagnostic et prise en charge à propos de 49 cas aux CHU pédiatriques de Dakar
title_full Les communications interauriculaires chez l’enfant: diagnostic et prise en charge à propos de 49 cas aux CHU pédiatriques de Dakar
title_fullStr Les communications interauriculaires chez l’enfant: diagnostic et prise en charge à propos de 49 cas aux CHU pédiatriques de Dakar
title_full_unstemmed Les communications interauriculaires chez l’enfant: diagnostic et prise en charge à propos de 49 cas aux CHU pédiatriques de Dakar
title_short Les communications interauriculaires chez l’enfant: diagnostic et prise en charge à propos de 49 cas aux CHU pédiatriques de Dakar
title_sort les communications interauriculaires chez l’enfant: diagnostic et prise en charge à propos de 49 cas aux chu pédiatriques de dakar
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307921/
https://www.ncbi.nlm.nih.gov/pubmed/30627306
http://dx.doi.org/10.11604/pamj.2018.30.245.14556
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