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

  • Idrissa Basse
  • Amadou Lamine Fall
  • Ndiogou Seck
  • Djiril Boiro
  • Aïssatou Ba
  • Ndiémé Ndiaye Diawara
  • Fatou Niang
  • Dina Cyrienne Obambi Diop
  • Aliou Abdoulaye Ndongo
  • Abou Ba
  • Lamine Thiam
  • Ndéye Rama Diagne/Guéye
  • Mouhamadou Ndiaye
Keywords: Heart disease, interauricular communication, ultrasound

Abstract

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.

Keywords: Heart disease, interauricular communication, ultrasound

Author Biographies

Idrissa Basse
Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Dakar, Sénégal
Amadou Lamine Fall
Hôpital d’Enfants Albert Royer, Université CheikhA nta Diop (UCAD) de Dakar, Sénégal
Ndiogou Seck
Service de Pédiatrie, Centre Hospitalier Régional de Saint Louis, Université de Saint Louis, Dakar, Sénégal
Djiril Boiro
Service de Pédiatrie, Centre Hospitalier National Abass Ndao, Université CAD de Dakar, Sénégal
Aïssatou Ba
Hôpital d’Enfants Albert Royer, Université Cheikh Anta Diop (UCAD) de Dakar, Sénégal
Ndiémé Ndiaye Diawara
Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Dakar, Sénégal
Fatou Niang
Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Dakar, Sénégal
Dina Cyrienne Obambi Diop
Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Dakar, Sénégal
Aliou Abdoulaye Ndongo
Service de Pédiatrie, Hôpital Aristide Le Dantec, Université Cheikh Anta Diop de Dakar, Sénégal
Abou Ba

Hôpital d’Enfants Albert Royer, Université Cheikh Anta Diop (UCAD) de Dakar, Sénégal

Lamine Thiam
Service de Pédiatrie, Hôpital de la paix de Ziguinchor, Université de Ziguinchor, Dakar, Sénégal Service de Chirurgie Thoracique et Cardio-vasculaire, Hôpital de Fann, UCAD, Dakar, Sénégal
Ndéye Rama Diagne/Guéye
Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Dakar, Sénégal
Mouhamadou Ndiaye
Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Dakar, Sénégal
Published
2019-02-18
Section
Articles

Journal Identifiers


eISSN: 1937-8688