Introduction:Congenital heart disease (CHD) is a malformation of the heart present at
birth and resulting from a developmental defect during embryonic life. The aim
was to assess CHD in rural areas. Methodology: This is a retrospective
study conducted over a period of 2 years in rural Senegal. Results: During
the study period, we collected 79 patients with CHD, representing a hospital
prevalence of 2.6%. The mean age at diagnosis was 17.05 months and the sex
ratio was 1.19. The mean birth weight was 2826g. The main comorbidities were anaemia (54.43%) and
respiratory infections 38 cases (48.10%).Respiratory distress was the most common sign with
98.73%. Radiological cardiomegaly was noted
in 86.7%. The most frequent CHD were interventricular septal defect (IVD)
21.51% and atrial septal defect (ASD) 8.86%. No patient was able to receive
surgical treatment. Seven children died (8.86%) and 21 children were lost to
follow-up (26.58%). On Doppler echocardiography, 16.45% of the patients had
pulmonary arterial hypertension (PAH). Conclusion: In light of
this work, emphasis should be placed on the quality of antenatal consultations,
the quality of management and the regular availability of echocardiography and
a cardio-paediatrician
in order to reduce morbidity and mortality.
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