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Archives of cardiovascular diseases
Volume 106, n° 4
pages 264-265 (avril 2013)
Doi : 10.1016/j.acvd.2013.03.052
What about adult congenital heart disease in our country in 2013? Results from an observational study from an Algerian cardiology department
 

N.-N. Ali-Tatar Chentir, L. Ouabdesselam, C. Mohand Tayeb
 CHU Mustapha, Alger, Algeria 

Objectives .– To analyse adult congenital heart disease (ACHD) regarding gender.

Patients and methods .– One hundred and thirty-four patients(pts), 63 men, mean age 32.62±12.85yrs, 18–74yrs underwent TTE and TEE.

Results:

– atrial septal defects (ASD): 48 pts 31 women (W), 17 men (M) sex ratio 1.82; type secundum ASD except one type sinus venosus ASD and one coronary sinus ASD – ventricular septal defect (VSD): eight (7W, 1M) with aortic insufficiency Laubry-Pezzi. 1W with Eisenmenger's syndrome;

– atrio-ventricular septal defect (AVSD): eight pts (5W, 3M) with severe cleft regurgitation;

– patent ductus arteriosus (PDA): three pts (2W, 1M);

– coarctation of the aorta: two (1W); one pt with membranous sub-aortic stenosis;

– left ventricular outflow tract obstruction (LVOTO): six aortic stenosis with bicuspid valves (3W and 3M); six sub-aortic stenosis (5M and 1W all with a membranous form); 1M with supra-valvular stenosis named Williams and Beuren syndrome;

– mitral regurgitation: two pts (1W, 1M);

– right ventricular outflow tract obstruction with 15 valvular stenosis (pulmonary stenosis) 8W and 7M;

– tetralogy of Fallot: 15 (9W, 6M) of them, one with post-operative cardiac device-related infective endocarditic (CDRIE);

– double outlet RV: 1M;

– transposition of the great arteries: 3M with congenitally corrected transposition of the great arteries;

– Ebstein's Anomaly: 3M;

– Marfan syndrome: 10 pts (8M) one died after surgery;

– man with univentricular heart, one with Tricuspide atresia with Fontan operation, one W with uniauricular heart.

Conclusion .– Majority of patients survive with morbidities. Thath's new challenges with regard to cardiac imaging (Fig. 1).





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