Abstract

The surgical treatment of congenital heart diseases is recent in our practice. As developing country, our surgical indications are adapted to our possibilities and only the operated patients are reported in this study. One hundred and two patients were operated on between 1992 and 2002. There were 54 patent ductus arterious (PDA), 27 cases of tetralogy of Fallot (TF), 17 cases of atrial setal defect (ASD) and 4 cases of complex cardiac malformations. The mean age was 7.02 years and the sex ratio 0.75. All the patients were operated either by palliative or curative surgery. The PDA were closed by section and suture in 30 cases (55.56%) and by ligation in 24 cases (44.44%). Surgery for TF was palliative in 26 cases (96.30%) and curative in 1 case (complete correction). The ASD were all closed surgically under cardiopulmonary bypass with a patch in 11 cases (64.70) or direct suture (35.30%). All patients with complex malformation were treated palliatively. Hospital mortality was 1.80% in PDA, 5.80% in ASD. 11.53% in palliatin of TF and 50% in complex malformation. Mean follow up time was 30 months. On adapting local surgical facilities and staff to treatment of congenital heart diseases patient can benefit of good outcome. Therefore further developments and organisation are necessary to cure all the malformations and to ensure correct follow-up.