Graphique 1 - Toubkal

SUMMARY
This is a retrospective study of 427 observations about congenital heart disease in
the pediatric department of the CHU Hassan II of Fez, between January 2007 and
December 2009.
Through this hospital series, we tried to analyze the epidemiology and aetiologies
of congenital heart disease in our department.
years old.
level.
Thus, we studied the anamnestic, clinical and echocardiographic for each patient.
The mean age of our patients is 39 months with extremes between 1day and 16
The male predominance is found with a sex ratio of 1.13.
Most patients are from the region of Fez-Boulemane, with low socioeconomic
The shunts left-right are 70.60% of all malformative congenital heart diseases and
dominated by ventricular septal defect by 134 cases (35.17%), atrial septal defect by 63
cases (16.53%), and patent ductus arteriosis by 37 cases (9.71%).
Cyanogen heart diseases are 16, 27% and dominated by transposition of great
arteries by 22 cases (5.77%), followed by tetralogy of Fallot by 19 cases (4.98%).
The obstructive heart diseases are 13.12% and dominated by pulmonic stenosis by
30 cases (7.87%).
Myocardiopathy is 5.15% of all congenital heart disease, rythm disorders 4.68%
and vasculopathy 0.93%.
The causative factors are represented by the trisomy 21; it is the most common
polymalfomatif syndrome in this series partnering with ventricular septal defect in 22
cases and atrioventricular canal defect in 20 cases, the consanguinity 109 cases
(25.52%), the prematurity 7 cases (1.63%).
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