Prevalence and management of coronary artery anomalies in tetralogy of Fallot at Cheikh Zaid Hospital's Pediatric Cardiac Surgery Department in Morocco: retrospective study

The Pan African Medical Journal
Mohamed Rida AjajaYounes Cheikhaoui

Abstract

Tetralogy of Fallot (TOF) is one of the most common cyanogenic congenital heart defects. It represents 10% of congenital heart diseases in children. Coronary artery anomalies (CAA) have been reported in 2% to 14% of cases in patients with TOF, according to angiographic, surgical and autopsy series. Many of these anomalies are difficult to detect during surgery. The objective of this article is to study the prevalence of the coronary artery anomalies in patients with TOF as well as their surgical management in our hospital between 2007 and 2015. A retrospective study was conducted on 90 patients with TOF aged 1 month to 10 years who were operated on in the Department of Paediatric Cardiac Surgery of Cheikh Zaid Hospital between 2007 and 2015. None of the patients had preoperative coronary angiography and all the anomalies were diagnosed during surgery. Patient clinical data were collected from patient records and from the hospital information system. The qualitative variables are expressed as mean and standard deviation and the quantitative variables are expressed as a percentage. Statistical analyses were performed using SPSS 13.0 software. Of the 90 patients with TOF followed in the study period, 9 (10%) patients had coronary ...Continue Reading

References

Mar 1, 1975·Circulation·K E FellowsA C Castaneda
Jan 1, 1980·Circulation·R P DabizziV Baldrighi
Jul 1, 1993·British Heart Journal·J S CarvalhoE A Shinebourne
Jul 18, 2002·The Annals of Thoracic Surgery·Adnan Cobanoglu, Jess M Schultz
Mar 1, 1965·Archives of Surgery·C C MENGM LEV
Mar 31, 2004·The Journal of Thoracic and Cardiovascular Surgery·Kentaro ToiyamaKenji Hamaoka

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