Abstract
The in-hospital prevalence, type, treatment, and outcome of Congenital Heart Disease (CHD) has not been described in our setting. We carried out a cross-sectional study in two teaching hospitals in Yaounde-The Yaounde University Teaching Hospital and the Chantal Biya Foundation (Mother-Child center). We retrospectively reviewed the records of all echocardiography confirmed cases of CHD seen between 2012 and 2018. A total of 105 patients (53 males and 52 females) were included in this study. The most frequent age groups were 1 to 6 months. The in-hospital prevalence of CHD was 8.7%. A heart murmur was the most frequent index sign in 97.1% followed by pneumonia in 41% of patients. Trisomia 21 was associated with 6.7% of cases. Non-cyanotic CHD was the most frequent in (74.4%), and these were mainly ventricular septal defect (42.9%) and atrial septal defect (25.7%) of all CHD. Tetralogy of Fallot was the most frequent cyanotic CHD in 13.3% of all cases. Complications due to CHD was seen in 38.1% of cases, and this mainly pulmonary hypertension in 22 (53.7%) cases. Surgical treatment was performed in 41.9% (all abroad) with a favorable outcome in all cases. CHD represents 8.7% of in-hospital pediatric admissions, and these were mainly acyanotic. Few patients had surgical correction abroad with a good outcome in all cases.
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