Patient management follow-up for CAV at Ibn-Rochd-Casablanca CHU: Ten years experience

Abstract

The Atrioventricular Canal is a serious pathology due to the complexity of the lesions and the risk of fixed Pulmonary Arterial Hypertension. It represents 3 to 7.3% of congenital heart disease. Its prognosis depends on the precocity of its diagnosis and its management. The interest of this work therefore was to evaluate the management of CAV at IBN-ROCHD CHU. It is to make an inventory of the CAV profile, their diagnostic and therapeutic management on the one hand, the delay of management, the postoperative evolution, the reasons for intervention and the factors predicting mortality of patients follow-up for CAV at the cardiology department of CHU Ibn-Rochd-Casablanca. We conducted a 10-year retrospective study from 2008 to 2017 including all cases of CAV found in the study period. Three hundred and thirteen patients were found in the study period. Surgical management of patients with CAV was performed in the liberal sector in 59.3% of cases, followed by 37% in the public sector, and surgeries performed in foreign missions accounted for only 3.7%. CAV surgery in our study. The median age of operated patients was 10.4 months with a minimum of 4.9 months and a maximum of 35.9 years. Of the operated patients, 69.2% received curative treatment at a median age of 7 months with a minimum of 2 months and a maximum of 35.9 years,while 13.3% received palliative treatment. The surgical management of CAV must be early to improve the survival of these patients in the long term. The Atrioventricular Canal is a serious pathology due to the complexity of the lesions and the risk of fixed Pulmonary Arterial Hypertension. It represents 3 to 7.3% of congenital heart disease. Its prognosis depends on the precocity of its diagnosis and its management. Hence the interest of this work which was to evaluate the management of CAV at IBN ROCHD CHU.