SPECTRUM OF HEART DEFECTS IN CHILDREN PRESENTING FOR PAEDIARIC CARDIAC SURGERY

Abstract

Objective: To determine gender distribution and relative frequency of cardiacdefects in children who underwent palliative or corrective cardiac surgery.

Methodology: This retrospective cross sectional descriptive study wasconducted in Department of Paediatric Cardiac Surgery at National Institute ofCardiovascular Diseases (NICVD), Karachi, Pakistan from October 2013 tillSeptember 2015. Patients up to age group of 14 years admitted for cardiacsurgery at Paediatric Cardiac Surgery at National Institute of CardiovascularDiseases (NICVD) were included.

Results: Out of 1004 patients, there were 683 males (68%). Patients presentedwith cyanotic heart disease were 578(57.5%) while acynotic patients were 426(42.4%). Tetralogy of Fallot (TOF) followed by Ventricular Septal Defect (VSD)were the commonest congenital heart lesions, 42.8% and 20% respectively.

Conclusion: Majority of patients with paediatric heart disease had cyanotic CHDwith the commonest lesion being Tetralogy Of Fallot (TOF) . Most of the patientswere more than one year ( 70%) with significant difference in sex distributionwith male predominance.