Keywords
congenital heart disease
adult
Zinder
How to Cite
Abstract
Introduction :
The partial atrioventricular canal is a variety of atrioventricular canal characterized by an interatrial communication of the ostium primum type and a mitral cleft. Through this study, we describe the observation of a partial atrioventricular canal case discovered in adulthood and review the literature.
Observation :
this was a 55-year-old patient from a rural area, a farmer. The patient reported notions of breathing difficulties around the age of 15. He was admitted to the cardiology department of the National Hospital of Zinder for dyspnea, cough and painful hepatomegaly evolving for 3 weeks. The physical examination found a systolic murmur at the mitral and tricuspid site, a burst of the second sound at the pulmonary site and congestive signs. Doppler echocardiography confirmed partial atrioventricular canal. We carried out a medical treatment based on diuretics, vasodilators, anti-aldosterones and the evolution was favorable after 14 days of treatment.
Conclusion :
The partial atrioventricular canal can be clinically tolerated with the possibility of evolution until an advanced age. However, the risk of complications is possible. This study allowed us to illustrate not only the possibility of evolution of this cardiac malformation until an advanced age and also the inadequacy of screening for congenital malformations in general and cardiac malformations in particular in our context of limited resources.
References
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