DOI: 10.36347/sjams.2019.v07i03.050

Pages: 1113-1119

Inter-ventricular septal defects (VSD) are dehiscences of the interventricular septum. It is the most common congenital cardiac anomaly in children, characterized by its anatomical diversity, which reflects the wide variety of its clinical expression and evolutionary profile. Colored Doppler transthoracic echocardiography (TTE) made the diagnosis easier. The purpose was to determine the frequency, epidemiological, clinical, and echocardiographic aspects of VSD in our population. We conducted a descriptive mono-centric study between January 2013 to December 2017 at the department of echocardiography of Marrakech’s university hospital. We had integrated all cases in which a single VSD was found. We had excluded all VSD that were part of complex congenital cardiopathy. VSD was the first cardiac malformation representing 18.51% of all congenital cardiac malformations. It was diagnosed in 45 % of cases in the first two years, while 11 cases over the age of 18 years were identified. Seventy percent were form rural area. The peri-membranous topography was the most common form, accounted for 43.6%. Most of our cases have been discovered with fixed pulmonary hypertension. Surgery was proposed in 78% of cases based on clinical presentation and ultrasound data. The evolution of VSD may spontaneously lead to its closure if they do not, defect can lead to detrimental complications such as pulmonary hypertension (PHT), ventricular dysfunction and an increased risk of arhythmias. Early and appropriate management is the only guarantee of a good evolution. But a main question remains: why the diagnosis of VSD is made at the stage of late complication?