DOI: 10.36347/sjams.2021.v09i02.003

Pages: 187-193

Congenital heart diseases are quite common. They occur in 0.5-1% of births. The taking care of children suffering from cardiac malformation must be done early despite the very high operating risks. It requires a suitable center, with adequate medical equipment and special knowledge in both domains anesthesia and surgery. The Pediatric Cardiac Surgery Center in Dakar (CUOMO) is a new public hospital that aims to expand the range of care in the field of cardiology and cardiac surgery to children in Senegal and West Africa; to train the learners in pediatric cardiac surgery for the treatment of simple and complex congenital or rheumatic heart disease. The objective of this study was to evaluate the anesthetic management of congenital heart diseases operated with cardiopulmonary bypass in this center after the first year of activity and to compare the results obtained with data from the literature. We conducted a retrospective, descriptive study over one year from January to December 2018. All patients operated during this period with cardiopulmonary bypass (CPB) for congenital heart disease were included. We collected 80 files of patients operated for congenital heart disease in the center. During the same period, 136 patients had been operated. Surgery for congenital heart disease accounts for 58.8% of surgical activity. Among these 80 patients, 60 were operated with CPB or a rate of 75%. The average age of our patients was 7.41 years with extremes of 1 and 17 years with a sex ratio of 1.22. A notion of consanguinity was found in 10 of our patients, a frequency of 16.66%. We found 22 cases of cyanogenic heart disease (36.66%) and 38 cases of non-cyanogenic heart disease (63.34%). The duration of the extracorporeal circulation was on average 82.82 minutes and the average duration of aortic clamping was 58.31 minutes. 70% of the patients had amines at the end of the procedure. The most common postoperative complication was right heart failure (69%). The average.........