The aim of this study is to establish the epidemiologic profile of congenital heart disease in newborns in a Tunisian department of the north west of Tunisia.
Methods: We report 79 cases of congenital heart defects treated which are followed up in the department of general paediatrics in the University Hospital of Bizerta during 9 years. The informations concerning the patients is taking to a data file. The newborns included had a congenital heart disease suspected clinicly or confirmed by a cardiac echography.
Results: The sex-ratio was 0,79 with a mean of weight birth of 3075 g. The prematurity reaches 20.1%. The consanguinity was 30.5%. Congenital heart defects were detected the first week of life in 47% with a murmur on 77.6%, cyanosis on 70%, dyspnea on 89%. The annual incidence was evaluated 2.5% per hundred. One hundred and Twelve heart defects were diagnosed. The medical treatment was indicated on 46.3% and the surgery on 22.5%. Mortality was on 23.8%.
Conclusion: Congenital heart disease particularly in neonatal period are crippled by a high morbidity and mortality, it's a case of emergency in pediatric cardiology.