Surgical Outcomes of Congenital Heart Disease in the Eastern Region of Libya

• Mariam M. Madany

  Department of Pediatric, Faculty of Medicine, University of Benghazi and National Heart center, Libya

  Author

• Amenh B. Yousif

  Department of Family and Community Medicine, Faculty of Medicine, University of Benghazi, Libya

  Author

• Rasmia H. Feituri

  Department of Pediatric, Faculty of Medicine, University of Benghazi and Al-Hawary Pediatric Cardiac Clinic, Libya

  Author

• Naemia Gawbaa

  Department of Pediatric, Faculty of Medicine, University of Benghazi and Benghazi Medical center, Libya

  Author

• Amal Khazmi

  Department of Pediatric, Faculty of Medicine, University of Benghazi and National Heart center, Libya

  Author

Congenital heart disease (CHD) refers to a group of structural abnormalities in the heart that are present at birth. However, due to advancements in medical and surgical care, more children with CHD in developed countries are now surviving into adulthood. This study aims to assess the outcomes of surgically repaired congenital heart disease in the eastern part of Libya. Data was obtained from the medical records of 374 patients, of which 54.2% were male and 45.7% were female, who underwent surgical correction and palliative cardiac surgery between February 2015 and February 2019. The majority of patients were from Benghazi and Al-Jabal Al-Akhdar, and the most common diagnoses were ventricular septal defects (VSD) (25.4%) and complex congenital heart disease (CCHD) (21.9%). The death rate in atrioventricular canal (AVC) defects was 7.4%, CCHD had a mortality rate of 4.8%, and the total mortality rate was 2.9%. In the eastern part of Libya, pediatric cardiac surgery and cardiac surgical intensive care for children with congenital heart disease (CHD) still heavily rely on foreign cardiac surgery missions. There is a need for a comprehensive treatment plan and the development of local capabilities to manage CHD patients independently.

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