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Valve Surgery In Patients Under Twenty Years-tanzania Experience
Wambura B. WANDWI1, Elijar V. Ussiri1, Bashir Juma Nyangassa1, Evarist Magendo Nyawawa1, Ulisubisya Mpoki1, Edda Assel Vuhahula2.
1Muhimbili National Hospital, Dar-es-Salaam, Tanzania, United Republic of, 2Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania, United Republic of.

OBJECTIVE; Valve surgery in patients under twenty years for acquired valve lesions is rare. In areas endemic to rheumatic fever (RF) infection is commonly contacted during school age period and its cardiac squealer noted when they reach age of mid-twenty and above. Indications for valve surgery in under twenty years old patients in developing country Tanzania are evaluated. METHODS All patients who had valve surgery at Muhimbili National Hospital Tanzania from May 2008 to May 2013 were studied. Demographic data, indications for surgery and valve operated were recorded and data analyzed. RESULTS; Ninety seven patients 62(63.9%) female and 35(36.1%) males had valve surgery with minimum age of nine years. Eighty patients (82.5%) had Mitral valve pathology; regurgitation 60(61.9%) and stenosis 24(24.7%) respectively reesulting in Mitral valve repair 32 (33%) and repalacents 38(39%) beeing similar. Rheumatic Heart Disease (RHD) was cause of valve function failure. Mechanical prosthetic valves were utilised in all replacents. The charts show diagnosis and surgery done. CONCLUSION: The use of mechanical prothesis in this age group (under twenty) particularly females pose coagulation challenge adulthood. In developing world with facility deprivation this is new problem created.

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