Presented by Malouny SISAVANH, MD

1. Most frequent diseases in Pediatric cardiology in National Children’s HospitalLao PDR Presented by Malouny SISAVANH, MD

2. Summary of Cases • From 2013-07-12 to 2013-11-19 • Total 140 cases (including repeated or follow-up exams) • - CHD: 33 cases • - Others: 29 cases Average: 1.5 case/day * † * Repeated or follow-up exams included. † “Others” indicates any acquired cardiac problems from infectious, degenerative, and atherosclerotic causes.

3. Summary of Cases • From 2013-07-12 to 2013-11-19 • Total 115 patients (excluding repeated or follow-up exams) • - CHD: 25 patients • - Others: 12 patients * † * Repeated or follow-up exams excluded. † “Others” indicates any acquired cardiac problems from infectious, degenerative, and atherosclerotic causes.

4. Indication of Test

5. Details of Patients

6. Important Features • Undiagnosed and Unrepaired Congenital Heart Diseases are common in Adolescents or Adults • Cyanotic or Complex Congenital Heart Diseases are Rare • Insufficient neonatal screening • Lackof knowledge (patients / physicians) • Limited hospital accessibility

7. Problems • Referral for Surgery is Limited • Cardiac surgery is available only in Mahosot Hospital, performed by foreign volunteer doctors (from western countries) • No cardiac surgery team in the Children’s Hospital • Post-operative outcome is unknown • Lack of Sedation System • EchoCG in the Children’s Hospital: Time- and Effort-consuming work • Economic and Social Situation • Patients/Parents cannot afford medical/surgical costs • Lack of Pathologic / Microbiologic / Serologic Laboratories • Routine laboratory tests are impossible or limited

8. Acknowledgement • In-Chang Hwang, M.D (KOICA volunteer doctor in children’s hospital)