Libyan Experience in Congenital Heart Disease Interventions in Eastern region of Libya at National Heart Center Benghazi,2022.

ABSTRACT: Background: Interventional cardiology procedures are constantly increasing in management of structure heart disease in developing countries. Percutaneous catheterization plays an important role in diagnosis and treatment of pediatric and adult with CHD included Trans catheter device, balloon angioplasty and valvoplasty, atrial septostomy. Aim of study: 1. To recognize the Libyan Experience in Congenital Heart Intervention in Eastern region of Libya. 2. To evaluate outcome of the non-surgical intervention in treatment of structure heart disease. Methods: Retrospective study was done include 192 of children and adult undergoing Percutaneous diagnostic and intervention catheterization at NHC in a period between 2011 and 2020. Patients were analysis according to type of catheterization either diagnostic or interventional and type of congenital heart disease. Result: Revealed that Diagnostic were 68 patients (35.4%) and 124 interventional patients (64.5%). (47.9%) were male and (52%) were female ,42 patients (21.8%) underwent ASDs, PFO Transcatheter closure, 37 patients (19.2%) were Transcatheter closure of PDA, 27 patients (14%) were pulmonary balloon valvuloplasty, (11) patients (5.7%) were coronary angiography, (5) patients (2.6%) were atrial septostomy and (2) patients (1%) ballowen angio to COA stent. Complication in 2 patients (1%), failure in 2 patients (1%) and no death.Conclusion: - Transcatheter intervention is an alternative to surgical intervention to repair certain types of congenital heart disease (CHD) with less morbidity and mortality than the surgical method of treatment.Key words: -NHC: National Heart Center NHC, CHD: Congenital Heart Disease, ASD: Atrial Septal Defect, PFO: Patent Foramen Ovale. PDA: Patent Ducts Arteriosus. TGA: Transposition of great artery, PS: pulmonary stenosis, TCC: Transcatheter closure, BPV: Balloon pulmonary Valvuloplasty, COA: coarctation of the aorta