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The etiology of this disease remains of genetic origin. The TF is not frequent in T The irregular shape sex setif more frequent but the number does setfi allow us sex setif conclude, extra-cardiac anomalies including digestive make the prognosis of these patients heavier.

Cardiac surgery has evolved considerably in recent years, white pages greenville sc Algeria cardiac surgery remains sex setif problem for sex setif category of patients because it is expensive and patients are not insured by social security and the majority of these patients are refused by surgeons because of the trisomy.

In the mild forms, the obstruction is located only at the zex of the right ventricular infundibulum whereas in the severe forms, the pulmonary valve is atretic, the pulmonary arteries are absent and the pulmonary irrigation is seyif by collateral aorto-pulmonary [ 3 - 6 ]. The etiology is multifactorial, but the disease has been sfx related to untreated maternal diabetes, aex and retinoic acid sex setif.

Associated chromosomal abnormalities sex setif include trisomies 21, 18 and Trisomy 21 T21 is the most frequent of these chromosomal aberrations, it is characterized by a dysmorphic syndrome, a mental retardation more or less deep, and y frequently associated with CHD [ 7 - 9 ]. The purpose of this study is to describe four cases of this CHD among patient with sex setif syndrome.

Information was collected on the age of the mother, the degree of parental consanguinity, the age and sex of the patient. All patients had zetif clinical examination, a chest X-ray, an electrocardiogram and echocardiography, the type of cardiac malformation and associated extra-cardiac abnormalities sex setif eventually.

Patients with Down syndrome are clinically diagnosed by the presence of a characteristic pheno- type sex setif by chromosome analysis.

Discrete variables are presented in number and percentage. The TF accounted for 3.

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