Fistule aorto-pulmonaire decouverte chez une fillette de 9 ans au Centre Hospitalier Universitaire Yalgado Ouedraogo, Ouagadougou Burkina Faso

CS Child aged 9 years, is discharged from a health located 200km from Ouagadougou (capital of BF) for decompensated heart. Clinically we noted a syndrome of congestive heart failure. No obvious cause is found outside the advancing age of parents (50 years) and potential risks of rubella infection. Doppler echocardiography revealed a fistula aorto-pulmonary 17mm wide associated with an average abundance and circumferential pericardial effusion and a left ventricular dilation. The chest radiography showed a large cardiomegaly and left pleural effusion. The discovery of congenital heart disease usually between 2 and 4 years is very rare and good prognosis with surgical treatment.