Cardiac surgery in Africa: a thirty-five year experience on open heart surgery in Cote d’Ivoire
Autor: | Manga Diomande, Christophe Meneas, Florent Diby, K.H. Yangni-Angate, Yves Tanauh, A. Adoubi |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
business.industry Endomyocardial fibrosis Retrospective cohort study Cote d ivoire 030204 cardiovascular system & hematology medicine.disease Left sided New york heart association Surgery Cardiac surgery 03 medical and health sciences Rheumatic Heart Diseases 0302 clinical medicine Internal medicine cardiovascular system medicine Cardiology Original Article cardiovascular diseases 030212 general & internal medicine Cardiology and Cardiovascular Medicine business Tetralogy of Fallot |
Zdroj: | Cardiovascular Diagnosis and Therapy. 6:S44-S63 |
ISSN: | 2223-3660 2223-3652 |
Popis: | Background : Few centers for open heart surgery (OHS) are in Sub-Saharan Africa. Lack of OHS results is also noted. By reporting our African experience on OHS, the aim of this study was to fill the gap. Methods : It is a retrospective study on 2,612 patients who were subject to an OHS between 1978 and 2013. Data were collected from demographical, clinical, investigative studies, surgical and outcomes parameters. Results : There were 1,475 cases of rheumatic heart diseases (RHD), 126 endomyocardial fibrosis (EMF), 741 congenital heart diseases (CHDs) and 270 various affections. Related to rheumatic valvular surgery we enumerated 1,175 monovalvular (mitral n=778, aortic n=336, tricuspid n=61); 280 bivalvular (mitral + aortic n=150, mitral + tricuspid n=130) and 20 trivalvular. For RHD, average age was 26±10.1 years (4–69 years) and 60% of our patients presented a functional class III or IV according to New York Heart Association (NYHA) classification. A total of 1,481 valvular replacements (bioprostheses n=489, mechanical prostheses n=992) and 445 valvular repair were carried out with a global and late mortality surgery respectively at 7% and 8%. One hundred and twenty-six [126] cases of EMF with right sided form 39, left sided form 40, and bilateral form 47 were colligated. Average age was 12±0.6 years (2–15 years). All patients with EMF underwent surgery; an endocardectomy in all patients combined with valvular reconstruction (n=36) or valvular replacement (n=90) was carried out with a hospital mortality at 16% (n=20). Concerning CHD, the most frequent were ventricular septal defect (VSD) (n=240), atrial septal defect (ASD) (n=200), partial atrioventricular sepal defect (n=30) and tetralogy of Fallot (T4F) (n=220), a total correction was performed for those CHD with an early mortality at 6.4% (n=44). Conclusions : OHS in Cote d’Ivoire was successfully performed in most of our patients, the spectrum of acquired valvular heart diseases and CHDs in our country is similar to others in Sub-Saharan Africa. |
Databáze: | OpenAIRE |
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