دورية أكاديمية
First Malian series of surgery for rheumatic valve disease: opening of the centre, clinical features and peri-operative realities.
| العنوان: | First Malian series of surgery for rheumatic valve disease: opening of the centre, clinical features and peri-operative realities. |
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| المؤلفون: | Coulibaly M; Department of Anesthesia-Intensive Care-Emergency, Luxembourg Mother-Child Teaching Hospital; Faculté de Médicine at d'Odonto-Stomatologie, Université des Sciences des Techniques et des Technologies, Bamako, Mali. Email: mahacoulibaly@yahoo.fr., Koita SA; Department of Anesthesia-Intensive Care-Emergency, Luxembourg Mother-Child Teaching Hospital; Faculté de Médicine at d'Odonto-Stomatologie, Université des Sciences des Techniques et des Technologies, Bamako, Mali., Doumbia M; Cardiac Surgery Service Andre Festoc, Luxembourg Mother-Child Teaching Hospital, Bamako, Mali., Diallo B; Department of Anesthesia-Intensive Care-Emergency, Luxembourg Mother-Child Teaching Hospital, Bamako, Mali., Traore SI; Department of Anesthesia-Intensive Care-Emergency, Luxembourg Mother-Child Teaching Hospital, Bamako, Mali., Diarra BI; Cardiac Surgery Service Andre Festoc, Luxembourg Mother-Child Teaching Hospital, Bamako, Mali., Coulibaly B; Cardiac Surgery Service Andre Festoc, Luxembourg Mother-Child Teaching Hospital; Faculté de Médicine at d'Odonto-Stomatologie, Université des Sciences des Techniques et des Technologies, Bamako, Mali., Daffe S; Department of Cardiology, Luxembourg Mother-Child Teaching Hospital, Bamako, Mali., Maiga A; Department of Cardiology, Luxembourg Mother-Child Teaching Hospital; Faculté de Médicine at d'Odonto-Stomatologie, Université des Sciences des Techniques et des Technologies, Bamako, Mali., Toure M; Department of Cardiology, Luxembourg Mother-Child Teaching Hospital; Faculté de Médicine at d'Odonto-Stomatologie, Université des Sciences des Techniques et des Technologies, Bamako, Mali., Zongo RA; Department of Anesthesia-Intensive Care-Emergency, Luxembourg Mother-Child Teaching Hospital, Bamako, Mali., Fofana G; Polyclinic Le Renouveau, Bamako, Mali., Beye SA; Department of Anesthesia-Intensive Care, Teaching Hospital Point G; Faculté de Médicine at d'Odonto-Stomatologie, Université des Sciences des Techniques et des Technologies, Bamako, Mali., Diallo B; Department of Anesthesia-Intensive Care, Teaching Hospital Point G, Bamako, Mali., Diarra MB; Department of Cardiology, Luxembourg Mother-Child Teaching Hospital; Faculté de Médicine at d'Odonto-Stomatologie, Université des Sciences des Techniques et des Technologies, Bamako, Mali., Diango DM; Department of Anesthesia-Intensive Care-Emergency, Teaching Hospital Gabriel Toure; Faculté de Médicine at d'Odonto-Stomatologie, Université des Sciences des Techniques et des Technologies, Bamako, Mali., Coulibaly Y; Department of Anesthesia-Intensive Care, Teaching Hospital Point G; Faculté de Médicine at d'Odonto-Stomatologie, Université des Sciences des Techniques et des Technologies, Bamako, Mali. |
| المصدر: | Cardiovascular journal of Africa [Cardiovasc J Afr] 2022 Mar-Apr 23; Vol. 33 (2), pp. 79-83. Date of Electronic Publication: 2021 Oct 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Clinics Cardive Pub Country of Publication: South Africa NLM ID: 101313864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1680-0745 (Electronic) Linking ISSN: 10159657 NLM ISO Abbreviation: Cardiovasc J Afr Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Durbanville : Clinics Cardive Pub. |
| مواضيع طبية MeSH: | Heart Valve Diseases*/complications , Heart Valve Diseases*/diagnostic imaging , Heart Valve Diseases*/surgery , Rheumatic Fever*/epidemiology , Rheumatic Heart Disease*/diagnostic imaging , Rheumatic Heart Disease*/epidemiology, Adolescent ; Adult ; Child ; Humans ; Prospective Studies ; Retrospective Studies ; Young Adult |
| مستخلص: | Introduction: Over the past two decades, the incidence of acute rheumatic fever (ARF) and chronic rheumatic heart disease (RHD) have dramatically declined in wealthier regions of the world as a result of preventative programmes, improved living standards and access to cardiac surgery. Nevertheless, ARF and RHD are still public health problems in less-developed regions of the world such as Oceania, south Asia and sub-Saharan Africa. Aim: We report on clinical, therapeutic and prognostic aspects as well as the difficulties encountered during this first series of surgery for rheumatic valve disease in Mali. Methods: This was a prospective, descriptive study conducted at the Andre Festoc Cardiac Surgery Centre from September 2018 to August 2019. Results: The frequency of patients having been operated on for rheumatic valve disease was 44.73% (68 patients). The mean age of the patients was 18 ± 10 years with extremes of five and 60 years. The gender ratio was 0.7. The delay to treatment was between one and three years for 39.7% of the patients. The main diagnoses found were: mitral regurgitation in 50% of patients, mitral stenosis in 16.2% and aortic regurgitation in 10.3%. Pulmonary artery systolic pressure was 35-50 mmHg in 19.1% of patients and more than 50 mmHg in 25%. The median cardiopulmonary bypass time was 132 minutes (60-276) and median extubation time was three hours (0-96). The main complications were cardiac, renal, neurological, respiratory, gastrointestinal and infectious. In the immediate postoperative period, we recorded three deaths, which is a mortality rate of 4.4%. Conclusions: Humanitarian efforts have led non-governmental organisations (NGOs) to launch surgical programmes in low-and middle-income countries in an attempt to fill the gap in these fragile healthcare systems. Cardiac surgery requires much expertise from the medical staff, as well as many material and financial resources. Empowerment of the local team is a challenge that is being realised since taking these essential steps of companionship with the NGO la Chaine de l'Espoir. |
| References: | Int J Cardiol. 2021 Jan 15;323:235-241. (PMID: 32920073) Ann Med Surg (Lond). 2021 Jan 26;62:395-401. (PMID: 33552502) JACC Cardiovasc Imaging. 2015 Jan;8(1):83-99. (PMID: 25592699) Cardiovasc J Afr. 2015 Mar-Apr;26(2 Suppl 1):S21-6. (PMID: 25962944) Cochrane Database Syst Rev. 2014 Jul 03;(7):CD005055. (PMID: 24991723) J Card Surg. 2005 Sep-Oct;20(5):425-31. (PMID: 16153272) Bull Acad Natl Med. 2011 Feb;195(2):305-7; discussion 307-8. (PMID: 22096869) Thorac Cardiovasc Surg. 2014 Aug;62(5):393-401. (PMID: 24955755) Indian Heart J. 2019 Jul - Aug;71(4):350-355. (PMID: 31779865) J Thorac Cardiovasc Surg. 2020 Mar;159(3):987-996.e6. (PMID: 31128897) Ann Thorac Surg. 2017 Sep;104(3):868-875. (PMID: 28460874) Circulation. 2001 Sep 18;104(12 Suppl 1):I12-5. (PMID: 11568022) Arch Cardiovasc Dis. 2011 Jun-Jul;104(6-7):370-4. (PMID: 21798468) Circulation. 2007 Oct 23;116(17):1876-8. (PMID: 17965402) BMJ Open. 2016 May 20;6(5):e011266. (PMID: 27207627) Eur Heart J. 2015 May 7;36(18):1115-22a. (PMID: 25425448) Heart. 2013 Nov;99(21):1554-61. (PMID: 23680886) Arch Cardiovasc Dis. 2016 May;109(5):321-9. (PMID: 26988837) Arch Cardiovasc Dis. 2017 Feb;110(2):82-90. (PMID: 27720166) Int J Cardiol. 2019 Nov 15;295:48-55. (PMID: 31405583) |
| فهرسة مساهمة: | Keywords: cardiac surgery; la Chaine de l'Espoir; pulmonary hypertension; rheumatic heart disease |
| تواريخ الأحداث: | Date Created: 20211027 Date Completed: 20220803 Latest Revision: 20221011 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9364477 |
| DOI: | 10.5830/CVJA-2021-042 |
| PMID: | 34704589 |
| قاعدة البيانات: | MEDLINE |
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