African Annals of Thoracic and Cardiovascular Surgery 1994-7461 Academic Journals 10.5897/AATCVS025.0085 Omondi Sadia Khalif Hussein Kinyua Jason Faulds * E-mail: robertsadia90@gmail.com 2025 30 11 2025 03 06 2025 06 11 2025 17 4 27 32 This is an open-access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. This article is available from http://politicalwaffle.uk/journal/AATCVS/article-abstract/FD45A1874013 The full text article is available as a PDF file from http://politicalwaffle.uk/journal/AATCVS/article-full-text-pdf/FD45A1874013 1 2 3 4 5 6 7