Outcomes of abdominal aortic aneurysm repair in Immunodeficiency Virus (HIV) positive patients
December 2015
Background: HIV-infected patients are at an increased risk for accelerated vascular disease. Abnormal endothelial function and aneurysmal dilation of the large arteries have been described; however, data is lacking on the outcomes of HIV-infected patients undergoing abdominal aortic aneurysm (AAA) repair on a national level. Methods: This study is a retrospective analysis of hospital discharge data using the Nationwide...
Difficulties in the management of civilian peripheral vascular trauma and their complications at the University Teaching Hospital of Yaoundé, Cameroon
December 2015
Background. The incidence of peripheral vascular lesions remains undetermined in Cameroon. The objective of this study is to report our experience with the management of peripheral vascular trauma in civil life at the University Teaching Hospital of Yaoundé. Patients and methods. We have reviewed retrospectively all the cases of peripheral vascular trauma treated at the Yaoundé’s University Teaching...
Outcome of feeding enterostomy for nutritional rehabilitation in dysphagia
December 2015
Background: feeding enterostomy is used to build up patients with dysphagia bj definitive surgery. Objective: to evaluate the achievement of nutritional goals in dysphagia patients and to suggest management protocols. Methodology: A retrospective study of feeding enterostomies for dysphagia over 4 years. The preoperative, post-operative weights and progression to definitive esophageal replacement were analyzed. Results:...
Risk factors for morbidity and mortality after ascending aorta aneurysms repair
June 2015
Objective: The aim of this study is to assess the mortality and morbidity factors of surgery for ascending aorta aneurysm. Methods: This is a retrospective study of 229 sheet records of patients who underwent ascending aorta replacement for aneurysm; the statistical analyze permitted to assess the mortality and morbidity factors. Results: A replacement of the ascending aorta with the aortic valve (Bentall) was done in...
Mitro-tricuspid valve disease: Cote d’Ivoire surgical experience
June 2015
The objective of this study was to report our experience on mitro-tricuspid valve disease treated surgically. Material and Methods: 72 patients with mitro-tricuspid valve disease were collected between December 1983 and November 2009. We have studied the epidemiological, clinical, paraclinical and therapeutic data. Only patients with mitral disease (mitral regurgitation and mitral stenosis) associated with tricuspid...
Total intra-cardiac repair of cyanotic congenital heart disease in Accra – 20 years experience
June 2015
Objective: To analyse the spectrum of cyanotic congenital heart disease that had total intra-cardiac repair in this Centre and the outcome over a 20-year period. Patients and Methods: A retrospective study was done for all patients who had intra-cardiac repair for cyanotic congenital heart disease from January 1992 to December 2011. Results: There were 115 cases, with 56.5% of them being male. The modal age group was 5...
Acute lower limbs ischemia in Bamako (Mali)
June 2015
The aim of this work was to analyze the results of the management of acute lower limbischemia. Materials and methods : It was a retrospective study for 12 years (2000 -2011) at teaching hospital Point “G” Bamako. The medical files and the operational reports of the patients dealt with for acute arterial ischemia of the lower limb were re-examined. Results: We managed 50 patients for an acute lower limb...
Traumatic chylothorax: a case report
June 2015
Chylothorax is an uncommon condition, and more so chylothorax secondary to blunt trauma. However, when it occurs it can be debilitating and life threatening, unless appropriate treatment is instituted on time. We present the case of a 39-year old man who felt from a height and developed chylothorax secondary to blunt trauma, amidst other injuries. He was admitted, managed conservatively and discharged home 17 days later...
SUIVI A LONG TERME DE 80 PATIENTS OPERES D’UNE DISSECTION AORTIQUE AIGUË DE TYPE A/LONG-TERM FOLLOW-UP OF 80 PATIENTS OPERATED FOR AN ACUTE AORTIC DISSECTION TYPE A
January 2013
Identifier et évaluer les facteurs de risque de morbi-mortalité à court et long terme d’une dissection aortique aiguë de type A de Stanford. C’est une étude rétrospective de 80 patients (57 hommes et 23 femmes) consécutifs opérés d’une dissection aortique aiguë de type A de...
CALCIFIED PSEUDO-ANEURYSM OF ASCENDING AORTA FROM CANNULATION SITE ERODING INTO THE STERNUM : A CASE REPORT
January 2013
We report the successful surgical treatment of a nonmycotic pseudoaneurysm of the ascending aorta in a 15 year old male who underwent surgical closure of an atrial septal defect at the age of 3 years. A Computed Tomography (CT) scan was performed to investigate the palpable mass on the healed sternotomy scar. It revealed a densely calcified...
DEVICE OCCLUSION OF ATRIAL SEPTAL DEFECT THROUGH MINIMALLY INVASIVE RIGHT ANTERIOR CHEST APPROACH
January 2013
Occlusion of atrial septal defects through a small right chest incision is minimally invasive and safe.
TRAITEMENT DES HYPERPLASIES THYMIQUES : A PROPOS DE 5 CAS OPERES
January 2013
Les hyperplasies thymiques se caractérisent par une pathogénèse complexe et des tableaux cliniques variés sources d’attitudes thérapeutiques controversées. Insister sur la rareté, les difficultés diagnostiques et rapporter les résultats de la chirurgie dans les hyperplasies...
Pediatric Thoracic Hydatid Cysts in Peru : Case Report and Review
January 2013
Hydatid cyst secondary to the parasite Echinococcus granulosus, involving the lung parenchyma, is an endemic disease in Peru, especially in the rural areas involved with animal domestication. Despite aggressive government public health directives for prevention, poor recognition and compliance remain major factors in human infection, especially in children. Medical treatment alone is not effective in the majority ...
Atrial Septal Defect Closure In A 70 Year Old Woman: Case Report And Literature Review
January 2011
Time was when it was thought that Atrial Septal Defects (ASDs) diagnosed in adulthood, especially in the elderly should only be managed conservatively. The trend is gradually changing and most “elderly ASDs” are getting closed, especially percutaneously if they are the ostium secumdum type. The Ostium primum, sinus venosus and coronary sinus ASDs still need open-heart surgery. We present the case of a woman...
Le Drainage Chirurgical pour Pericardites Liquidiennes Dakar
January 2011
Notre étude a pour but de déterminer la morbi-mortalité et les étiologies des péricardites liquidiennes à Dakar. Patients et méthodes: Il s’agissait d’une étude rétrospective de 1994 à 2008 colligeant 55 dossiers de patients opérés dans le service de chirurgie cardiovasculaire du CHU de Dakar. La triade...
Angioplastie Pulmonaire Per-Operatoire Des Cardiopathies Congenitales
January 2011
L’angioplastie percutanée des branches de l'artère pulmonaire (AP) peut être indiquée dans la sténose étendue à la chambre de chasse ventriculaire droite, mais limitée en cas de la complexité anatomique des branches de l’AP accompagnant les cardiopathies congénitales. Une approche hybride, associant une angioplastie de l’AP...
Les Decortications Pulmonaires Au Centre Hospitalier Et Universitaire (Chu) Yalgado Ouedraogo
January 2011
The aim of study is to report the indications and results of lung decortication at CHU Yalgado Ouedraogo. It is a retrospective study including all the patients who underwent lung decorticaion at CHU Yalgado Ouedraogo from May 2005 to March 2008. Lung decortication accounted for 50% of thoracotomies carried out for this period. 10 women and 6 men...
Migrating Aspirated Foreign Body With Associated Intra-Atrial :Clot A Case Report
January 2011
The authors report a case of 10-year-old girl who presented with cough and breathlessness of 7 weeks and orthopnoea of 4 weeks. An earlier consultation at a private hospital revealed echocardiographic findings of right intra-atrial clot, confirmed at our institution. Plain chest radiographs showed right lower lobe consolidation and atelectasis. Cough worsened and she desaturated (SaO2 67%) on the 5th week of antibiotic...
Surgery of congenital heart diseases in Dakar, from a series of 102 Cases
January 2006
The surgical treatment of congenital heart diseases is recent in our practice. As developing country, our surgical indications are adapted to our possibilities and only the operated patients are reported in this study. One hundred and two patients were operated on between 1992 and 2002. There were 54 patent ductus arterious (PDA), 27 cases of tetralogy of Fallot (TF), 17 cases of atrial setal defect (ASD) and 4 cases of...
Intensive care unit readmission after cardiac and thoracic surgery
January 2006
Critical care services are one of the most demanding specialties in clinical practice and readmission to the intensive care unit has substantial financial and resource implications. Readmission and use of an expensive intensive care bed may be for a preventable complication. The aim of this study is to determine the readmission rate in the intensive care unit at the National Cardiothoracic Center, the causes of...
Pulmonary valvotomy under normothermic caval inflow occlusion
January 2006
Ffity nine patients underwent an operation between January, 1993 and April, 2000 for isolated pulmonary valve stenosis utilizing the inflow stasis technique. Patient ages ranged from 4 months to 44 years. All patients underwent preoperative two dimensional/doppler echocardiography (2D ECHO) to quantitate the peak systolic gradient between the right ventricle and pulmonary artery. Forty seven patients were studied...
Chirurgie a coeur ouvert en côte d'ivoire. vingt annees d'experience chirurgicale
January 2006
The aim of this study is to report our surgical experience with open heart surgery in Cote d'Ivoire. From 1978 to 2000, 1665 patients have been operated on by cardiopulmonary by pass (CPB). There were 994 for acquired valvular heart diseases, 408 for congenital heart diseases and 263 for others cardiac diseases. Concerning vavular cardiac surgery (n = 994). 776 were monovavular (mitral n -606, aortic n = 126,...
Thrombolys for blocked arterio-venous dialysis shunts
January 2006
This was a retrospective study that looked at the effectiveness of thrombolytic agents in re-establishing flow in thrombosed Brescia-Cimino shunts for 10 patients on chronic dialysis. The thrombolysis was done in an intensive care setting under monitoring for arrhymias, hypotension and desaturation of blood. Of the ten patients 6 (60%) of them were male and 4 (40%) were famale. The average age of the patients was 53.9 +...
The Klippel-Trenaunay-Weber Syndrome. A case report and literature review
January 2006
Association of bone and soft tissues hypertrophy, cutaneous haemangioma and superficial varicosity classically form the Klippel-Trenaunary-Weber syndrome. One case was diagnosed in a 12-year-old patient, admitted for a right lower limb congenital oedema. The goal of this study is to attract clinicians' attention upon this rare affliction with a difficult diagnosis and treatment. Clincally generalised oedema of the...
Construire le futur
January 2005
Les Annales Africaines de Chirurgie Thoracique et Cardio-vasculaire sont l'un des derniers nes de la famille de la publication medicale africaine. Cette naissance vient remplir un espace d'echange et de communication, qui appelle toutes les societes scientifiques africaines a se mobiliser pour apporter l'information, vehiculrr le message, et construire une banque de donnees de recherche clinique, a...
Global expansion of Cardiothoracic Surgery. The african challenge
January 2005
A case of cardiac tumor observed in the point "G" hospital
January 2005
The heart can be the seat of neoplastic clinical demonstrations. In the case brought back here, the clinical picture associated to a recent and quickly increasing dyspnoca, a supirioir vena cava syndrome. The trans-thoracic echocardigraphy objectivised a tissulary mass and inhomogeneous two right cavities. The thoracic TDM confirmed the intra thoracic tumor with images of lymphangitidis carcinoma and of pleural...
Traitement chirurgical des pericardites chroniques constrictives a Libreville
January 2005
In tropical Africa, constructive chronic pericarditis are essentially from tuberulous origin. If the diagnosis of this affection has neatly improved during these last years, because of our sanitary units acquiring soecialised explorations, the surgical treatment always leads to difficulties, related to material conditions. The goal of this study is to present the experience of the Thoracic Vascular and Visceral unit of...
Afferences diaphragmatiques et mediastinales du canal thoracique. Etude anatomique a partir de l'injection de la plevre diaphragmatique de foetus et de sujets adultes
January 2005
The aim of this study was to determine connections between thoracic duct and lymphatic pathways of the diaphram, in order to better understand the propagation in the mediastinum of infectious of neoplastic processes, the tumorous recurrence, physiopathology of the chylothorax in surgey of lung cancer. Subpleural lymphatics of 30 adults cadavers and 12 fetuses were injected with a modified Gerota's medium to permit...
Catamenial pneumothorax. A case report and review of the literature
January 2005
Catamenial pneumothorax is a spontaneous pneumothorax that occurs during menstruation. We present a case of catamenial pneumothorax which was treated with chemical pleurodesis after tube thoracostomy andunderwater sealed drainage. The diagnosis was established based on the history. She currently does not have recurrence of pneumothorax after five months of follow up, but complains of monthly chest pain....
Diagnosting vascular diseases in our community - patient's complaints and doctor's constraints
January 2005
Background: Contrary to previously held belief, vascular diseases are not rare in ou community. What is truly rare is our ability to pick up them when they present. Aims and Objectives: To study the cases of vascular diseases seen in our center, with a view to seeing how the diagnosis was made and how we can imrprove our diagnostic acumen. Design: Retrospective study. Settings: Nnamdi Azikiwe University Teaching...
One case of traumatic aortic dissection in Bamako (Mali)
January 2005
It is about an observation of traumatic dissection of thoraco-abdominal aorta in an adult, somewhere else suffering from hypertensive cardiomyopathy. The clinical picture associated thoraco-lumbar pain, and the appearance of a formerly non-existence sign of aortic inssufficency. The etiology was considered as traumatic in front of the precession of a thoraco-abdominal shack. Clinically evoked diagnosis will be confirmed...
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