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JOURNAL ARTICLE
Charles Mve Mvondo, Carole Tchokouani Djientcheu, Laurence Carole Ngo Yon, Douglas Nkomo Banga, Richard Mbele, Amos Bella Ela, Alessandro Giamberti, Alessandro Frigiola, Alain Patrick Menanga, Vincent De Paul Djientcheu, Marcelin Ngowe Ngowe
INTRODUCTION: Aortic root enlargement (ARE) is often required to avoid patient-prosthesis mismatch (PPM) in young patients undergoing aortic surgery, including those undergoing combined mitral and aortic valve replacement (double valve replacement, DVR). Adding ARE to DVR may increase the operative risk by extending the surgical time. Herein, we review our experience with ARE in patients who underwent DVR. MATERIALS AND METHODS: The medical records of 69 patients who underwent DVR at our institution between February 2008 and November 2021 were retrospectively reviewed...
2023: Frontiers in Cardiovascular Medicine
#2
JOURNAL ARTICLE
Adaline M Buerck, Mahmooda Khaliq, Katherine Alfredo, Jeffrey A Cunningham, Luke John Paul Barrett, Rinah Rakotondrazaka, Lova Rakotoarisoa, Wyatt M Champion, James R Mihelcic
One in three children globally is estimated to have blood lead levels (BLL) at or above the BLL reference value of 5 μg/dL with increased burden falling on low- and middle-income countries (LMIC). Within developed countries, aqueous lead is the predominant exposure route. However, aqueous lead exposure is rarely examined in the LMIC, leaving a gap in the literature that ignores a potentially significant route of exposure. Furthermore, limited lead-based remediation efforts around consumer products have been examined...
October 18, 2023: Environmental Science & Technology
#3
Charles Mve Mvondo, Laurence Carole Ngo Yon, Hermann Nestor Tsague Kengni, Marcelin Ngowe Ngowe
Type A aortic dissection (TAAD) is associated with high mortality in the absence of appropriate surgical therapy. The involvement of the aortic root by the intimal tear and the presence of severe aortic insufficiency will require a more radical approach with composite root replacement (CRR) in most of the patients. We briefly report our surgical experience following CRR in 12 patients presenting with TAAD in our department. Between November 2009 and January 2022, a total of twelve (n=12) patients diagnosed with TAAD were operated in our institution...
2023: Pan African Medical Journal
#4
JOURNAL ARTICLE
Ikechukwu A Nwafor, John C Eze, Maureen N Nwafor
Surgical treatment of valvular heart disease in Nigeria, the most populous country in sub-Saharan Africa, is adversely affected by socioeconomic factors such as poverty and ignorance. To evaluate our experience in this context, we identified all patients who underwent surgery for acquired or congenital valvular heart disease at our Nigerian center from February 2013 through January 2019. We collected data from their medical records, including patient age and sex, pathophysiologic causes and types of valvular disease, surgical treatment, and outcomes...
November 1, 2021: Texas Heart Institute Journal
#5
JOURNAL ARTICLE
Rossella Miccio, Maria Quattrociocchi, Lorenzo Valgoi, Liliane Chatenoud, Salvatore Lentini, Elena Giovanella, Luca Rolla, Nicoletta Erba, Sofia Gatti, Daniela Rocchi, Manahel Badr Saad, Alessandro Salvati, Martin Langer, Gina Portella, Gino Strada
Rheumatic heart disease is endemic in Sub-Saharan Africa and while efforts are under way to boost prophylaxis and early diagnosis, access to cardiac surgery is rarely affordable. In this article, we report on a humanitarian project by the NGO EMERGENCY, to build and run the Salam Centre for Cardiac Surgery in Sudan. This hospital is a center of excellence offering free-of-charge, high-quality treatment to patients needing open-heart surgery for advanced rheumatic and congenital heart disease. Since it opened in 2007, more than 8,000 patients have undergone surgery there; most of them Sudanese, but ~20% were admitted from other countries, an example of inter-African cooperation...
2021: Frontiers in Pediatrics
#6
JOURNAL ARTICLE
Filippo Trombara, Marco Bergonti, Olga Toscano, Alessia Dalla Cia, Emilio M Assanelli, Gianluca Polvani, Antonio L Bartorelli
BACKGROUND: Haemoptysis is usually caused by pulmonary and infectious diseases. In few cases, it has a cardiac cause, such as pulmonary embolism or mitral valve stenosis. Haemoptysis may be an uncommon symptom of prosthetic valve dysfunction, being related to elevated right heart pressures. CASE SUMMARY: A 22-year-old woman from sub-Saharan Africa known for a triple valve replacement was hospitalized for dyspnoea and haemoptysis. A careful clinical evaluation excluded the most common causes of haemoptysis...
February 2021: European Heart Journal. Case Reports
#7
JOURNAL ARTICLE
Shibikom Tamirat, Amine Mazine, Louis-Mathieu Stevens, Fekede Agwar, Kefelegn Dejene, Mohammed Bedru, Azene Dessie, Jean-Sébastien Lebon, Denis Bouchard
OBJECTIVES: Rheumatic heart disease is endemic in sub-Saharan Africa. There is a paucity of data on the outcomes of valvular surgery for rheumatic heart disease in the developing world. The objective of this study was to evaluate the outcomes of aortic and mitral valve surgery for rheumatic heart disease in Ethiopia. METHODS: Between 2009 and 2017, 240 consecutive patients with rheumatic heart disease underwent aortic and/or mitral surgery at the Cardiac Center of Ethiopia in Addis Ababa...
April 25, 2020: Journal of Thoracic and Cardiovascular Surgery
#8
JOURNAL ARTICLE
Olukayode O Aremu, Petronella Samuels, Stephen Jermy, Evelyn N Lumngwena, Daniel Mutithu, Blanche J Cupido, Sebastian Skatulla, Ntobeko A B Ntusi
Rheumatic heart disease (RHD) is prevalent in sub-Saharan Africa, where the capacity for diagnosis and evaluation of disease severity and complications is not always optimal. While the medical history and physical examination are important in the assessment of patients suspected to have RHD, cardiovascular imaging techniques are useful for confirmation of the diagnosis. Echocardiography is the workhorse modality for initial evaluation and diagnosis of RHD. Cardiovascular magnetic resonance is complementary and may provide additive information, including tissue characteristics, where echocardiography is inadequate or non-diagnostic...
September 25, 2020: International Journal of Cardiology
#9
MULTICENTER STUDY
Simon Yadgir, Catherine Owens Johnson, Victor Aboyans, Oladimeji M Adebayo, Rufus Adesoji Adedoyin, Mohsen Afarideh, Fares Alahdab, Alaa Alashi, Vahid Alipour, Jalal Arabloo, Samad Azari, Celine M Barthelemy, Catherine P Benziger, Adam E Berman, Ali Bijani, Juan J Carrero, Félix Carvalho, Ahmad Daryani, Andre R Durães, Alireza Esteghamati, Talha A Farid, Farshad Farzadfar, Eduarda Fernandes, Irina Filip, Mohamed M Gad, Samer Hamidi, Simon I Hay, Olayinka Stephen Ilesanmi, Seyed Sina Naghibi Irvani, Mikk Jürisson, Amir Kasaeian, Andre Pascal Kengne, Abdur Rahman Khan, Adnan Kisa, Sezer Kisa, Dhaval Kolte, Navid Manafi, Amir Manafi, George A Mensah, Erkin M Mirrakhimov, Yousef Mohammad, Ali H Mokdad, Ruxandra Irina Negoi, Huong Lan Thi Nguyen, Trang Huyen Nguyen, Molly R Nixon, Catherine M Otto, Shanti Patel, Thomas Pilgrim, Amir Radfar, David Laith Rawaf, Salman Rawaf, Wasiq Faraz Rawasia, Aziz Rezapour, Leonardo Roever, Anas M Saad, Seyedmohammad Saadatagah, Subramanian Senthilkumaran, Karen Sliwa, Berhe Etsay Tesfay, Bach Xuan Tran, Irfan Ullah, Muthiah Vaduganathan, Tommi Juhani Vasankari, Charles D A Wolfe, Naohiro Yonemoto, Gregory A Roth
BACKGROUND: Nonrheumatic valvular diseases are common; however, no studies have estimated their global or national burden. As part of the Global Burden of Disease Study 2017, mortality, prevalence, and disability-adjusted life-years (DALYs) for calcific aortic valve disease (CAVD), degenerative mitral valve disease, and other nonrheumatic valvular diseases were estimated for 195 countries and territories from 1990 to 2017. METHODS: Vital registration data, epidemiologic survey data, and administrative hospital data were used to estimate disease burden using the Global Burden of Disease Study modeling framework, which ensures comparability across locations...
May 26, 2020: Circulation
#10
MULTICENTER STUDY
Emmanuel K Rusingiza, Ziad El-Khatib, Bethany Hedt-Gauthier, Gedeon Ngoga, Symaque Dusabeyezu, Neo Tapela, Cadet Mutumbira, Francis Mutabazi, Emmanuel Harelimana, Joseph Mucumbitsi, Gene F Kwan, Gene Bukhman
BACKGROUND: In sub-Saharan Africa, continued clinical follow-up, after cardiac surgery, is only available at urban referral centres. We implemented a decentralised, integrated care model to provide longitudinal care for patients with advanced rheumatic heart disease (RHD) at district hospitals in rural Rwanda before and after heart surgery. METHODS: We collected data from charts at non-communicable disease (NCD) clinics at three rural district hospitals in Rwanda to describe the outcomes of 54 patients with RHD who received cardiac valve surgery during 2007-2015...
October 2018: Heart
#11
MULTICENTER STUDY
Samuel Kingué, Serigne Abdou Ba, Dhadi Balde, Mamadou Bocary Diarra, Jean-Baptiste Anzouan-Kacou, Benedict Anisubia, Jean-Marie Damorou, Pierre Ndobo, Alain Menanga, Abdoul Kane, Maurice Kakou-Guikahué, Monique Kenfack, Bernard Metogo, David Chelo, Euloge Yangnigni, Cabral Tantchou, Edmond Bertrand, Jean-Jacques Monsuez
BACKGROUND: There are few African data available on rheumatic heart disease (RHD). AIM: To provide data on the clinical characteristics and treatment of patients with RHD hospitalized in sub-Saharan Africa. METHODS: The VALVAFRIC study is a multicentre hospital-based retrospective registry of patients with RHD hospitalized in African cardiology departments from 2004 to 2008. RESULTS: Among 3441 patients with at least one mild RHD lesion seen on echocardiography in 5 years in 12 cardiology departments from seven countries, 1385 had severe lesions (502 men; 803 women; mean age 29...
May 2016: Archives of Cardiovascular Diseases
#12
LETTER
Francesco Arioli, Paul G D'Arbela, Francesco Aloi, Martin M Nsubuga, Antonio Grimaldi, Enrico Ammirati
No abstract text is available yet for this article.
October 20, 2014: International Journal of Cardiology
#13
JOURNAL ARTICLE
Adanze O Asinobi, Adebowale D Ademola, Oluwatoyin O Ogunkunle, Susan A Mott
BACKGROUND: Children and adolescents with end-stage renal disease (ESRD) in sub-Saharan Africa may have the worst outcomes globally. Barriers to management include late presentation, poor socioeconomic conditions, absence of medical insurance, limited diagnostic facilities and non-availability of chronic renal replacement therapy (RRT). Our study was to determine the incidence, aetiology, management and outcomes of paediatric ESRD in a tertiary hospital in Nigeria. METHODS: A retrospective case review of paediatric ESRD at the University College Hospital Ibadan, Nigeria, over 8 years, from January 2005 to December 2012...
February 3, 2014: BMC Nephrology
#14
JOURNAL ARTICLE
Tantchou Tchoumi Jacques Cabral, Jacques Cabral Tantchou Tchoumi, Gianfranco Butera
BACKGROUND: Cardiovascular diseases (CVD) have emerged as a major public health problem and impose an escalating burden on the health care system in Cameroon. The aim of the study was to investigate the preparedness of health care services for patients presenting with CVD in general and specifically, in St. Elizabeth catholic general hospital Shisong, cardiac centre. PATIENTS AND METHODS: Between November 2009 and November 2011, a population of 8,389 adults and 706 children consulted the referral cardiac centre of St...
December 2013: Cardiovascular Diagnosis and Therapy
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JOURNAL ARTICLE
Maboury Diao, Adama Kane, Mouhamadou Bamba Ndiaye, Alassane Mbaye, Malick Bodian, Mouhamadoul Mounir Dia, Moustapha Sarr, Abdoul Kane, Jean-Jacques Monsuez, Serigne Abdou Ba
BACKGROUND: Although previous studies showed that pregnancy with heart disease is associated with significant complications, few focused on patients with valvular heart disease in sub-Saharan Africa. METHODS: We report maternal and foetal outcomes in 50 pregnant women with heart disease admitted to the Department of Cardiology of the University of Dakar, during an 8-year period. RESULTS: Rheumatic heart disease was observed in 46 women, seven of whom had previously been operated on...
2011: Archives of Cardiovascular Diseases
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