ArticleCardiovascular diagnosis and therapy2016
Cardiac surgery in Africa: a thirty-five year experience on open heart surgery in Cote d'Ivoire.
Article in Cardiovascular diagnosis and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 36 citations in OpenAlex.
- Pediatric cardiac surgery in Sudan before the 2023 armed conflict: patterns, outcomes, and quality indicators from a single-center experience in a low-resource setting.BMC pediatrics · 2025Observational
- Cost-Effectiveness Analysis of Surgical Strategies Versus Medical Management for Rheumatic Heart Disease in Rwanda.Journal of the American Heart Association · 2025Article
- Short term outcomes of the first pediatric cardiac surgery program in Rwanda.Journal of cardiothoracic surgery · 2024Article
- A reflection of Africa's cardiac surgery capacity to manage congenital heart defects: a perspective.Annals of medicine and surgery (2012) · 2023Article
- Development and testing of a transcatheter heart valve with reduced calcification potential.Frontiers in cardiovascular medicine · 2023Article
- Rates and Determinants of Hospital-Acquired Infection among ICU Patients Undergoing Cardiac Surgery in Developing Countries: Results from EMERGENCY'NGO's Hospital in Sudan.Antibiotics (Basel, Switzerland) · 2022Article
- Heart surgery by the locals in resource-limited settings: The experience from Ethiopia.JTCVS open · 2022Article
- The Global Impact of Rheumatic Heart Disease.Current cardiology reports · 2021Review
- The Global Burden of Rheumatic Heart Disease: Population-Related Differences (It is Not All the Same!).Brazilian journal of cardiovascular surgery · 2020Article
- Challenges in addressing the knowledge gap on endomyocardial fibrosis through community-based studies.Cardiovascular diagnosis and therapy · 2020Review
- A glimpse of hope: cardiac surgery in low- and middle-income countries (LMICs).Cardiovascular diagnosis and therapy · 2020Review
- Determinants of Selected Cardiovascular Diseases among Adult Patients at Cardiac Clinic of Debre Berhan Referral Hospital, Ethiopia: Unmatched Case-Control Study.Cardiovascular therapeutics · 2020Article
- Endomyocardial Fibrosis: an Update After 70 Years.Current cardiology reports · 2019Review
- Late mortality after cardiac interventions over 10-year period in two Cameroonian government-owned hospitals.Cardiovascular diagnosis and therapy · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew 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.
methodsIt 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.
resultsThere 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 atrio-ventricular 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).
conclusionsOHS 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.
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