Article in Press
Objectives: Bi-ventricular congenital heart disease with pulmonary hypertension may not be operable. Although there are several clinical features that suggest operability, the definitive method to determine operability is to measure the pulmonary vascular resistance index (PVRI). ‘Cut-offs’ for operability, reported in the literature, range from 5 to 10.3 Wood Units per m2 (WU.m2). The object of our study was to determine...
Article in Press
Background: Sore throat is a discomfort, itching, quiet voice, or irritation of the throat that frequently gets worse when swallows. Up to 62 percent of patients worldwide experience postoperative sore throat after general anesthesia. Postoperative sore throats reduce patient satisfaction, and it can also increase the demand for adjuvant pain medication in the post- anesthesia care unit to minimize postoperative sore...
Medical and surgical management of tracheal pathologies in Senegal
Article in Press
Objectives: The objectives of this work were to report cases of tracheal pathologies at the Fann National University Hospital Center in Dakar, to specify the therapeutic aspects and to compare different observations with data from the literature. Methods: This is a single-center, descriptive study that focused on 12 patients during a period from January 2015 to March 2024. The descriptive study was conducted by...
Late diagnosed acquire tracheoesophageal fistula in adult treated by surgery. Case report
Article in Press
Tracheoesophageal fistula is an abnormal communication between the trachea and the oesophagus. It can be congenital or acquired. In the adults’ patients, acquired causes are more common than congenital. And then malignant fistulas are more common than benign ones. Tracheoesophageal fistulas are often the complication of a tracheotomy, of prolonged endotracheal intubation, especially when there is a nasogastric feeding...
Article in Press
Objectives: Mitral valve repair (MVr), in pediatric patients with rheumatic heart disease, is now considered to be the optimal solution for severe mitral regurgitation. The rational is that MVr is thought to be as durable as mechanical valve replacement (MVR) and associated with better long-term survival and less long-term morbidity. The objective of the current meta -analysis was to examine the literature for evidence to...
Risk factors contributing to failure to receive optimal care in pediatric congenital heart disease
Article in Press
Objectives: The ‘Management Pathway’ (MP) for congenital heart disease (CHD) is comprised of diagnostic, treatment and follow-up phases. Potential risk factors for failure to receive optimal care (OC) include a lower level of parent/guardian education/income, and poor access to healthcare facilities. The objective of the current study was to identify risk factors for failure to revive OC in paediatric patients with CHD....
Current statutes of the paediatric congenital heart disease Management Pathway in Kenya
Article in Press
Objectives: The ‘Management Pathway’ (MP) is a pragmatic way to think about the management of children with congenital heart disease (CHD). It consists of three phases: diagnosis, treatment and follow-up. Sixteen years ago, the MP in a public hospital in Kenya was assessed, all phases of the MP were found to be inadequate. The objective of the current study was to assess the current status of the CHD MP in the same public...
Article in Press
Objectives: To determine if the Blalock-Taussig-Thomas shunt (BTTS) causes sufficient growth of hypoplastic branch pulmonary arteries (BPAs) to facilitate total correction or definitive palliation of cardiac lesions. Methods: PUBMED (PM) and Google Scholar (GS) were systematically searched between January 1st 1966 and March 31st 2023. Search terms included: Blalock, Taussig, shunt, pulmonary artery and Tetralogy of...
Article in Press
Background: cardiac surgery performance by local team in Burkina Faso was started in 2019. The first procedure was surgical division of patent ductus arteriosus (PDA). In this study, the authors report the outcomes of the first 23 surgical therapies of PDA that have been performed at the university hospital of Tengandogo (UHT). Materials and methods: it consisted of retrospective and descriptive study at the UHT from...
Article in Press
The medication treatment case of late infective endocarditis, complicated by cerebrum vegetation, is presented. Surgery is the only solution at aortic valve prosthetic endocarditis, but only in cases, when there is no concurrent serious neurologic deficit of cerebrum structures, which makes it impossible to use artificial blood flow. Adequately chosen long term antibacterial therapy in combination with fungicide therapy...
Article in Press
Objectives: Major socioeconomic disparities persist in the management and outcomes of peripheral artery disease (PAD) globally. Allostatic load, which is described as a measure of physiologic adaptation to socio-environmental stress, has been reported to partially explain higher mortality rates in US Blacks. However, it is not clear if allostatic load is associated with PAD severity. Methods: The National Health and...
Article in Press
Background: Anaesthetic modalities for arteriovenous fistula (AVF) creation include general (GA), local (LA) and regional anaesthesia (RA). Ultrasound guided regional anaesthesia (USRA) proved to have more benefits in AVF creation than the other two. We undertook a study at the Douala General Hospital to assess these benefits over GA and RA. Objective: We aimed to highlight the contribution of USRA in upper limb AVF...
Direct appraoch in false Traumatic Aneurysm of the Left Radial Artery in a Teenager
Article in Press
A 17-year-old man sustained a minor penetrating injury to his left foreman, resulting in false aneurysm formation. It is a generally rare unrecognized pathology. Complications are serious (embolism and thromboses of interdigital arteries). The diagnosis is based on the presence of a pulsatile mass, with finger dysesthesia. It is confirmed by duplex Doppler. Surgical treatment was resection of aneurysm hull completed by...
Surgery of cardiac myxoma in sub saharan patients
Article in Press
Objectives : Myxomas are the most common form of benign cardiac tumors. We present here a successful surgical treatment of congolese patients operate in Morocco. The aim of this study was to present successful south-south medical cooperation. Patients and methods: It’s a retrospective study, between June 2011 and December 2019, congolese patients with cardiac myxomas were operated in International University Hospital...
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