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...
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...
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...
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...
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...
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...
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...
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...
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...
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....
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...
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...
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...
Global expansion of Cardiothoracic Surgery. The african challenge
January 2005
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...
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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