Volume 2, Issue 1, March 2018, Page: 15-18
Mitral Valve Replacement in Senegal (West Africa): Indication and Short-Term Outcomes
Abdel-Kémal Bori Bata, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Amadou Gabriel Ciss, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Momar Sokhna Diop, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Papa Salmane Ba, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Diagne Papa Amath, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Ndeye Fatou Sow, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Gaye Magaye, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Souleyman Diatta, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Mohamed Leye, Department of Cardiology FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Etienne Birame Sene, Department of Anesthesiology FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Papa Adama Dieng, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Salimata Diallo, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Assane Ndiaye, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Mouhamadou Ndiaye, Department of Thoracic and Cardiovascular Surgery FANN University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Received: Dec. 12, 2017;       Accepted: Feb. 24, 2018;       Published: Apr. 10, 2018
DOI: 10.11648/j.ccr.20180201.14      View  1669      Downloads  100
Abstract
The West African countries have infrequent Cardiac Surgery Centers. Mitral valve replacement (MVR) from such countries raises important postoperative preoccupations. The aim of this study is to report indication and short-term outcomes of MVR at the Cardiac Surgery Center of the University Hospital in Dakar (Senegal). This is a retrospective analytical and descriptive study covering a period of 19 months (From January 2015 to July 2016). All patients with MVR associated or not with tricuspid valve repair were included in this study. Seventy-three (73) patients were eligible. The mean follow-up was 4.2 ± 4 months (range, 1-12). The mean age was 30.4 ± 13 years (range, 9–64). There were 74% of female patients, 53% were in New York Heart Association class III. Preoperative diagnoses were mitral stenosis (31.5%); mitral regurgitation (37%) and mixed mitral disease (31.5%). Crystalloid cardioplegia was performed in 92%, mean CPB time was 79 ± 21 min, mean cross clamp time was 58 ± 15.6 min. Mitral valve exposure was performed by left atriotomy (93%); 99% of mechanical prosthesis was performed. Tricuspid valve repair was performed concomitantly in 48% of patients. Overall Hospital mortality was 8%. Postoperative complications were low output syndrome (19%), pneumonia (12%), surgical wound infection (8%), Pleural effusion (7%). During follow-up, no valve-related morbidity and mortality was recorded. Mechanical valve replacement in Senegal has acceptable early outcomes in terms of morbi-mortality. Preoperative diagnoses were represented in equivalent proportions by mitral stenosis; mitral regurgitation and mixed mitral disease. Our complications were predominantly low output syndrome and pleura pulmonary disorders.
Keywords
Cardiac Surgery, Mitral Valve Replacement, West Africa, Outcomes
To cite this article
Abdel-Kémal Bori Bata, Amadou Gabriel Ciss, Momar Sokhna Diop, Papa Salmane Ba, Diagne Papa Amath, Ndeye Fatou Sow, Gaye Magaye, Souleyman Diatta, Mohamed Leye, Etienne Birame Sene, Papa Adama Dieng, Salimata Diallo, Assane Ndiaye, Mouhamadou Ndiaye, Mitral Valve Replacement in Senegal (West Africa): Indication and Short-Term Outcomes, Cardiology and Cardiovascular Research. Vol. 2, No. 1, 2018, pp. 15-18. doi: 10.11648/j.ccr.20180201.14
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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