Résultats du pontage coronaire en cas de dysfonction ventriculaire gauche (comparaison du cœur battant et de la CEC)

Houssa, Mahdi Ait; Moutakiallah, Younes; Abdou, Abdessamad; Selkane, C.; Amahzoune, Brahim; Drissi, M.; Raissouni, Maha; Bekkali, Youssef El; Azendour, H.; Boulahya, A.

doi:10.1016/j.ancard.2012.09.017

Cited by 2 publications

(15 citation statements)

References 33 publications

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“…Dyspnoea was found in 40% of patients, a value close to that of the series by Hamza Tobi [7] where 38.3% of patients had NYHA stage III-IV dyspnoea and that of M. Ait Houssa [5] where 33% of patients had stage 3 dyspnoea; but higher than that of Thomas Cautres [6] where only 6% of patients had NYHA stage 3 or 4 dyspnoea. Only one patient had stage IIb chronic peripheral arterial occlusive disease of the lower limbs (10%), whereas M. Ait Houssa [5], Hamza Tobi [7] and Thomas Cautres [6] found a higher rate of 44.6%, 21.3% and 44% respectively. Preoperative ECGs showed an RSR pattern in 90% of cases, like the study by Hamza Tobi [7] with 89.4% of cases.…”

Section: Discussionsupporting

confidence: 80%

“…These longer delays compared with the pattern seen with western series are linked to a lack of public awareness, a delay in consultation, especially for patients with atypical pain, a lack of diagnostic resources and the high cost of surgery. Pain is the main symptom of coronary artery disease, and was found in 80% of our patients, who had at least stage 2 angina, in contrast to the series by Hamza Tobi [7] 8.5% and that by M. Ait Houssa [5] 34%.…”

Section: Discussioncontrasting

confidence: 75%

“…In our series, the mean age of our patients was 62.10 years, like most series in the literature: Mboup et al [4] 65.8 years, M. Ait Houssa et al [5] 57.8 years, Thomas Cautres [6] and Hamza Tobi [7] with 67 and 64.57 years respectively. In our study, 80% of patients were male, i.e.…”

Section: Discussionsupporting

confidence: 69%

“…In our series, 70% of patients had at least 2 cardiovascular risk factors compared to an average of 1 risk factor in patients with ischaemic heart disease in Africa [8]. These results are like those of M. Ait Houssa [5], with at least 2.14 ± 1 cardiovascular risk factors. Hypertension was found in half of the patients operated on.…”

Section: Discussionsupporting

confidence: 68%

“…The average time until surgery was 4 months, with a maximum delay of 14 months, like the study by M. Ait Houssa [5], in which 55.8% of patients were operated on before 3 months. These longer delays compared with the pattern seen with western series are linked to a lack of public awareness, a delay in consultation, especially for patients with atypical pain, a lack of diagnostic resources and the high cost of surgery.…”

Section: Discussionmentioning

confidence: 64%

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Results of the First 10 Cases of Coronary Bypass Surgery in Senegal

Diagne,

Dione,

et al. 2024

WJCS

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This is a review of the first 10 coronary artery bypass surgeries performed by the local team. The mean age was 62 years old [45 -74]. The patients were predominantly male, with a M/F ratio of 4:1. Cardiovascular risk factors were mainly myocardial infarction (MI) (60%), hypertension (50%), obesity (40%) and diabetes (30%), with at least two risk factors per patient. Angina was the main symptom (80%). The average time from presentation to surgery was 8 months. The mean Euroscore 2 was 2.92 ± 1. 65 [1.33 -6.60]. Coronary angiography revealed an average of 2 lesions per patient, with 3-vessel involvement in 70% of cases: the Interventricular artery (IVA) (100%), the right coronary artery (90%) and the circumflex artery (70%). On echocardiography, the mean Left ventricular ejection fraction (LVEF) was 59% [33% -76%]. All patients underwent median sternotomy with bypass grafting. The average duration of the cardiopulmonary bypass was 150 min [46 -275 min]; that of aortic clamping, 120 min [43 -232 min]. The grafts used were internal thoracic artery (ITA) in 100% of cases (80% on the left and 20% on the right), and the great saphenous vein (GSV) in 60% of cases (50% on the left and 10 on the right). Double bypass was performed in 60% of cases, single bypass in 30% and triple bypass in 10%. The bypasses were performed on the IVA (100%), the middle lateral of the circumflex (30%) and the bisector (20%). The average time to extubation was 11 hours and the length of stay in the intensive care unit was 7 days [03 -17 days]. One patient had a reoperation on Day 0 post-op. The average hospital stay was 13 days [06 -27 days]. Complications occurred in nine of the patients (90%), with a predominance of infectious and neurological complications. Overall operative mortality was 3%, all in intensive care.

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Section: Discussionsupporting

confidence: 80%

Section: Discussioncontrasting

confidence: 75%

Section: Discussionsupporting

confidence: 69%

Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 64%

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Results of the First 10 Cases of Coronary Bypass Surgery in Senegal

Diagne,

Dione,

et al. 2024

WJCS

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Short-term clinical outcomes after off-pump coronary artery bypass grafting at a single Veterans Affairs Medical Center

Lushaj

Schreiner

Jonuzi

et al. 2016

J Cardiothorac Surg

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BackgroundWe retrospectively assessed the outcomes after coronary revascularization at a single Veterans Affairs Medical Center when a strategy of assigning higher risk patients to off-pump coronary artery bypass grafting (CABG) was employed.MethodsOver a 5 year period all consecutive patients that underwent CABG at our VA Medical Center were assigned to a surgeon who either performs the CABG exclusively off-pump or to one who performed the CABG on-pump. The higher risk patients were assigned preferentially for off-pump revascularization. VASQIP (VA Hospitals Surgical Quality Improvement Program) data between 10/2007 and 12/2012 were retrospectively reviewed at our VA Medical Center and the short term outcomes were assessed.ResultsA total of 252 consecutive patients underwent off-pump CABG (n = 170) and on-pump CABG (n = 82). There were significantly more patients with low LVEF (<45 %; p = 0.008) and cerebrovascular disease in the off-pump group (p = 0.024). The number of patients smoking at the time of surgery was significantly higher in the off-pump group (p = 0.002) as well. The 30-day composite morbidity and mortality was 6 % for all CABG patients and significantly lower with off-pump vs. on-pump CABG (3.5 % vs. 11 %; p = 0.019). There were no conversions from off-pump to on-pump surgery.ConclusionsA selective strategy to direct higher risk patients towards an off-pump revascularization yielded favorable outcomes in an unselected veteran population treated at a single VA Medical Center over a 5 year period.

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Résultats du pontage coronaire en cas de dysfonction ventriculaire gauche (comparaison du cœur battant et de la CEC)

Cited by 2 publications

References 33 publications

Results of the First 10 Cases of Coronary Bypass Surgery in Senegal

Results of the First 10 Cases of Coronary Bypass Surgery in Senegal

Short-term clinical outcomes after off-pump coronary artery bypass grafting at a single Veterans Affairs Medical Center

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