Cardiac surgery in sub-Saharan Africa: a report of 3-year experience at the Douala General Hospital

Kamdem, Félicité; Ngatchou, William; Hamadou, Bâ; Mboulley, Alexia; Luma, Henry Namme; Doualla, Marie Solange; Lemogoum, Daniel; Germay, Olivier; Jansens, Jean-Luc; Origer, Pierre; Berré, Jacques; Dehon, Pierre-Jacques; Alima, Maimouna Bol; Dzudié, Anastase; Ngote, Henry; Monkam, Yves; Mouliom, Sidick; Hentchoua, Romuald; Kána, A; Coulibaly, Aminata; Priso, E Belley; Kingué, Samuel

doi:10.21037/jxym.2017.08.03

Cited by 2 publications

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“…L’aphérèse à elle seule permet de résoudre ces deux premières difficultés car en n’utilisant qu’un seul donneur, elle limite le risque de transmission d’infection avec en plus une capacité de production par patient plus importante [ 8 - 10 ]. A l’hôpital Général de Douala, la multiplication des traumatisés graves due au phénomène des motos taxis [ 15 , 16 ], le développement de la chirurgie cardiaque [ 17 ] et l’hémato-oncologie ont augmenté la demande en produits sanguins séparés [ 18 ]. Le système d’aphérèse utilisé dans le service de transfusion a été obtenu gracieusement du Service du Sang de la Croix Rouge de Belgique avec le soutien de la firme Terumo BCT.…”

Section: Discussionunclassified

Prélèvement de plaquettes pour la chirurgie cardiaque: première expérience d'aphérèse à l'Hôpital Général de Douala

Ngatchou¹,

Dreezen²,

Kamdem³

et al. 2018

Pan Afr Med J

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La chirurgie cardiaque sous circulation extracorporelle (CEC) est régulièrement associée à la perte d’une quantité importante de sang. Une bonne anticipation de ces pertes sanguines et une bonne hémostase peropératoire sont reconnues comme moyens permettant de limiter ces saignements post opératoires. Jusqu’à ce jour, la compensation des besoins en plaquettes des patients opérés sous CEC dans notre service se faisait par transfusion de sang total ou de concentrés plaquettaires prélevés à partir de plusieurs donneurs. Nous rapportons la première expérience de prélèvement de concentrés plaquettaires par la technique d’aphérèse à l’Hôpital Général de Douala.

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Section: Discussionunclassified

Prélèvement de plaquettes pour la chirurgie cardiaque: première expérience d'aphérèse à l'Hôpital Général de Douala

Ngatchou¹,

Dreezen²,

Kamdem³

et al. 2018

Pan Afr Med J

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“…This can be explained by the presence of coronary heart disease (CHD) and valvular heart disease in our cohort (6)(7)(8)(9). Valvular heart disease remains common among Cameroonians, mainly as a complication of rheumatic valvular heart disease (10)(11)(12). The patients presented late, when the valvular destruction is severe making any reparation quite impossible (7).…”

Section: Socio-demographics and Clinical Characteristicsmentioning

confidence: 99%

“…Cardiac surgery started in Cameroon since 1985, and most public hospitals still rely on humanitarian missions (10)(11)(12). The short-term mortality rates were respectively 3.6% (10), 9% (11), and 7.4% (12). Data on the late mortality are scarce in our setting.…”

Section: Introductionmentioning

confidence: 98%

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Late mortality after cardiac interventions over 10-year period in two Cameroonian government-owned hospitals

Ngatchou

Kamdem

Lemogoum

et al. 2019

Cardiovasc. Diagn. Ther

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Background: Cardiac surgery is a growing activity in Sub-Saharan Africa, however, data related to longterm mortality are scarce. We aimed to analyze outcome data of cardiac interventions in two hospitals in Cameroon over 10 years' period. Methods: we conducted a retrospective analytical and descriptive study at the Douala General Hospital and Yaoundé General Hospital. All patients operated between January 2007 and December 2017, or their families were contacted by phone between January and April 2018 for a free of charges medical examination. Results: Of a total of 98 patients operated during the study period, 8 (8.2%) were lost to follow-up. Finally, 90 patients [49 (54.4%) women and 41 (45.6%)] men were included. The mean age was 49±22 years (range, 13-89 years). The surgical indications were valvular heart diseases in 37 (41.1%) cases, congenital heart diseases in 11 (12.2%) cases, chronic constrictive pericarditis in 4 (4.4%) cases, and intra cardiac tumor in 1 (1.1%) case. Valve replacement was the most common type of surgery carried out in 37 (41.1%) cases-mostly with mechanical prosthesis. Pacemaker-mostly dual-chambers were implanted in 36 (40.0%) patients. The median follow-up was 26 months. The overall late mortality was 5.7%, and the overall survival rates at 5 and 10 years were 95.5% and 94.4% respectively. The overall survival rates at 5 and 10 years for mechanical valve prosthesis were 93.3% and 90% respectively. The survival at 10 years was 100% for patients with bioprosthesis. The survival rates at 10 years were 94.1% and 100% respectively for dual and single chamber pacemaker. Conclusions: Long-term outcome of cardiac surgery in hospitals in Cameroon are acceptable with low mortality rate. However, outcome metrics beyond mortality should be implemented for a prospective data collection.

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Cardiac surgery in sub-Saharan Africa: a report of 3-year experience at the Douala General Hospital

Cited by 2 publications

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Prélèvement de plaquettes pour la chirurgie cardiaque: première expérience d'aphérèse à l'Hôpital Général de Douala

Prélèvement de plaquettes pour la chirurgie cardiaque: première expérience d'aphérèse à l'Hôpital Général de Douala

Late mortality after cardiac interventions over 10-year period in two Cameroonian government-owned hospitals

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