Cardiac surgery publications in Africa over the last 20 years: A literature review

Lin, Yihan; Till, Brian M.; Yi, Sojung; Dahm, James; Taylor, Kristin; Lu, Nguyen; Zilla, Peter; Bolman, R. Morton

doi:10.17159/sajs.2020/6359

Cited by 2 publications

(2 citation statements)

References 29 publications

(29 reference statements)

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“…Valve-sparing surgery in TAAD patients might be time-consuming in less experienced hands, increasing the operative risk, whereas satisfactory results could be obtained in complex aortic lesions in centers providing multidisciplinary or hybrid interventions [ 12 - 14 ]. In regions with limited cardiovascular institutions, such as developing countries, the management of patients with TAAD is challenging as there is still a poor clinical interest in this “neglected” disease, as reflected by the paucity of scientific reports [ 15 ]. Despite the fact that the risk factors for aortic diseases such as endemic infections [ 16 , 17 ], and the world´s highest prevalence of hypertension (33%-60%) [ 11 - 13 , 18 - 20 ] have been reported in SSA populations, few studies on aortic aneurysm incidence and therapeutic management have been conducted [ 21 - 23 ].…”

Section: Discussionmentioning

confidence: 99%

Composite aortic root replacement in African patients with type A aortic dissection: report of 12 cases

Mvondo¹,

Ngo²,

Kengni³

et al. 2023

Pan Afr Med J

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Type A aortic dissection (TAAD) is associated with high mortality in the absence of appropriate surgical therapy. The involvement of the aortic root by the intimal tear and the presence of severe aortic insufficiency will require a more radical approach with composite root replacement (CRR) in most of the patients. We briefly report our surgical experience following CRR in 12 patients presenting with TAAD in our department. Between November 2009 and January 2022, a total of twelve (n=12) patients diagnosed with TAAD were operated in our institution. Clinical data and surgical outcomes were retrospectively reviewed. The mean age at admission was 51.1 ± 12.43 years (range: 34-72). One patient met the criteria for Marfan´s disease (1/12, 8.3%). The operative mortality was 16.66% (2/12). Composite root replacement with a mechanical valved conduit was performed in the majority (11/12, 91.66%;) whereas a separated supracoronary graft replacement and aortic valve replacement were performed in one patient. Concomitant aortic arch surgery (hemi or total) was done in 9/12 patients (75%). The commonest postoperative complications were: chest re-exploration for bleeding in 2/12 (16.66%), transitory cerebral ischemia in 1/12 (8.33%) and low cardiac output syndrome in 2/12 (16.66%). The mean length of stay in the Intensive Care Unit (ICU) was 4.8±3.8 days (range: 2-17). Delayed referral of patients with TAAD was observed in the majority of patients as they were operated in the subacute or chronic phase. Composite root replacement in these patients is associated with acceptable outcomes despite complex anatomic-pathological lesions.

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Section: Discussionmentioning

confidence: 99%

Composite aortic root replacement in African patients with type A aortic dissection: report of 12 cases

Mvondo¹,

Ngo²,

Kengni³

et al. 2023

Pan Afr Med J

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“…We will then focus on the history and roles of international medical and surgical societies, as well as global health agencies, in addressing the burden of RHD. Finally, and in the context of multisectoral collaboration, we will comment on the need and role of research and the lack of a robust, cardiac surgical registry for RHD patients ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Societies of Futures Past: Examining the History and Potential of International Society Collaborations in Addressing the Burden of Rheumatic Heart Disease in the Developing World

Enumah¹,

Boateng²,

Bolman³

et al. 2021

Front. Cardiovasc. Med.

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This paper explores the role and place of national, regional, and international society collaborations in addressing the major global burden of rheumatic heart disease (RHD). On the same order of HIV, RHD affects over 40 million people worldwide. In this article, we will outline the background and current therapeutic landscape for cardiac surgery in low- and middle-income countries (LMICs) including the resource-constrained settings within which RHD surgery often occurs. This creates numerous challenges to delivering adequate surgical care and post-operative management for RHD patients, and thus provides some context for a growing movement for and applicability of structural heart approaches, innovative valve replacement technologies, and minimally invasive techniques in this setting. Intertwined and building from this context will be the remainder of the paper which elaborates how national, regional, and international societies have collaborated to address rheumatic heart disease in the past (e.g., Drakensberg Declaration, World Heart Federation Working Group on RHD) with a focus on primary and secondary prevention. We then provide the recent history and context of the growing movement for how surgery has become front and center in the discussion of addressing RHD through the passing of the Cape Town Declaration.

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Cardiac surgery publications in Africa over the last 20 years: A literature review

Cited by 2 publications

References 29 publications

Composite aortic root replacement in African patients with type A aortic dissection: report of 12 cases

Composite aortic root replacement in African patients with type A aortic dissection: report of 12 cases

Societies of Futures Past: Examining the History and Potential of International Society Collaborations in Addressing the Burden of Rheumatic Heart Disease in the Developing World

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