International Journal of Cardiovascular and Thoracic Surgery

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Morbidity and Mortality of Pediatric Cardiac Surgery: About 84 Cases Operated at the Cardio-Pediatric Center Cuomo: Retrospective Study over 9 Months

Received: 03 February 2020    Accepted: 24 February 2020    Published: 02 March 2020
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Abstract

The general objective of this study was to evaluate the results of pediatric cardiac surgery over 9 months at the Cuomo cardio-pediatric center in Fann, Senegal. The specific objective was to assess morbidity and mortality over the same period after heart surgery in children. Our study focuses on 84 children with congenital or acquired heart disease. This is a retrospective single-center study that took place over a period of 9 months in 2017. An Excel sheet has been prepared to collect antecedents, clinical signs, paraclinical signs, as well as the operative protocol and the postoperative follow-up of the patients. A statistical analysis of the data was performed with the Stata software and the Excel spreadsheet. We found a male predominance with a sex ratio M/F of 1.1. We found dyspnea on 89.3% children and 94% had a heart murmur. The average of left ventricle ejection fraction (LVEF) was 66%. Congenital heart disease (58.3%) is represented by cyanogenic heart disease (15.5%), left-right shunts (33.3%) and obstructive malformations (9.5%). Acquired heart disease (41.7%) is represented by rheumatic heart disease (40.5%) and chronic constrictive pericarditis (1.2%). There was a complication in 46.4% of cases in intensive care and 4.8% of cases in hospital. Overall mortality was 2.4% with an operative mortality of 1.2% and a late mortality of 1.2%. Mitral disease was found only in the MORBIMORTALITY group (14.9% of cases) and this difference was significant (p=0.014). Among the procedures performed, there was more mitral surgery in the UNCOMPLICATED group (83.3% vs 30%). Whereas in the MORBIMORTALITY group there was more mitral valve replacement (70% vs 16.7%), this difference was significant (p=0.003). The average total length of hospital stay was 19 days. The length of stay in intensive care unit was longer in the MORBIMORTALITY group (5 vs 3 days, p=0.0027) and the duration of hospitalization (18 vs 11 days, p=0, 0004). At 3 months postoperative clinical improvement was noted in 85.7% of patients and there was no mortality. Surgery improves the quality of life for children who have congenital and acquired heart disease. This surgery is practicable in Senegal with satisfactory results. A better knowledge of the characteristics of patients with a complication or deceased can allow a better management in our center.

DOI 10.11648/j.ijcts.20200601.12
Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 6, Issue 1, January 2020)
Page(s) 7-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Congenital Heart Disease, Rheumatic Heart Disease, Heart Surgery, Morbidity, Mortality

References
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[3] Toure IA, Gaultter Y, Wafid. Incidence des cardiopathies congénitales au NIGER à propos de 123 cas, Cardiologie tropicale 1995, vol 21, N°81-7p.
[4] Martínez Olorón P, Ibarra C, Aguilarc V. Incidence of Congenital Heart Disease in Navarra, Spain (1989-1998). Rev Esp Cardiol. 2005, 58 (12): 1428-34.
[5] S. A. Beye, G. Ciss, O. Diarra, L. Fall, M. Ndiaye, G. Ciss, PA Dieng, P. S Ba, O. Kane, IB Diop, M. Ndiaye. Anesthésie – réanimation dans la cure complète des cardiopathies congénitales au Sénégal au CHNU de Fann. Ann. Afr. Chir. Thor. Cardiovasc. 2010; 5 (1): 29-33.
[6] Ab M’pemba. L, Johnson E. A, N’zingoula S. Les cardiopathies congénitales observées dans le service de pédiatrie "Grands enfants" du CHU de Brazzaville, à propos de 73 cas: aspects épidémiologiques. Médecine d'Afrique Noire, N° 5203 - Mars 2005: 173-177.
[7] Diop IB.; Ndiaye M.; Ba SA et al. La chirurgie des cardiopathies congénitales au Sénégal: indication, évaluation et perspectives. Dakar Med 1996; 41 (2): 85-90.
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[15] M. Ferratini et al. Valvulopathies in sub-Saharan African children: Patterns, humanitarian interventions and cardiac surgical problems. International Journal of Cardiology 165 (2013) 237–241.
[16] Mu Sani, Karaye KM, Borodo MM. Prevalence and pattern of rheumatic heart disease in the Nigerian savannah: an echocardiographic study. Cardiovasc J Afr 2007; 18: 295–9.
[17] Tantchou Tchoumi JC, Butera G. Rheumatic valvulopathies occurrence, pattern and follow-up in rural area: the experience of the Shisong Hospital, Cameroon. Bull Soc Pathol Exot 2009; 102: 155–8.
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Author Information
  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

  • Department of Thoracic and Cardio-Vascular Surgery, Fann Hospital, Dakar, Senegal; Cuomo Cardio-Pediatric Center in Fann, Dakar, Senegal

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    Diagne Papa Amath, Diop Momar Sokhna, Ba Papa Salmane, Ba Papa Ousmane, Ba El Hadj Boubacar, et al. (2020). Morbidity and Mortality of Pediatric Cardiac Surgery: About 84 Cases Operated at the Cardio-Pediatric Center Cuomo: Retrospective Study over 9 Months. International Journal of Cardiovascular and Thoracic Surgery, 6(1), 7-16. https://doi.org/10.11648/j.ijcts.20200601.12

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    ACS Style

    Diagne Papa Amath; Diop Momar Sokhna; Ba Papa Salmane; Ba Papa Ousmane; Ba El Hadj Boubacar, et al. Morbidity and Mortality of Pediatric Cardiac Surgery: About 84 Cases Operated at the Cardio-Pediatric Center Cuomo: Retrospective Study over 9 Months. Int. J. Cardiovasc. Thorac. Surg. 2020, 6(1), 7-16. doi: 10.11648/j.ijcts.20200601.12

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    AMA Style

    Diagne Papa Amath, Diop Momar Sokhna, Ba Papa Salmane, Ba Papa Ousmane, Ba El Hadj Boubacar, et al. Morbidity and Mortality of Pediatric Cardiac Surgery: About 84 Cases Operated at the Cardio-Pediatric Center Cuomo: Retrospective Study over 9 Months. Int J Cardiovasc Thorac Surg. 2020;6(1):7-16. doi: 10.11648/j.ijcts.20200601.12

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  • @article{10.11648/j.ijcts.20200601.12,
      author = {Diagne Papa Amath and Diop Momar Sokhna and Ba Papa Salmane and Ba Papa Ousmane and Ba El Hadj Boubacar and Sarr El Hadj Mbacké and Sene Etienne Biram and Leye Mohamed and Ciss Amadou Gabriel and Ndiaye Mouhamadou},
      title = {Morbidity and Mortality of Pediatric Cardiac Surgery: About 84 Cases Operated at the Cardio-Pediatric Center Cuomo: Retrospective Study over 9 Months},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {6},
      number = {1},
      pages = {7-16},
      doi = {10.11648/j.ijcts.20200601.12},
      url = {https://doi.org/10.11648/j.ijcts.20200601.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcts.20200601.12},
      abstract = {The general objective of this study was to evaluate the results of pediatric cardiac surgery over 9 months at the Cuomo cardio-pediatric center in Fann, Senegal. The specific objective was to assess morbidity and mortality over the same period after heart surgery in children. Our study focuses on 84 children with congenital or acquired heart disease. This is a retrospective single-center study that took place over a period of 9 months in 2017. An Excel sheet has been prepared to collect antecedents, clinical signs, paraclinical signs, as well as the operative protocol and the postoperative follow-up of the patients. A statistical analysis of the data was performed with the Stata software and the Excel spreadsheet. We found a male predominance with a sex ratio M/F of 1.1. We found dyspnea on 89.3% children and 94% had a heart murmur. The average of left ventricle ejection fraction (LVEF) was 66%. Congenital heart disease (58.3%) is represented by cyanogenic heart disease (15.5%), left-right shunts (33.3%) and obstructive malformations (9.5%). Acquired heart disease (41.7%) is represented by rheumatic heart disease (40.5%) and chronic constrictive pericarditis (1.2%). There was a complication in 46.4% of cases in intensive care and 4.8% of cases in hospital. Overall mortality was 2.4% with an operative mortality of 1.2% and a late mortality of 1.2%. Mitral disease was found only in the MORBIMORTALITY group (14.9% of cases) and this difference was significant (p=0.014). Among the procedures performed, there was more mitral surgery in the UNCOMPLICATED group (83.3% vs 30%). Whereas in the MORBIMORTALITY group there was more mitral valve replacement (70% vs 16.7%), this difference was significant (p=0.003). The average total length of hospital stay was 19 days. The length of stay in intensive care unit was longer in the MORBIMORTALITY group (5 vs 3 days, p=0.0027) and the duration of hospitalization (18 vs 11 days, p=0, 0004). At 3 months postoperative clinical improvement was noted in 85.7% of patients and there was no mortality. Surgery improves the quality of life for children who have congenital and acquired heart disease. This surgery is practicable in Senegal with satisfactory results. A better knowledge of the characteristics of patients with a complication or deceased can allow a better management in our center.},
     year = {2020}
    }
    

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    T1  - Morbidity and Mortality of Pediatric Cardiac Surgery: About 84 Cases Operated at the Cardio-Pediatric Center Cuomo: Retrospective Study over 9 Months
    AU  - Diagne Papa Amath
    AU  - Diop Momar Sokhna
    AU  - Ba Papa Salmane
    AU  - Ba Papa Ousmane
    AU  - Ba El Hadj Boubacar
    AU  - Sarr El Hadj Mbacké
    AU  - Sene Etienne Biram
    AU  - Leye Mohamed
    AU  - Ciss Amadou Gabriel
    AU  - Ndiaye Mouhamadou
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    DO  - 10.11648/j.ijcts.20200601.12
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 7
    EP  - 16
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20200601.12
    AB  - The general objective of this study was to evaluate the results of pediatric cardiac surgery over 9 months at the Cuomo cardio-pediatric center in Fann, Senegal. The specific objective was to assess morbidity and mortality over the same period after heart surgery in children. Our study focuses on 84 children with congenital or acquired heart disease. This is a retrospective single-center study that took place over a period of 9 months in 2017. An Excel sheet has been prepared to collect antecedents, clinical signs, paraclinical signs, as well as the operative protocol and the postoperative follow-up of the patients. A statistical analysis of the data was performed with the Stata software and the Excel spreadsheet. We found a male predominance with a sex ratio M/F of 1.1. We found dyspnea on 89.3% children and 94% had a heart murmur. The average of left ventricle ejection fraction (LVEF) was 66%. Congenital heart disease (58.3%) is represented by cyanogenic heart disease (15.5%), left-right shunts (33.3%) and obstructive malformations (9.5%). Acquired heart disease (41.7%) is represented by rheumatic heart disease (40.5%) and chronic constrictive pericarditis (1.2%). There was a complication in 46.4% of cases in intensive care and 4.8% of cases in hospital. Overall mortality was 2.4% with an operative mortality of 1.2% and a late mortality of 1.2%. Mitral disease was found only in the MORBIMORTALITY group (14.9% of cases) and this difference was significant (p=0.014). Among the procedures performed, there was more mitral surgery in the UNCOMPLICATED group (83.3% vs 30%). Whereas in the MORBIMORTALITY group there was more mitral valve replacement (70% vs 16.7%), this difference was significant (p=0.003). The average total length of hospital stay was 19 days. The length of stay in intensive care unit was longer in the MORBIMORTALITY group (5 vs 3 days, p=0.0027) and the duration of hospitalization (18 vs 11 days, p=0, 0004). At 3 months postoperative clinical improvement was noted in 85.7% of patients and there was no mortality. Surgery improves the quality of life for children who have congenital and acquired heart disease. This surgery is practicable in Senegal with satisfactory results. A better knowledge of the characteristics of patients with a complication or deceased can allow a better management in our center.
    VL  - 6
    IS  - 1
    ER  - 

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