@article{10.11648/j.ijcts.20180405.11,
  author = {Abdel-Kémal Bori Bata and Amadou Gabriel Ciss and Baba Ibrahima Diarra and Momar Sokhna Diop and Papa Salmane Ba and Pape Amath Diagne and Ndeye Fatou Sow and Magaye Gaye and Souleyman Diatta and Mohamed Leye and Etienne Birame Sene and Papa Adama Dieng and Assane Ndiaye and Mouhamadou Ndiaye},
  title = {First Case of Deep Hypothermic Circulatory Arrest in Senegal (West Africa): Congenital Heart Disease Management},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {4},
  number = {5},
  pages = {39-42},
  doi = {10.11648/j.ijcts.20180405.11},
  url = {https://doi.org/10.11648/j.ijcts.20180405.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20180405.11},
  abstract = {Background: Deep hypothermic circulatory arrest (DHCA) is an extracorporeal circulation (EC) technique used to correct complex congenital cardiac lesions. This technique ensures excellent operating conditions while reducing consequences of organ ischaemia, particularly of the brain. Griepp was the first to demonstrate in 1975, that the technique offered a practical and safe approach for aortic arch surgery. Case Report: Authors aim at reporting the practical conduct of DHCA’s first case performed in Dakar (Senegal) on a 30- month-old patient diagnosed with supracardiac total anomalous pulmonary venous connection (TAPVC). The cooling had started 8 minutes after CPB was initiated and continued while the surgeon dissected the pulmonary veins, the collector, and the innominate vein. After the establishment and the starting up of the cardiopulmonary bypass, circulatory arrest was performed at 18°C with 32 minutes of arrest time. The anastomosis between collector and posterior of the left atrium was achieved during a circulatory arrest. In the immediate postoperative period, patient showed episodes of hypothermia and biological bleeding. During her hospitalization, the patient developed a lung infection and PAH crisis, kept under control with antibiotic, diuretics, oxygen and sildenafil. Neurological, kidney, metabolic or ionic complications have not been observed. The patient stayed at the hospital for 32 days. Conclusion: DHCA technique is a common practice in developed countries. However, it can also be carried out in West Africa as evidenced by this clinical case. This prowess testifies a strengthening of our skills in EC technique; and also, the possibility of correcting complex congenital cardiac lesions.},
 year = {2019}
}

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TY  - JOUR
T1  - First Case of Deep Hypothermic Circulatory Arrest in Senegal (West Africa): Congenital Heart Disease Management
AU  - Abdel-Kémal Bori Bata
AU  - Amadou Gabriel Ciss
AU  - Baba Ibrahima Diarra
AU  - Momar Sokhna Diop
AU  - Papa Salmane Ba
AU  - Pape Amath Diagne
AU  - Ndeye Fatou Sow
AU  - Magaye Gaye
AU  - Souleyman Diatta
AU  - Mohamed Leye
AU  - Etienne Birame Sene
AU  - Papa Adama Dieng
AU  - Assane Ndiaye
AU  - Mouhamadou Ndiaye
Y1  - 2019/01/29
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcts.20180405.11
DO  - 10.11648/j.ijcts.20180405.11
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  - 39
EP  - 42
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20180405.11
AB  - Background: Deep hypothermic circulatory arrest (DHCA) is an extracorporeal circulation (EC) technique used to correct complex congenital cardiac lesions. This technique ensures excellent operating conditions while reducing consequences of organ ischaemia, particularly of the brain. Griepp was the first to demonstrate in 1975, that the technique offered a practical and safe approach for aortic arch surgery. Case Report: Authors aim at reporting the practical conduct of DHCA’s first case performed in Dakar (Senegal) on a 30- month-old patient diagnosed with supracardiac total anomalous pulmonary venous connection (TAPVC). The cooling had started 8 minutes after CPB was initiated and continued while the surgeon dissected the pulmonary veins, the collector, and the innominate vein. After the establishment and the starting up of the cardiopulmonary bypass, circulatory arrest was performed at 18°C with 32 minutes of arrest time. The anastomosis between collector and posterior of the left atrium was achieved during a circulatory arrest. In the immediate postoperative period, patient showed episodes of hypothermia and biological bleeding. During her hospitalization, the patient developed a lung infection and PAH crisis, kept under control with antibiotic, diuretics, oxygen and sildenafil. Neurological, kidney, metabolic or ionic complications have not been observed. The patient stayed at the hospital for 32 days. Conclusion: DHCA technique is a common practice in developed countries. However, it can also be carried out in West Africa as evidenced by this clinical case. This prowess testifies a strengthening of our skills in EC technique; and also, the possibility of correcting complex congenital cardiac lesions.
VL  - 4
IS  - 5
ER  - 

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