@article{JXYM4135,
author = {Félicité Kamdem and William Ngatchou and Ba Hamadou and Alexia Mboulley and Henry Luma and Marie Solange Doualla and Daniel Lemogoum and Olivier Germay and Jean Luc Jansens and Pierre Origer and Jacques Berre and Philippe Dehon and Maimouna Bol Alima and Anastase Dzudie and Henry Ngote and Yves Monkam and Sidiki Mouliom and Romuald Hentchoua and Albert Kana and Aminata Coulibaly and Eugène Belley Priso and Samuel Kingue},
title = {Cardiac surgery in sub-Saharan Africa: a report of 3-year experience at the Douala General Hospital},
journal = {Journal of Xiangya Medicine},
volume = {2},
number = {9},
year = {2017},
keywords = {},
abstract = {Background: Cardiac surgery was started at the Douala General Hospital since 2012 as a result of a North-South collaboration between Cameroon and Belgium. Five cardiac surgery missions have been carried out since then. This work aimed at assessing three years of this initial experience.
Methods: We carried out a cross-sectional descriptive study between November 2012 and March 2016. We reviewed the case records of all patients with heart disease, and with an indication for surgery.
Results: A total of 45 patients with heart diseases who had an indication for surgery were retained for this study. There were 23 women and 22 men. Of these, 27 patients benefited from surgical intervention. Their mean age was 41±18 years (range, 14 to 85 years). The most common physical sign was heart murmur in 29 (64.4%) patients. Valvular Heart diseases were the most frequent in 32 (71.1%) patients, which were predominantly rheumatic heart diseases (RHD) in 25 (55.6%) patients. The most frequent surgical procedures were valve replacement with prosthesis, followed by repairs of congenital abnormalities. Mechanical prosthesis were mostly used (8/12 cases). Short-term intra-hospital mortality was 7.4%. The main cause of death was acute ventricular failure.
Conclusions: The pilot phase of the cardiac surgery program at the General Hospital of Douala (DGH) was successful. Patients could be operated at a lower cost locally. Efforts must be made for the creation of an autonomous local team.},
issn = {2519-9390}, url = {https://jxym.amegroups.org/article/view/4135}
}