Surgical Myocardial Revascularization in a Sub-Saharan African Country: Indications and Results

作     者：Kouassi Antonin Souaga Gnamien Randolph Niava Eric Koutoua Katché Kwadjau Anderson Amani Yoboua Aimé Kirioua-Kamenan Jean Calaire Degré Arnau Ekou Aka Roland N’guetta Joseph Kouamé Landry Kohou-Koné Yapo Paul Yapo Kouassi Flavien Kendja Kouassi Michel Kangah Kouassi Antonin Souaga;Gnamien Randolph Niava;Eric Koutoua Katché;Kwadjau Anderson Amani;Yoboua Aimé Kirioua-Kamenan;Jean Calaire Degré;Arnau Ekou;Aka Roland N’guetta;Joseph Kouamé;Landry Kohou-Koné;Yapo Paul Yapo;Kouassi Flavien Kendja;Kouassi Michel Kangah

作者机构：Cardiovascular Surgery Department of the Abidjan Heart Institute Abidjan Côte d’Ivoire Hemodynamics Department of the Abidjan Heart Institute Abidjan Côte d’Ivoire Anesthesia and Intensive Care Department of the Abidjan Heart Institute Abidjan Côte d’Ivoire 

出 版 物：《World Journal of Cardiovascular Surgery》 (心血管外科国际期刊（英文）)

年 卷 期：2021年第11卷第11期

页      面：95-103页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Myocardial Revascularization Coronary Surgery Bypass 

摘      要：Introduction: Despite the advances of interventional catheterization, surgery remains the treatment of choice for some coronary lesions. Objective: To report the indications and results of surgical revascularization of the myocardium at the Abidjan Heart Institute. Patient and Methods: This is a retrospective study of patients with coronary insufficiency who underwent surgical myocardial revascularization between March 2014 and May 2020 in the Cardiovascular Surgery Department of the Abidjan Heart Institute. There were 17 patients, 11 of whom were men (64.7%) and 6 women (35.3%), The mean age of the patients was 57.5 years ± 8.8. All patients were symptomatic with disabling angina in class III of the Canadian Cardiac Society (CCS). This sym- ptomatology had been evolving on average for 5 years and 6 patients had a history of acute coronary syndrome, 2 of whom had undergone prior angioplasty. Coronary angiography revealed mono-truncated (17.6%), bi-truncated (23.5%) and tri-truncated (58.8%) lesions. Results: The patients were operated under cardiopulmonary bypass(CPB)15cases (88.2%) and off pump in 2 cases (11.8%). They underwent a single bypass in 23.5% of cases, a double bypass in 47.1% of cases and a triple bypass in 29.4% of cases. We observed 3 cases of complications (17.6%), namely transient acute renal failure, mediastinitis and postoperative bleeding. The operative and hospital mortality was nil. After a mean follow-up of 3 ± 1.8 years, all patients were