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Early Prosthetic Valve Endocarditis with Mycobacterium Tuberculosis after Mitral Valve Replacement: A Case Report

World Journal of Cardiovascular Surgery 2024年第3期14卷 33-40页

作者： papa Amath Diagne Mory Camara papa Ousmane Ba Momar Sokhna Diop Moussa Samba Abdou Lahad Mbengue Jean Claude Ndiogou Dione Myriam Bizrane Marième Soda Mbaye Moussa Seck Diop Toudiani Malam Kaka papa Salmane Ba papa adama dieng Amadou Gabriel Ciss Assane Ndiaye Cardiovascular and Thoracic Surgery Department FANN National University Hospital Dakar Senegal

Background: Tuberculous endocarditis is a rare but serious complication of heart valve replacement surgery. We report the case of a 24-year-old patient, who presented with tuberculous endocarditis after mechanical mitral valve replacement, with a favorable clinical course following anti-tuberculosis treatment. Case Presentation: We report a 24-year-old male patient, admitted to the cardiac surgery department of the Fann Hospital (Dakar, Senegal), for the management of severe mixed (rheumatic and endocarditic) mitral insufficiency with associated tricuspid insufficiency. He had a history of recurrent angina and polyarthralgia in childhood, was hospitalized several times for refractory global cardiac decompensation, and for a suspected infective endocarditis a month before his admission. On admission, the clinical examination revealed signs suggestive of mitral and tricuspid insufficiency. Transthoracic echocardiography revealed severe post-endocarditic mitral insufficiency with A3 amputation, highly mobile 15 mm vegetations on the free edge of the large valve, moderate tricuspid insufficiency, and severe pulmonary artery hypertension. Mechanical mitral valve replacement and tricuspid valve annuloplasty using autologous pericardial strip were performed via median sternotomy. After ten days, the patient presented with global cardiac decompensation associated with a clinico-biological infectious syndrome, and tans-oesophageal echography revealed an abscess at the sinotubular junction, communicating with the aorta. A thoraco-abdomino-pelvic CT scan was done, which revealed a bilateral alveolar-interstitial syndrome with mediastinal lymphadenopathy. Anti-tuberculosis treatment with RHZE was initiated for 06 months. The clinical course was favorable. Conclusion: Tuberculous endocarditis in prostheses is a serious complication of heart valve replacement surgery, which may evolve favorably under medical treatment.

关键词： Tuberculous Endocarditis Prosthetic Valve Endocarditis Mycobacterium Tuberculosis

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Atrioventricular Septal Defect with Intact Interatrial Septum. Case Report

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World Journal of Cardiovascular Surgery 2020年第8期10卷 143-149页

作者： papa Salmane Ba Yacouba Tamboura Momar Sokhna Diop papa Amath Diagne Ndeye Fatou Sow papa adama dieng Amadou Gabriel Ciss Thoracic and Cardiovascular Surgery Departement CHU Fann Dakar Senegal

In atrioventricular septal defect (AVSD), anatomical lesions usually are an ostium primum atrio-septal defect;a common atrioventricular valve, an inlet ventricular septal defect (VSD). It is most often associated with major chromosomal abnormalities. It is the most common congenital disease in Down syndrome. Our case was an infant with a Down syndrome who was admitted for a dyspnea (stage 3 in New York Heart Association classification) and tachycardia. The diagnosis was made by a transthoracic echocardiography. It showed a rare variety of atrioventricular septal defect without an atrial septal defect. The child was treated successfully with one patch technic and no recurrence was noted.

关键词： AVSD VSD Dyspnea Transthoracic Echocardiography Patch

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Surgical Treatment of Tetralogy of Fallot with Pulmonary Valve Agenesis in a 22 Years Old Patient

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World Journal of Cardiovascular Surgery 2021年第4期11卷 29-36页

作者： papa Salmane Ba Kabulo Yannick Momar Sokhna Diop papa Amath Diagne Ndeye Fatou Sow papa adama dieng Amadou Gabriel Ciss Thoracic and Cardiovascular Surgery Department CHU Fann Dakar Senegal

Agenesis of pulmonary valve is a rare variant and severe form of Tetralogy of Fallot (ToF). The evolution is usually marked by respiratory and cardiac failure at early age, which needs early surgical correction. Uncorrected treatment of Tetralogy of Fallot diagnosed at adult age is infrequent and only few studies have been described. We present here a rare case of a 22 years old patient who presented with dyspnea since childhood. Subsequent investigations allowed diagnosis of treatment of Tetralogy of Fallot with agenesis of the pulmonary valve. Following the assessment, the patient underwent a surgical repair and the recovery was uneventful. The management of treatment of Tetralogy of Fallot with pulmonary valve agenesis in adult period remains complex, requiring different surgical techniques.

关键词： Tetralogy of Fallot Pulmonary Valve Agenesis Adult Surgical Repair

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Early Prosthetic Valve Endocarditis with Mycobacterium Tuberculosis after Mitral Valve Replacement: A Case Report

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World Journal of Cardiovascular Surgery（心血管外科国际期刊） 2024年第3期 33页

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Sclerotherapy for Varicose Veins of the Lower Limbs

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World Journal of Cardiovascular Surgery 2020年第2期10卷 19-23页

作者： papa adama dieng Magaye Gaye Ndeye Fatou Sow Modibo Doumbia Souleymane Diatta Momar Sokhna Diop papa Amath Diagne Amadou Gabriel Ciss Cardiovascular Center at Fann University Hospital Dakar Senegal

Summary: The diagnosis of venous insufficiency is increasing. Multiple techniques are available for its treatment. Chemical sclerotherapy has been performed for over 70 years. The technique improves lately. Objective: This study was conducted to assess early results of foam sclerotherapy in Senegal. Patients and Methods: This is a prospective and descriptive study conducted from January 1st, 2012 to December 31st, 2015 at cardiovascular center of Fann University hospital in Dakar, Senegal. Foam sclerotherapy was done in 76 patients. Polidocanol was used in concentration of 2%. Sclerotherapy was done several times in patients, every week, as much as needed to occlude varicose veins. We used venous compression in all patients. Results: Foam sclerotherapy sessions permitted to get globally good results. In fact, tight feeling and painful leg disappear in 97% of patients. Decreases of edema were gotten in 97% of patients. For leg ulcer, 64% of complete healing was obtained. The main ulcer healing time was 47 days (18;72). Some minor complications occurred. No major events, such as deep venous thrombosis or pulmonary embolism, were observed. Conclusion: Foam sclerotherapy is an efficient technique for the treatment of varicose veins of the limbs. Also, it opens good perspectives for vein care.

关键词： Sclerotherapy Polidocanol Varicose Vein

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Pre-Rupture Aneurysm of the Juxta and Sub-Renal Abdominal Aorta in Early Pregnancy: A Case Report

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Open Journal of Obstetrics and Gynecology 2022年第9期12卷 999-1003页

作者： Ibrahim Rahadat Astou Coly Niassy Dialtabé Ibrahima Guessé Ba papa adama dieng Marie-Édouard Faye Jean-Charles Moreau Gynecological and Obstetric Clinic Aristide Le Dantec Dakar Senegal Cardio Thoracic Surgery Dakar Senegal

Aneurysm of the abdominal aorta is the result of a weakening of the arterial wall and corresponds to abnormal dilatations of the arteries defined as an increase ≥ 50% of the arterial diameter compared to the normal segments. A long asymptomatic, abdominal aortic aneurysm can be a catastrophic maternal-fetal situation due to the high risk of rupture induced by pregnancy. A rare association between aneurysm and pregnancy poses a problem of diagnosis and standardized management. The lack of knowledge of this condition regularly leads to a delay in management, which is a source of excess mortality. We report the case of a patient with a progressive pregnancy of 12 weeks of amenorrhea who presented with a large sub renal abdominal aortic aneurysm with thrombosis and fissuring in order to discuss the diagnostic and management aspects of this association.

关键词： Aneurysm Pregnancy Thrombus Fissuring

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The Configuration of the Femoral Arterial Bifurcation’s Influence on Its Atherogenesis

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Forensic Medicine and Anatomy Research 2020年第2期8卷 45-53页

作者： Magaye Gaye papa adama dieng Ainina Ndiaye Racky Wade Sidy Diop Ndeye Fatou Sow papa Amath Diagne Souleymane Diatta Salmane Ba Mourad Boufi Assane Ndiaye Amadou Gabriel Ciss Abdoulaye Ndiaye Laboratory of Anatomy and Organogenesis-FMPO-UCAD Dakar Senegal Thoracic and Cardiovascular Surgery Department-Fann CHNU Dakar Senegal Vascular Surgery Department North Hospital of Marseille Marseille France Laboratory of Anatomy and Organogenesis-UAS Ziguinchor Ziguinchor Senegal

Several theories point to the influence of the geometry of femoral arterial bifurcation in the formation and evolution of atherosclerosis plaques at the level of common, superficial and deep femoral arteries. The objective of this study is to correlate the degrees of calcifications of the femoral tripod with different morphological parameters, namely conicity, tortuosity, proximal and distal diameters of the arteries and angles between the common femoral artery (CFA) and the superficial femoral artery (SFA) and the profound femoral artery (PFA) and the superficial femoral artery. The results showed that only the tortuosity of the common femoral artery influences the formation of atherosclerosis plaque. These results allow us to predict the degree of calcification of the femoral tripod based on the tortuosity of the common femoral artery.

关键词： Tortuosity Calcification Atherosclerosis Femoral Arterial Bifurcation

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Prevalence and Associated Factors of Postpartum Depression: A Study Conducted in Health Centres in Dakar (Senegal)

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Open Journal of Psychiatry 2024年第1期14卷 45-66页

作者： Sokhna Seck Momar Camara Racky Wade Kane Djeynaba Bassine Baldé El Hadj Makhtar Bâ adama Koundoul Idrissa Bâ Ibrahima Ndiaye papa Lamine Faye Aida Sylla Service de psychiatrie Centre Hospitalier National Universitaire de Fann Dakar Sénégal

Introduction: Postpartum depression is the most common psychiatric disorder affecting women in the perinatal period. According to the WHO, it affects 10% - 15% of women who have just given birth. In Africa, and particularly in Senegal, epidemiological studies focusing exclusively on postpartum depression are rare or non-existent. For this reason, we conducted this screening study on postpartum depression to assess the socio-demographic characteristics and associated factors. Methods: This was a prospective cross- sectional study with descriptive and analytical aims. It was carried out in the twelve Dakar referral health centres during the period August 2021 to June 2022. Results: At the end of our survey we had recruited one hundred and twenty-two (122) participants with a PPD prevalence rate of 25.41%. The most common age group was 24 - 29 years. 40% of the participants were of Fulani ethnicity, followed by Wolof. Married women made up 93% of the sample. The school enrolment rate was 89%. Most participants were not in paid employment. Domestic violence was present in 14% of couples. 28% of mothers reported experiencing a stressful life event during their pregnancy. 22% of the women had a chronic medical condition, of which 55% had high blood pressure. 1% of the women reported a personal psychiatric history and 5% a family psychiatric history. Most women had between two and four healthy living children. The pregnancy was unwanted in 17% of cases and 12% of participants had a complication. 6% were dissatisfied with the quality of their antenatal care. The caesarean section rate was 18%. In terms of associated factors, eight factors were identified in a bivariate analysis: single marital status, lack of support from partner, domestic violence, conflict with in-laws, and the occurrence of a stressful life event during pregnancy, the presence of a personal medical history, lack of satisfaction with pregnancy follow-up, and mode of delivery by caesarean section. Conclusi

关键词： Postpartum Depression Prevalence Associated Factors Senegal

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Atrioventricular Septal Defect with Intact Interatrial Septum. Case Report

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World Journal of Cardiovascular Surgery（心血管外科国际期刊） 2020年第8期

作者： papa Salmane Ba Yacouba Tamboura Momar Sokhna Diop papa Amath Diagne Ndeye Fatou Sow papa adama dieng Amadou Gabriel Ciss

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Surgical Treatment of Tetralogy of Fallot with Pulmonary Valve Agenesis in a 22 Years Old Patient

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World Journal of Cardiovascular Surgery（心血管外科国际期刊） 2021年第4期

作者： papa Salmane Ba Kabulo Yannick Momar Sokhna Diop papa Amath Diagne Ndeye Fatou Sow papa adama dieng Amadou Gabriel Ciss

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