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Double Emergency Pulmonary Embolism and Aortic Dissection: About a Clinical Case

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World Journal of Cardiovascular Diseases 2020年第8期10卷 550-557页

作者： Coumba Thiam Boubacar Sonfo Youssouf Camara Souleymane Sanogo Hamidou Oumar Bâ Sidibé Samba massama Konaté Asmaou Keita Sako mariam mahamadou Cissé Ibrahima Sangaré massama Camara menta Ichaka cardiology department of chu Kati Bamako Mali Imaging department CHU Mère-Enfant Bamako Mali cardiology department CHU Gabriel Touré Bamako Mali cardiology department CHU Point G Bamako Mali Internal medicine Service Mali Hospital Bamako Mali cardiology department CHU Mère-Enfant Bamako Mali

Introduction: Pulmonary embolism and aortic dissection are two formidable cardiovascular emergencies. Their exceptional association has a poor prognosis with very high mortality. The aim of our study was to report the case of a 31-year-old patient with pulmonary embolism associated with De Bakey’s type I aortic dissection, admitted to the cardiology department of Kati University Hospital. Case Presentation: We report the case of a young patient of 31 with no known cardiovascular history, on estrogen-progestogen contraception for 10 years, who consults for a left basal thoracic pain of increasing intensity, a whitish productive cough, hemoptysis and dyspnea stage III. She was admitted to the cardiology department, transthoracic cardiac ultrasound objectified aortic insufficiency, dissection of the aorta, the presence of the intimal flap, the false and the true channel, dilation of the right cavities with HTAP. The chest CT scan revealed bilateral lobar and segmental pulmonary embolism, De Bakey’s type I aortic dissection. Medical treatment was instituted for hemodynamic stabilization at the end of sending her to a center specializing in cardiovascular surgery for better management; unfortunately she succumbed before the preparations for her evacuation were finished. Conclusion: The pulmonary embolism associated with aortic dissection constitutes a medical emergence of rare incidence in a cardiological environment;if the diagnosis was quickly made in our patient, the lack of technical platform made management difficult.

关键词： Pulmonary Embolism Aortic Dissection chu Kati

Prevalence, Pattern and Evolution of Rheumatic Heart Disease: About 120 Cases at mother-Children University Hospital Luxembourg (mC UHL), Bamako (mali)

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World Journal of Cardiovascular Diseases 2018年第7期8卷 319-327页

作者： Ba Hamidou Oumar maiga Asmaou Kéita Doumbia Coumba Thiam maiga Salma Souleimane Sidibé Noumou Sangaré Ibrahima Camara Youssouf Sidibé Salimata Diallo Souleymane menta Ichaka Diarra mamadou Bocary chu Gabriel Touré Bamako Mali chu mère enfant le Luxembourg Bamako Mali chu Sidy Bocar Sall Kati Mali

Introduction: Acute rheumatic fever (ARF) and its complications including rheumatic heart disease (RHD) remain one of the leading causes of cardiovascular disease worldwide. In our setting with no cardiac surgery, data on RHD are therefore important to point out the need for such structure. In this study, we therefore describe rheumatic disease in terms of prevalence, patients’ characteristics and management of patients. methods: We performed a retrospective study from may to September 2012, involving children aged 3 to 15 years old and seen at the mother and Child University Hospital Luxembourg (mC UHL). Included were all children diagnosed with RHD. The diagnosis of rheumatic fever (RF) was defined using the revised Jones criteria from 1992 and RHD defined according to the WHO/NIH joint criteria. Data of interview, clinical examination, complementary and those on evolution were recorded. results: We found an hospital prevalence of 6.2%. mean age was 15.33 years ± 6.005 (3 to 36), females representing 54.2% and students 70%. mitral regurgitation (mR), mitral Stenosis (mS) and concomitant mR + mS were most found RHD with resp. 43.3%, 15% and 13.3%. Complications occurred in 74.1% before surgery. An operative indication was set in 90% of all cases whereas only 36% underwent surgery. After surgery immediate complications were dominated by anemia (11.6%) and late ones by heart failure in 18.5% of cases. Conclusion: Despite advances in medical diagnostic approach and therapeutical progress which partly explained the relatively high prevalence, the evolution of rheumatic heart disease in our context is unfavorable due to the lack of a surgical management structure. While waiting for a cardiology institute, the focus should be on information and awareness in primary prevention.

关键词： retrospective Acute Rheumatic Fever Rheumatic Heart Disease Bamako

Epidemiological, Clinical and Coronary Angiography Aspects of Acute Coronary Syndrome in the cardiology department of the Hospital mother-Child “Le Luxembourg”mali

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World Journal of Cardiovascular Diseases 2024年第4期14卷 228-233页

作者： Sidibé Samba Toure mamadou Konate massama Sankaré Hamma Traoré Ousmane mahamat Guire Sadik Diall mahan Ameri Dicko Bahaide Daffe Sanoussy Keita Asmaou Thiam Coumba Adiaratou Diarra Soumaila menta Ichaka cardiology department CHU-M&#232re Enfant Bamako Mali cardiology department CHU-Point G Bamako Mali Faculty of medicine University of Sciences Techniques and Technologies of Bamako Bamako Mali cardiology department CHU-Gabriel Tour&#233 Bamako Mali cardiology department Mali Hospital Bamako Mali

Introduction: Cardiac catheterisation plays a fundamental role in the management of acute coronary syndrome. These explorations require heavy, complex and costly equipment and a large team of doctors, nurses and technicians with highly specialized training. Aims: To describe epidemiological, clinical and coronary angiography aspects of patients with acute coronary syndrome. Patients and methods: Descriptive study from September 2019 to December 2023 in the cardiology department of the Hôpital mère-enfant of Bamako. Inclusion criteria were patients admitted for coronary angiography with the diagnosis of acute coronary syndrome. results: During the study period, 1253 patients underwent coronary angiography, 596 of whom had acute coronary syndrome as an indication, representing a hospital frequency of 47%. Sex-ratio was 2.10. mean age of patients was 58.5 ± 11.39 years. ST elevation acute coronary syndrome was the most common indication with 63.92% of cases. High blood pressure was the main cardiovascular risk factor with 58.7% of cases, and radial access approach was used in 98% of cases. Coronary angiography was pathological in 91.70% of cases (n = 548). Patients with lesions of anterior interventricular artery were 73.73% of cases. Tritruncal lesions accounted for 40.63% of cases. Conclusion: ST elevation acute coronary syndrome is the most frequent manifestation of acute coronary syndrome. Anterior interventricular artery is most often the culprit lesion for our patients.

关键词： Coronary Angiography Acute Coronary Syndrome Bamako mali

metabolic Syndrome: Epidemiological, Clinical and Biological Profiles in the cardiology and Internal medicine departments of the mother-Child chu “Luxembourg”

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World Journal of Cardiovascular Diseases 2021年第12期11卷 593-602页

作者： Asmaou Keita Boubacar Sonfo Sanoussi Daffé Daouda Fofana Coumba Thiam Oumar Doucouré Souleymane Diallo mariam Sako massama Konaté Hamidou Omar Bâ Youssouf Camara Ibrahima Sangaré Souleymane Coulibaly Ichaka menta mamadou Bocary Diarra Cardiology Department of CHU Mère-Enfant Bamako Mali cardiology department of chu Kati Bamako Mali cardiology department of chu Point G Bamako Mali Internal medicine department Mali Hospital Bamako Mali cardiology department of chu Gabriel Touré Bamako Mali

Introduction: The metabolic syndrome is a clinical entity defined by the association in the same subject of four of the following five factors: abdominal obesity (or android), type 2 diabetes, hypertension, hypo HDL cholesterolemia, hypertriglyceridemia. The aim of the work was to study the epidemiological, clinical-biological profiles and complications of patients in the cardiology and internal medicine department of the Mother-Child CHU “Luxembourg”. Materials and Methods: We carried out a cross-sectional study, from September 2019 to June 2020 in the cardiology and internal department of the mother-child CHU “Luxembourg”. All patients with metabolic syndrome admitted to the two departments who agreed to participate during the study period were included in the study. These patients meet the 2009 harmonization attempt criteria (IDF 2009). The variables studied were: socio-demographic characteristics (sex, age, profession), pathological history, clinical signs (functional signs, BMI, waist size), paraclinical signs (ECG, cardiac ultrasound, laboratory assessment) and complications. Results: A total of 104 patients were included. The female sex represented 58.65% of cases. The 60 to 69 age group was the majority with 40.78%, housewives occupied 41.34% of cases. Diabetes, arterial hypertension and dyslipidemia were the most represented cardiovascular risk factors with respectively: 80.77%, 79.81% and 53.85%. Visual blurring was the most common functional sign with 23.08% of cases. Moderate obesity was observed in 34% of patients. Waist circumference was high in 39.53% of male patients and 37.70% of female patients. Cardiac ultrasound found a severely collapsed ejection fraction in 25% of patients. HDL-c levels were low in 64.52% of male patients and 75% of female patients. The most observed complications were: dyslipidemia (53.85%), stroke and renal failure with 23% respectivelymal;fo

关键词： metabolic Syndrome Epidemiological Profiles Clinical-Biological chumE Luxembourg Bamako

Evolutionary and Prognostic Aspects of Thrombolysed Patients for Acute Coronary Syndrome ST+ at chu Ernesto Guevara De La Serna. Las Tunas (Cuba)

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World Journal of Cardiovascular Diseases 2020年第7期10卷 437-445页

作者： Boubacar Sonfo Hamidou Oumar Bâ Youssouf Camara Coumba Thiam Ibrahima Sangaré massama Konaté Sidibé Samba Sako mariam Asmaou Keita Coulibaly Souleymane Ilo Bella Diall menta Ichaka Amadou Khalil Traoré Yudelquis Ojeda Riquenes maikel Santos medina cardiology department of chu Kati Bamako Mali cardiology department chu Gabriel Touré Bamako Mali Internal medicine Service Mali Hospital Bamako Mali cardiology department chu Point G Bamako Mali cardiology department chu mère-enfant Bamako Mali cardiology department chu Ernesto Guevara Las Tunas Cuba

Introduction: Acute myocardial infarction (IDm) occupies the first place in terms of mortality, among ischemic pathologies. Thrombolysis in the case of medical treatment for acute myocardial infarction (AmI) is undoub... 详细信息

Introduction: Acute myocardial infarction (IDM) occupies the first place in terms of mortality, among ischemic pathologies. Thrombolysis in the case of medical treatment for acute myocardial infarction (AMI) is undoubtedly the most revolutionary performed to date in this context, with a significant reduction in the mortality rate. The aim of our study was to describe the epidemiological aspects, the criteria for myocardial reperfusion post thrombolysis, the complications during thrombolysis and the complications of acute myocardial infarction in the cardiology department of the CHU Ernesto Guevara De La Serna of Las Tunas (Cuba).mily:;" "=""> Methods: A retrospective cross-sectional descriptive study was carried out from June 2009 to December 2011. The patients hospitalized during this period in the USIC (coronary intensive care unit) for SCA ST(+) were included in the study. The variables studied were: Age, sex, myocardial reperfusion criteria, complications during thrombolysis and complications of myocardial infarction. Results: A total of 207 patients were included. The male sex represented 72.5% of the cases, giving a sex ratio of 2.63. The age group > 60 years was predominant with 54.2% of the cases. Thrombolysed patients represented 65.2% of the cases. myocardial reperfusion criteria were observed in the majority of thrombolysed patients: relief of precordial pain (77%), regression of the ST segment to 50% of its previous level (81.5% of patients).

关键词： Acute Coronary Syndrome Thrombolysis chu Las Tunas Cuba

review of Laparoscopic Activities at the University Hospital Center (chu) “mère-enfant Luxembourg” in 100 Cases

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Surgical Science 2023年第2期14卷 143-150页

作者： Amara Coulibaly moussa Sissoko Sidiki Konaré Abdoul Karim Simaga Sekou Koumaré Drissa K. Bagayoko Cheichna Tounkara Zimogo Zié Sanogo Surgical department “A” of The University Hospital Center (chu) of Point-G Bamako Mali Surgical department of The Centre Hospitalier Universitaire mère-enfant (chu-mE) le “Luxembourg” Bamoko Mali

Introduction: Laparoscopic surgery is a surgical technique that allows to intervene under the control of an endoscope, introduced into the abdominal cavity previously distended by an artificial pneumoperitoneum. We propose in this study to bring the assessment of the laparoscopic activities in the department of general surgery at the chu mEre-enfant “Luxembourg”. methodology: This was a descriptive cross-sectional study from September 2019 to September 2020 including 100 cases of laparoscopic procedures at the University Hospital mother and Child “Luxembourg”. All patients regardless of pathology, who underwent laparoscopic surgery with or without conversion to conventional surgery were included in the study. The data were collected from routine media such as the consultation register and the operative report register. Data analysis was performed using SPSS 21 software. Informed consent was obtained from the patients before their inclusion in the study, and each patient was assigned an anonymity number. results: In our study, the female sex represented of the patients, i.e. 76% with a sex ratio of 3.2. Housewives were 53% of the cases. The majority of patients were in the age range of 16 - 30 in 44% of cases and 75% were married. Overweight/obesity, hypertension and peptic ulcer were the main medical histories with 22%, 12% and 10% respectively. All patients presented with abdominal pain. Cholecystectomy was the main activity during the study with a frequency of 43%, followed by tube surgery and appendectomy. The average duration was 53 minutes for digestive pathologies 48 minutes with extremes of 22 and 66 minutes for gynecological pathologies. One case of injury to the cystic artery was recorded. The conversion rate was 6% of cases. We recorded 5 cases of suppuration as a postoperative complication. The length of stay was 2 - 3 days in 96% of patients. Conclusion: In view of this study, the feasibility of laparoscopic surgery at the chu mère enfant “Luxembourg” is no longer in question. Actions must be taken to

关键词： Laparoscopic Surgery Assessment mali

Laparoscopic Cholecystectomy at the Centre Hospitalier Universitaire (chu) mère-enfant le “Luxembourg” in mali for 2 Years from 2020 to 2021

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Surgical Science 2022年第12期13卷 585-591页

作者： Amara Coulibaly Abdoul Karim Simaga moussa Sissoko Sekou Koumaré mamedy Doumbia Sidiki Konaré Zimogo Zie Sanogo Surgical department “A” of the University Hospital Center (chu) of Point-G Bamako Mali Surgical department of the Centre Hospitalier Universitaire mère-enfant (chu-mE) le “Luxembourg” Bamako Mali

Introduction: Laparoscopic cholecystectomy is a surgical technique that involves the removal of the gallbladder by laparoscopy. Its practice is timid in sub-Saharan Africa, despite the existence of risk factors such as sickle cell disease. We report our 2-year experience of laparoscopic cholecystectomy in the general surgery department of the chu-mE Luxembourg. materials and method: This was a descriptive cross-sectional study from September 2019 to September 2021. The study included 64 patients with vesicular lithiasis who underwent laparoscopic cholecystectomy. Data were analyzed on SPSS software (version 25.0). Confidentiality and anonymity of the subjects were respected. results: The frequency of cholecystectomy was 30.9%. The average age was 38.37 ± 16.94 years. The female sex was 70.3%. Obesity and sickle cell disease were found in 85.9% and 14.1% of patients. On physical examination, hepatic colic was found in 54.7% and the murphy sign was positive in 64.1% of patients. Ultrasound diagnosis of vesicular lithiasis was made in all patients. All patients underwent laparoscopic cholecystectomy, which was retrograde in 64.1% of cases. The average procedure time was 66 minutes. No case of complication was recorded postoperatively. Conclusion: Laparoscopic cholecystectomy is a technique to be developed and supported.

关键词： Cholecystectomy Laparoscopic Lithiasis mali

Head and Neck Cellulitis of Dental Origin and HIV Infection: 24 Cases

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第1期11卷 18-24页

作者： Amady Coulibaly Abdoulaye Kassambara Youssouf Sidibé Diomanté né Camara Abdramane S. maï ga Kadia Keita Alphousseiny Touré Boubacar Ba Hamady Traoré Daouda K. minta department of Stomatology and maxillofacial Surgery CHU-CNOS Bamako Mali Faculty of medicine and Odontostomatology Bamako Mali Departement of Otorhinolaryngology CHU M&#232 re-enfant “le Luxembourg” Bamako Mali department of Infectious Diseases CHU-Point G Bamako Mali

Cervico-facial cellulitis is a serious poly-microbial infection of the deep fascial spaces of the face and neck which may be life-threatening. The existence of an underlying ground that causes immune failure may promote or complicate this infection. The aim of this work was to describe the socio-demographic and clinical aspects of dental cervicofacial cellulitis associated with HIV in our context. It was a descriptive cross-sectional study that concerned all cases of cervico-facial cellulitis with positive HIV serology encountered at the chu-CNOS of Bamako from may 2017 to January 2018. Twenty-four cases were collected. Cellulite with positive HIV accounted for 1.14% of consultations in the service. Females accounted for 67.66% of cases with a sex ratio of 0.5. The average age was 33.58 years old. Housewives accounted for 33.33% of cases. The bride and groom represented 83% of the cases. The triad (pain, swelling, and trismus) was the most common reason for consultation with 41.7% of cases. The tooth 37 was involved in 25% of the cases. In 87% of cases, patients were screened in the service. HIV-1 was found in 75.0% of cases. Complications such as peripheral facial palsy were found in three cases. The medico-surgical treatment was performed in 23 cases with a favorable evolution. The search for an underlying ground, in particular HIV infection, must be systematic in the face of diffuse cervicofacial cellulitis.

关键词： Cellulitis Cervico-Facial Infection HIV

Pulmonary Embolism: Epidemiological, Clinical, Therapeutic and Evolution Aspects in the medicine department of Hospital of mali Bamako

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World Journal of Cardiovascular Diseases 2021年第4期11卷 242-248页

作者： massama Konaté mariam Sako Boubacar Sonfo Samba Sidibé Souleymane mariko Djeneba Sylla Sow Coumba Adjaratou Thiam Djenebou Traoré Hamidou Oumar Ba Asmaou Keita maiga Ibrahima Sangare mamadou Toure Souleymane Coulibaly Nouhoum Diallo Bah Traoré modibo mariko Nouhoum Ouologuem Amadou Koné Youssouf Camara Yacouba Lazare Diallo Nanko Doumbia mahamadoun Coulibaly Ichaka menta Faculty of medicine and Dentistry (FmOS) of the University of Sciences Technique and Technology of Bamako (USTTB) Bamako Mali medicine department Hospital of Mali Bamako Mali cardiology department CHU Point G Bamako Mali cardiology department Hospital of Kati Kati Mali medicine department Hospital of Tombouctou Tombouctou Mali Internal medicine department CHU Point G Bamako Mali cardiology department CHU Gabriel Toure Bamako Mali cardiology department CHU Mère Enfant Bamako Mali

Background: Pulmonary embolism (PE) is a severe form of venous thromboembolic disease. In Africa, prevalence of PE in hospitalized medical patients varies among studies. Objective: Aim of this work was to study the epidemiological, clinical, therapeutic and evolution aspects of PE in the medicine department of Mali’s Hospital Bamako-Mali. Methodology: This was a retrospective cross-sectional study carried out from January 01, 2017 to December 31, 2020 in the medicine department of Mali’s hospital Bamako, including all inpatients admitted for PE during the study period. Results: Of 1814 hospitalized patients, 54 patients had pulmonary embolism. Hospital frequency of pulmonary embolism was 2.97%. Predominance was female and sex-ratio M/F was 0.38. Mean age in our series was 54.24 ±1.19 years. Predisposing factors to pulmonary embolism were dominated by obesity 37%, high blood pressure 35.2% and history of cardiovascular disease 20.4%. Dominant signs were dyspnoea and chest pain in 83.3% and 70.4% of cases respectively. Probability of pulmonary embolism was high in 40.7% according to Wells score. Patients with right heart failure were 22.2%. EKG showed sinus tachycardia70.4% and S1Q3 aspect 7.4%. Heart right chambers were dilated at transthoracic echography 42.6%. Obstruction was bilateral at chest angio CT for 51.9% and proximal for 42.6%. Deep venous thrombosis was associated at EP in 16.6%. Treatment was low weight molecular heparin followed by vitamin K antagonist or direct oral anticoagulant. One patient was successfully treated by thrombolysis. Hospital mortality was 16.7%. Conclusion: PE is a serious disease probably underdiagnosed. It is responsible of important mortality.

关键词： Pulmonary Embolism Epidemiology mali’s Hospital