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Surgical management of CHD in the adult population: the role of humanitarian cardiac surgery mission in Nigeria

Published online by Cambridge University Press:  23 July 2018

Ikechukwu A. Nwafor  and
John C. Eze
Ikechukwu A. Nwafor*
Affiliation:
Department of Surgery, Faculty of Medical Sciences, University of Nigeria, Ituku-Ozalla, Enugu, Nigeria
John C. Eze
Affiliation:
Department of Surgery, Faculty of Medical Sciences, University of Nigeria, Ituku-Ozalla, Enugu, Nigeria
*
Author for correspondence: Ikechukwu A. Nwafor, Department of Surgery, Faculty of Medical Sciences, University of Nigeria, Ituku/Ozalla Campus, Nsukka, Enugu, 40000, Nigeria. Tel: +23480377860; E-mail: [email protected]; [email protected]
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Abstract

Background

The clinical effects of CHD can occur during the neonatal period, childhood, adolescent, and even adulthood. Some CHD in the adult population have indications for surgical management.

Objective

The objective of this study was to review the role of humanitarian cardiac surgery missions in the surgical management of CHD in the adult population in a developing country.

Materials and method

Over a 5.5-year period – June, 2003, February, 2013–October, 2017 – five different humanitarian cardiac surgery teams visited National Cardiothoracic Center of Excellence, Nigeria. During the period, they operated on adults with CHD. A retrospective study of the patients treated was performed using data obtained from our Hospital Information Technology Department. The demography of the patients, types of CHD, operative modalities, as well as the outcome was analysed using Microsoft Excel. The results were presented in arithmetic of percentages using tables.

Results

During the period, a total of 18 CHD patients were treated.

Keywords

Adultcongenitalmissioncardiacsurgery
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 1 , January 2019 , pp. 11 - 15
Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Nwafor IA, Eze JC. (2018) Surgical management of CHD in the adult population: the role of humanitarian cardiac surgery mission in Nigeria. Cardiology in the Young29: 11–15. doi: 10.1017/S1047951118000793

References

1. Corno, AF. Paediatric and congenital cardiac surgery in emerging economies ‘safari’ versus educational programmes. Interact Cardiovasc Thorac Surg 2016; 23: 163–167.Google Scholar
2. Hoffman, JI, Kaplan, S. The incidence of congenital heart defects. J Am Coll Cardiol 2002; 39: 1890–1900.Google Scholar
3. Warnes, CA, Liberthson, R, Dannielson, GK, et al. Task Force 1: the changing profile in congenital heart disease in adult life. J Am Coll Cardiol 2001; 37: 1170–1175.Google Scholar
4. Hoffman, JI, Kaplan, S, Libertson, R. Prevalence of congenital heart defects. Am Heart J 2004; 147: 425–439.Google Scholar
5. Niva, K, Perloff, JK, Webb, GD, et al. Survey of specialized tertiary care facilities for adults with congenital heart defects. Int J Cardiol 2004; 96: 211–216.Google Scholar
6. Dimopoulos, K, Diller, GP, KOltsida, E, et al. Prevalence, predictors and prognostic value of renal dysfunction in adults with congenital heart defects. Circulation 2008; 117: 2320–2325.Google Scholar
7. Willamarta, KV, Yaniadi, Y, Rachman, Y, Franklin, D. Adult congenital cardiac surgery in Indonesia. Cardiol Young 2011; 21: 639–645.Google Scholar
8. Cardarelli, M, Varkunth, S, Molloy, F, et al. The humanitarian foot print: the value of global health interventions beyond cost-effectiveness analysis. 2017 World Congress of Pediatric Cardiology and Pediatric cardiovascular Surgery (WCPCPCS), Barcelona, Spain, 2017.Google Scholar
9. Gaztzoulis M, Webb G, Daubeney P. Diagnosis and Management of Adults with Congenital Heart Defects, 3rd edn. Elsevier, Amsterdam, The Netherlands, 2017.Google Scholar
10. Nwafor, IA, Nwafor, MN, Eze, JC, Ezemba, N, Ngene, CI. Open heart surgery: management of nonsurgical bleeding in the perioperative period. Int J Vasc Surg Med 2017; 3: 8–12.Google Scholar
11. Kantor, PF, Andelfinger, G, Dancea, A, Khairy, P. Heart failure incongenital heart disease. Can J Cardiol 2013; 29: 753–754.Google Scholar
12. Zahka, KG, Horneffer, PJ, Rowe, SA, et al. Long term valvular function after total repair of tetraology o Fallot, relation to ventricular arrhythmias. Circulation 1988; 78: 14–19.Google Scholar
13. Kaemmerer, H, Theissen, P, Konig, U, et al. Follow-up using magnetic resonance imaging in adults after surgery for aortic coarctation. Thorac Cardiovasc Surg 1993; 41: 107–111.Google Scholar
14. Geracia, F, Delogu, AB. Evaluation of adults with congenital heart defects. World J Paediatr Congenit Heart Surg, 2016; 7: 185–191.Google Scholar
15. Hanoush, H, Tamin, H, Younes, H, et al. Patterns of congenital heart defect in unoperated adults: a 20-year experience in a developing country. Clin Cardiol 2004; 27: 236–340.Google Scholar
16. Abraham, KA, Cheria, G, Rao, VD, Sukumar, IP, Krishnawa, S, John, S. Tetraology of Fallot in adults. A repair of 147 patients. Am J Med 1979; 65: 811–816.Google Scholar
17. Berlranan, EG, Blackstone, EH, Hazelrig, JB, Tuner, ME, Kirklin, JW. Life expectancy without surgery in tetraology of Fallot. Am J Cardiol 1978; 42: 458–466.Google Scholar
18. Campbell, M. Natural history of atrial septal defect. Br Heart J 1970; 32: 820–826.Google Scholar
19. Ckobal, F, Havacek, K, Kamenik, L, Vaneck, T Jr, Popelorg, J. Congenital heart defect in adult worldwide and in the Czech Republic. Cas Lek Cesk 1993; 11: 557–579.Google Scholar
20. Wu, JC, Child, JS. Common congenital heart defects in adults. Current Prob Cardiol 2004; 29: 141.Google Scholar
21. Abe, T, Kamat, K, Taguchi, A, et al. Surgical history of long term results of congenital heart defect in adults; early and late follow up studies in 231 cases. Rinsho Kyoba Geka 1994; 14: 224–234.Google Scholar
22. Dove, A, Glancy, DL, Stone, S, Manashe, VD, Somerville, J. Cardiac surgery for grown-up congenital heart defects: survey of 307 consecutive operations from 1991-1104. Am J Cardiol 1997; 80: 906–913.Google Scholar
23. Aoyagi, S, Tanaka, K, Hara, H, et al. Modified De Vega annuloplasty for functional tricuspid regurgitation – early and late results. Kurume Med J 1992; 239: 23–32.Google Scholar
24. Uemura, H. Surgical and catheter procedure in adults congenital heart defects: simple national statistics tell us something. Gen Thorac Cardiovasc Surg 2013; 61: 376–389.Google Scholar
25. Giamberi, A, Chessa, M, Abella, R, et al. Morbidity and mortality risk factors in nadults with congenital heart defects undergoing cardiac reoperations. Ann Thorac Surg 2009; 88: 1284–1289.Google Scholar
26. Holst, KA, Dearani, JA, Burkhart, HM, et al. Risk factors and early outcome of multiple reoperations in adults with congenital heart defects. Ann Torac Surg 2011; 92: 122–128.Google Scholar
27. Novick, WM, Aric, D, Ivancan, V, Disesa, TG. International pediatric cardiac assistance in Croatia: results of the 10-year program. Croat Med J 2004; 45: 389–395.Google Scholar
28. Nwafor, IA, Eze, JC, Ezemba, N, Chinawa, JM, Onyekwulu, FA. Changes in the open heart surgery protocol and outcome in a Nigerian National Cardiothoracic Center of Excellence. Ther Adv Cardiol (Scientia Ricerca) 2017; 1: 97–104.Google Scholar
29. Roques, F, Nashel SA, Michel P, et al. Risk factors and an outcome in European cardiac Surgery: analysis of the EuroScore multinational database of 19030 patients. Eur J Cardiothorac Surg 1999; 15: 816–823.Google Scholar
30. Velebit, V, Montessuit M, Bednarkiewicz M, et al. The development of cardiac surgery in an emerging country. Texas Heart Inst J 2008; 35: 301–306.Google Scholar
31. Dearani, JA, Jacobs JP, Bolman RM, et al. Humanitarian outreach in cardiothoracic surgery: from set up to sustainability. Ann Thorac Surg 2016; 102: 1004–1011.Google Scholar