International Journal of Cardiovascular and Thoracic Surgery

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Cardiopulmonary Bypass Complications in a West African Country (Senegal)

Received: Nov. 30, 2017    Accepted: Dec. 20, 2017    Published: Jan. 09, 2018
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Abstract

Although cardiopulmonary bypass (CPB) has simplified open heart surgery, it causes adverse effects on the body’s systems. This study aims to report the complications related to CPB at the Cardiac Surgery Center of the University Hospital in Dakar (Senegal). This is a retrospective analytical and descriptive study covering a 24 months period (from January 2015 to December 2016). All adult and children patients who underwent open heart surgery using CPB machines were included in this study. 193 patients were eligible during this study’s period. Patients' mean age was 23 ± 15 years (range, 2–65), and 52% were female patients. Two complications were observed during CPB. One case of hemolysis and one case of an impossible weaning from CPB. Post-CPB complications were allocated as follows: hematological complications (88.5%) followed by cardiovascular (56%), pleuropulmonary (22.4%), septicemia (4%), renal (3%), systemic inflammatory response syndrome (SIRS) (2%) and neurologic (1%) complications. The overall hospital mortality was 5%. One (1) patient died intra operatively and nine (9) patients in the intensive care unit. The morbidity and mortality related to CPB in our cardiac surgery center is superimposed to those of the literature.

DOI 10.11648/j.ijcts.20180401.12
Published in International Journal of Cardiovascular and Thoracic Surgery ( Volume 4, Issue 1, January 2018 )
Page(s) 5-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cardiopulmonary Bypass, Complications, Open Heart Surgery

References
[1] Hessel EA. History of cardiopulmonary bypass. Best Practice & Research Clinical Anaesthesiology. 2015; 29: 99-111.
[2] Yangni-Angate KH, Meneas C, Diby F, Diomande M, Adoubi A, Tanauh Y. Cardiac surgery in Africa: a thirty-five-year experience on open heart surgery in Cote d'Ivoire. Cardiovasc Diagn Ther. 2016; 6 (1): 44-63.
[3] Nwiloh JO, Oludara MA, Adebola PA, Edaigbini, SA, Danbauchi S, Sowunmi AC. Experience with prosthetic valve replacement in indigents with rheumatic heart disease in Nigeria: 10-Year Follow-Up. World Journal of Cardiovascular Surgery. 2015; 5 (08): 75.
[4] Mejak BL, Stammers A, Rauch E, Vang S, Viessman T. A retrospective study on perfusion incidents and safety devices. Perfusion 2000; 15 (1): 51-61.
[5] Kim H. Weaning from cardiopulmonary bypass. Korean J Anesthesiol. 2013; 64 (6): 487-8.
[6] Piednoira P, Lasockia S, Philipa I, Driss F, Boutronc I, Beaumont C, et al. Incidence and impact of anemiaand iron deficiencyin cardiac surgery. Anaesthesia Critical Care & Pain Medicine. 2008; 27S: 63–6.
[7] Lako S, Dedej T, Nurka T, Ostreni V, Demiraj A, Xhaxho R, et al. Hematological Changes in Patients Undergoing Coronary Artery Bypass Surgery: a Prospective Study. Med Arch. 2015; 69 (3): 181-6.
[8] Rezende E, Morais G, Silva Junior JM, Oliveira AM, Souza JM, Toledo DO, et al. Thrombocytopenia in cardiac surgery: diagnostic and prognostic importance. Rev Bras Cir Cardiovasc. 2011; 26 (1): 47-53.
[9] Denault AY, Couture P, Beaulieu Y, Haddad F, Deschamps A, Nozza A, et al. Right Ventricular Depression After Cardiopulmonary Bypass for Valvular Surgery. J Cardiothorac Vasc Anesth. 2015; 29 (4): 836 44.
[10] Maffessanti F, Gripari P, Tamborini G, Muratori M, Fusini L, Alamanni F, et al. Evaluation of Right Ventricular Systolic Function after Mitral Valve Repair: A Two-Dimensional Doppler, Speckle-Tracking, and Three-Dimensional Echocardiographic Study. J Am Soc. Echocardiogr. 2012; 25 (7): 701–8.
[11] Estrada VHN, Franco DLM, Moreno AAV, Gambasica JAR, Nunez CCC. Postoperative Right Ventricular Failure in Cardiac Surgery. Cardiology Research. 2016; 7 (6): 185-95.
[12] Nearman H, Klick JC, Eisenberg P, Pesa N. Perioperative complications of cardiac surgery and postoperative care. Crit Care Clin. 2014; 30 (3): 527-55.
[13] Ball L, Costantino F, Pelosi P. Postoperative complications of patients undergoing cardiac surgery. Current opinion in critical care. 2016; 22 (4): 386–92.
[14] Xue FS, Li RP, Sun C. Association Between Acute Kidney Injury and Hemodilution During Cardiopulmonary Bypass. Ann Thorac Surg. 2015; 100: 1966–77.
[15] Meziane M, Koundi A, Meskine A, Bensghir M, Hatim A, Ahtil R, et al. Predictors of prolonged ICU stay following elective adult cardiac surgery: Monocentric retrospective study on 5 and half years. Annales de Cardiologie et d’Angéiologie. 2017; 66: 66–73.
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  • APA Style

    Abdel-Kémal Bori Bata, Amadou Gabriel Ciss, Momar Sokhna Diop, Papa Salmane Ba, Papa Amath Diagne, et al. (2018). Cardiopulmonary Bypass Complications in a West African Country (Senegal). International Journal of Cardiovascular and Thoracic Surgery, 4(1), 5-9. https://doi.org/10.11648/j.ijcts.20180401.12

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    ACS Style

    Abdel-Kémal Bori Bata; Amadou Gabriel Ciss; Momar Sokhna Diop; Papa Salmane Ba; Papa Amath Diagne, et al. Cardiopulmonary Bypass Complications in a West African Country (Senegal). Int. J. Cardiovasc. Thorac. Surg. 2018, 4(1), 5-9. doi: 10.11648/j.ijcts.20180401.12

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    AMA Style

    Abdel-Kémal Bori Bata, Amadou Gabriel Ciss, Momar Sokhna Diop, Papa Salmane Ba, Papa Amath Diagne, et al. Cardiopulmonary Bypass Complications in a West African Country (Senegal). Int J Cardiovasc Thorac Surg. 2018;4(1):5-9. doi: 10.11648/j.ijcts.20180401.12

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  • @article{10.11648/j.ijcts.20180401.12,
      author = {Abdel-Kémal Bori Bata and Amadou Gabriel Ciss and Momar Sokhna Diop and Papa Salmane Ba and Papa Amath Diagne and Ndeye Fatou Sow and Gaye Magaye and Souleyman Diatta and Mohamed Leye and Etienne Birame Sene and Diene Samba and Papa Adama Dieng and Assane Ndiaye and Mouhamadou Ndiaye},
      title = {Cardiopulmonary Bypass Complications in a West African Country (Senegal)},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {4},
      number = {1},
      pages = {5-9},
      doi = {10.11648/j.ijcts.20180401.12},
      url = {https://doi.org/10.11648/j.ijcts.20180401.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcts.20180401.12},
      abstract = {Although cardiopulmonary bypass (CPB) has simplified open heart surgery, it causes adverse effects on the body’s systems. This study aims to report the complications related to CPB at the Cardiac Surgery Center of the University Hospital in Dakar (Senegal). This is a retrospective analytical and descriptive study covering a 24 months period (from January 2015 to December 2016). All adult and children patients who underwent open heart surgery using CPB machines were included in this study. 193 patients were eligible during this study’s period. Patients' mean age was 23 ± 15 years (range, 2–65), and 52% were female patients. Two complications were observed during CPB. One case of hemolysis and one case of an impossible weaning from CPB. Post-CPB complications were allocated as follows: hematological complications (88.5%) followed by cardiovascular (56%), pleuropulmonary (22.4%), septicemia (4%), renal (3%), systemic inflammatory response syndrome (SIRS) (2%) and neurologic (1%) complications. The overall hospital mortality was 5%. One (1) patient died intra operatively and nine (9) patients in the intensive care unit. The morbidity and mortality related to CPB in our cardiac surgery center is superimposed to those of the literature.},
     year = {2018}
    }
    

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    T1  - Cardiopulmonary Bypass Complications in a West African Country (Senegal)
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    AU  - Amadou Gabriel Ciss
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    AU  - Gaye Magaye
    AU  - Souleyman Diatta
    AU  - Mohamed Leye
    AU  - Etienne Birame Sene
    AU  - Diene Samba
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    AU  - Mouhamadou Ndiaye
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    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
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    UR  - https://doi.org/10.11648/j.ijcts.20180401.12
    AB  - Although cardiopulmonary bypass (CPB) has simplified open heart surgery, it causes adverse effects on the body’s systems. This study aims to report the complications related to CPB at the Cardiac Surgery Center of the University Hospital in Dakar (Senegal). This is a retrospective analytical and descriptive study covering a 24 months period (from January 2015 to December 2016). All adult and children patients who underwent open heart surgery using CPB machines were included in this study. 193 patients were eligible during this study’s period. Patients' mean age was 23 ± 15 years (range, 2–65), and 52% were female patients. Two complications were observed during CPB. One case of hemolysis and one case of an impossible weaning from CPB. Post-CPB complications were allocated as follows: hematological complications (88.5%) followed by cardiovascular (56%), pleuropulmonary (22.4%), septicemia (4%), renal (3%), systemic inflammatory response syndrome (SIRS) (2%) and neurologic (1%) complications. The overall hospital mortality was 5%. One (1) patient died intra operatively and nine (9) patients in the intensive care unit. The morbidity and mortality related to CPB in our cardiac surgery center is superimposed to those of the literature.
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Author Information
  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Cardiology Fann University Hospital, Dakar, Senegal

  • Department of Anesthesiology Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery Fann University Hospital, Dakar, Senegal

  • Section