Page 45 - Journal of Structural Heart Disease Volume 4, Issue 2

Meeting Abstracts
Journal of Structural Heart Disease, April 2018, Volume 4, Issue 2:66-68
DOI: https://doi.org/10.12945/j.jshd.2018.949.17
Published online: April 2018
CSI Africa Abstracts
CSI Africa – December 1-2, 2017
LARGE PATENT DUCTUS ARTERIOSUS AND SEVERE PULMONARY VALVE STENOSIS
Jean Claude Ambassa
Shisong Cardiovascular Center, Shisong, Cameroon
History: O6 years old female patient, Body weight 22kg. Systolic and continuous murmurs since birth. Pediatric cardiology assessment at the age of one year. Follow up with repeated airways infections that indicated percutaneous P.D.A. closure and Pulmonary valvuloplasty.
Physical Examination: Systolic murmur on the pulmonary auscultation focuGrade 4-5/6 and continuous murmur under the left subclavian
E.C.G: Right axis deviation, Biventricular hypertrophy.
T.T.E: Biventricular hypertrophy. Good systolic function. Severe pul- monary valve stenosis (dysplasic valve, doming shape, post stenotic dilatation, transvalvular gradient 100mmHg,annulus 18mm of diam- eter. Right ventricular systolic pressure 110mmHg.
Con uent pulmonary artery branches. Fluximetry in the pulmo- nary artery compatible with large Patent Ductus Arterious 6mm of diameter.
Angiography: Pro le view severe pulmonary valve stenosis, post stenotic dilatation, annulus 20mm. Patent ductus arteriosus, 6mm diameter.
Intended Procedure: Percutaneous Pulmonary Valvuloplasty and Transcatheter closure of PDA using an Amplatzer ductus occluder type I.
Learning Points: Challenges with the pulmonary valvuloplasty asso- ciated with PDA.
DEVELOPING A CARDIO-SURGICAL CENTER IN CENTRAL AFRICA: THE CAMEROON EXPERIENCE Jean Claude Ambassa,MD1, Alfred Kongnyuy,SRN1, Fanka Marcel, SRN1, Jacques Cabral Tantchou,MD, PHD1, Charles Mve Mvondo,MD1, Silvia Cirri,MD,PHD2, Alessandro Giamberti,MD2, Gianfranco Butera,MD,PHD2
1 St. Elizabeth Catholic General Hospital Shisong Cardiac Centre, Cameroon
2 Department Of Pediatric Cardiology And Cardiac Surgery San Donato, Italy
Objective: To create awareness and stimulate the zeal to develop car- dio-surgical centres in low income countries.
Background: Within the M.E.C.C.A (Monetary and Economic Community of Central Africa) zone, cardiovascular health is a major asset. The Shisong Cardiac Centre in Cameroon has over the past seven years assisted many clients to regain lost hopes.
Method: A retrospective review of patients who underwent percu- taneous interventions, pacemaker implantations and cardiac surgery from January 2010 to June 2017.
Results: Total performance and respective monthly (30-day) mor- tality rate: Cardiac Catheterizations, diagnostic and interventions: (459), mortality rate (0.002%). Pacemaker implantations: (155), mor- tality rate (0.007%).Cardiac Surgery: (643), intra-operative mortality rate(0.004%).
Discussion: Late presentation at procedures and nancial hardship on the part of the population, availability of consumables, human resources, and technical di culties are amongst the factors that have characterized our experience.
Conclusion: Cardio-surgical centres are possible in low income coun- tries. Challenges are bound to occur but through a collaborative approach, sustainability may be assured. Patient education and a safe sociopolitical atmosphere play vital roles.
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