[Veinus thrombosis of the limbs in the cardiology service of the Gabriel Touré Teaching Hospital].

Objective: Determine the frequency of thrombosis of the upper and lower limbs in the cardiology specialist unit. Describe the clinical and paraclinical signs observed. Identify etiological factors. Evaluate the response to treatment.

Material And Methods: This longitudinal prospective study was conducted from the 1st January 2007 to 31st May 2008 in the service of cardiology of the Gabriel Touré Teaching Hospital of Bamako. Included in the study were all the patients diagnosed with deep vein thrombosis confirmed by venous ultrasound imaging. The data was analyzed with the software Ear-information-6.04d.

Results: 12 cases of deep vein thrombosis confirmed for a total of 1171 hospitalizations, either of 1,88% with a high frequency between 30 and 44 years old (40,9%) without any preference of sex (sex ratio=1). 63,6% had no known cardiovascular antecedent. The clinical signs were evocative in 90 cases, 9%. Prolonged confinement was present in 59.09% of cases, and was associated with HIV infection in 18.1% of cases. The attack of the left lower limb was recorded the most (72.7%), only one case of the left upper limb (4.5%). The attack of the major network preferentially prevailed (86.3%) with preferably proximal seat (72.7%). The femoral vein was reached (50%). 86.3% of the patients received HBPM +AVK with 68.18% of cure without after-effect. The evolution was complicated by pulmonary embolism in 13.6% of cases and death in 4.5%.

Conclusion: Deep vein thrombosis of the limbs occupies a significant place among cardiovascular pathologies in Bamako and HIV seems to increase its frequency.