25 results match your criteria: "National Cardiothoracic Center[Affiliation]"
World J Pediatr Congenit Heart Surg
December 2024
National Cardiothoracic Center, Accra, Ghana.
Background: There are limited population-based studies on congenital heart disease (CHD) in the pediatric population in Africa. Technological advancements in diagnostic tools have resulted in multiple echocardiographic studies in hospital settings. We aimed to determine the prevalence of CHD in both settings (population-based and hospital based) followed by comparing the two estimates for a difference.
View Article and Find Full Text PDFCJC Pediatr Congenit Heart Dis
December 2023
Division of Cardiothoracic Sciences, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Paediatric and congenital heart disease (PCHD) is common but remains forgotten on the global health agenda. Congenital heart disease is the most frequent major congenital anomaly, affecting approximately 1 in every 100 live births. In high-income countries, most children now live into adulthood, whereas in low- and middle-income countries, over 90% of patients do not get the care they need.
View Article and Find Full Text PDFBackground And Aim: Patients living with diabetes mellitus have a high burden of psychological distress such as depression and anxiety as well as impaired quality of life, which may negatively impact their adherence to medications, glucose control, and health-related costs.This study assessed the impact of quality of life and depression on medication adherence among patients with type 2 diabetes (type 2 diabetes mellitus [T2DM]) in a tertiary care setting in Ghana.
Methods: The study was a cross-sectional study involving 238 patients with diabetes aged 18 years and above.
Tex Heart Inst J
November 2022
Division of Anesthesiology, National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
Background: Patent ductus arteriosus is a common cardiac anomaly in infants that, if untreated, is associated with high morbidity and mortality rates. In lower-middle-income countries, such as Nigeria, obtaining cardiovascular surgical care for infants remains difficult. In recent years, especially with the assistance of international voluntary cardiac organizations, efforts have increased to provide cardiac surgical services to this underserved population.
View Article and Find Full Text PDFTex Heart Inst J
March 2022
Division of Cardiothoracic Surgery, National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.
Carotid body tumors, rare neck paragangliomas arising from the common carotid artery bifurcation, can be classified as sporadic, hyperplastic, or familial. The familial type is often bilateral and associated with germline mutation of the mitochondrial enzyme succinate dehydrogenase. We report the rare case of a 42-year-old man who presented with bilateral giant familial carotid body tumors associated with a concomitant skull-base paraganglioma, left-sided facial nerve palsy, and an incomplete circle of Willis.
View Article and Find Full Text PDFTex Heart Inst J
November 2021
Department of Pharmacy, National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Surgical treatment of valvular heart disease in Nigeria, the most populous country in sub-Saharan Africa, is adversely affected by socioeconomic factors such as poverty and ignorance. To evaluate our experience in this context, we identified all patients who underwent surgery for acquired or congenital valvular heart disease at our Nigerian center from February 2013 through January 2019. We collected data from their medical records, including patient age and sex, pathophysiologic causes and types of valvular disease, surgical treatment, and outcomes.
View Article and Find Full Text PDFCardiol Young
March 2021
Faculty of Medical Sciences, University of Nigeria, Ituku-Ozalla Campus & National cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.
Background: Post-operative fever (POF) after cardiac surgery in a developing country is of great concern because of the associated morbidity and mortality. In our country, we experience this complication more because of a high rate of malaria infestations, gastroenteritis, and malnutrition. We also experience a low yield of positive diagnostic tests when POF develops; this is partly due to expense and the prioritisation of other essential items in our poorly equipped cardiac ICU.
View Article and Find Full Text PDFNiger J Clin Pract
January 2021
National Cardiothoracic Center of Excellence UNTH Ituku/Ozalla Enugu and University of Nigeria, Enugu Campus, Nigeria.
Background: Complex cardiac anomalies are a set of associated heart structural anomalies requiring some adaptive mechanism to maintain life.
Objectives: This is to determine pattern and prevalence of common complex cardiac anomalies among children presenting for cardiac surgery in Enugu.
Methodology: The children that present for cardiac surgery in our center over a six-month period were admitted and rescreened using a standardized echocardiographic method, information on biodata, oxygen saturation and 2D echo diagnosis were recorded in a proforma.
Braz J Cardiovasc Surg
December 2020
National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.
Introduction: In any country, the development and growth of open-heart surgery parallel stable political climate, economic growth, good leadership, and prudent fiscal management. These were lacking in Nigeria, which was under a military rule. The enthronement of democratic rule, in 1999, has caused desirable changes.
View Article and Find Full Text PDFJTCVS Open
December 2020
Department of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.
Niger J Clin Pract
May 2020
National Cardiothoracic Center, Korle Bu Teaching Hospital, Accra, Ghana.
Background: The consequence of significant injury to the esophagus is devastating. The initial management when timely and appropriate is rewarding and often prevents lethal complications. The objective of this study is to describe the etiology of esophageal injury in our institution, the management procedures and the mid-term results.
View Article and Find Full Text PDFNiger J Clin Pract
January 2019
Division of Cardiothoracic Surgery, National Cardiothoracic Center, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Postintubation tracheal stenosis (PITS) is a known complication of endotracheal intubation or tracheostomy. It is the most common indication for tracheal resection/reconstructive surgery. Despite technological improvement and skilled patient care in the ICU, PITS still constitutes an important group of iatrogenic sequela after intubation.
View Article and Find Full Text PDFCardiol Young
November 2018
3ICU pharmacy, University of Nigeria Teaching Hospital,Ituku-Ozalla,Enugu,Nigeria.
Background: In Nigeria, access to open heart surgery (OHS) is adversely affected by insufficient blood and blood products, including the challenges because of the lack of patient-focused blood management strategies owing to the absent requisite point-of-care tests in the operating theatre (OR)/ICU. In addition, the limited availability of altruistic blood donors including the detection of transfusion transmitted infections more commonly among non-altruistic blood donors is another burden affecting the management of excessive bleeding during and after open heart surgery in our country.
Objective: The objective of this study was to review our local experience in the use of blood and blood products during open heart surgery and compare the same with the literature.
World J Pediatr Congenit Heart Surg
July 2018
26 Children's National Medical Center, Washington, DC, USA.
The World Society for Pediatric and Congenital Heart Surgery (WSPCHS) is the largest professional organization in the world dedicated to pediatric and congenital heart surgery. The purpose of this article is to document the first decade of the history of WSPCHS from its formation in 2006, to summarize the current status of WSPCHS, and to consider the future of WSPCHS. The WSPCHS was incorporated in Canada on April 7, 2011, with a head office in Montreal, Canada.
View Article and Find Full Text PDFWorld J Pediatr Congenit Heart Surg
July 2017
12 Mansoura University Children's Hospital, Mansoura, Egypt.
The 54 countries in Africa have an estimated total annual congenital heart defect (CHD) birth prevalence of 300,486 cases. More than half (51.4%) of the continental birth prevalence occurs in only seven countries.
View Article and Find Full Text PDFCardiovasc Diagn Ther
October 2016
National Cardiothoracic Center, Korle Bu Teaching Hospital, Accra, Ghana.
Ghana is one of the few low-to-middle-income countries in sub-Saharan Africa able to consistently sustain a cardiothoracic program with locally trained staff for more than two decades. Cardiothoracic surgery practice in Ghana started in 1964 but faltered from a combination of political and the economic problems. In 1989, Dr.
View Article and Find Full Text PDFWorld J Pediatr Congenit Heart Surg
September 2016
Department of Child Health, National Cardiothoracic Center, Korle-Bu Teaching Hospital, Accra, Ghana.
Background: The outcome of children born with conotruncal heart defects may serve as an indication of the status of pediatric cardiac care in sub-Saharan Africa (SSA). This study was undertaken to determine the outcome of children born with conotruncal anomalies in SSA, regarding access to treatment and outcomes of surgical intervention.
Methods: From our institution in Ghana, we retrospectively analyzed the outcomes of surgery, in the two-year period from June 2013 to May 2015.
Pan Afr Med J
April 2015
National Cardiothoracic Center, Korle Bu Teaching Hospital, P O Box KB 846, Accra, Ghana.
Introduction: In resource-poor settings, the modified Blalock-Taussig shunt (MBTS) is often performed for symptomatic relief of Fallot's tetralogy. From September 2011, we adopted the strictly posterior thoracotomy (SPOT), a minimal-access technique for the MBTS and report the cosmetic advantages in this communication.
Methods: We retrospectively analyzed the records of consecutive patients in whom the SPOT approach was used to construct the MBTS.
Pan Afr Med J
July 2013
National Cardiothoracic Center, Box KB 846 Korle Bu Teaching Hospital, Accra, Ghana.
Introduction: Esophageal cancer portends a grim prognosis. Most patients present with incurable disease. Scanty epidemiologic data on the disease has contributed to its low priority on the national.
View Article and Find Full Text PDFAnn Thorac Surg
August 2012
National Cardiothoracic Center, Korle Bu Teaching Hospital, Accra, Ghana.
Cor triatriatum is commonly used to describe the congenital malformation in which an anomalous fibromuscular shelf divides the left atrium. We report the successful surgical repair of an extremely rare combination of divided left atrium, virtual absence of the interatrial septum, and anomalous right pulmonary venous connection in a 7 year-old girl. Preoperative transthoracic echocardiography could not detect the dividing left atrial shelf.
View Article and Find Full Text PDFPan Afr Med J
June 2012
National Cardiothoracic Center, Korle Bu Teaching Hospital, P.O. Box KB 846, Accra, Ghana.
West Africa is one of the poorest regions of the world. The sixteen nations listed by the United Nations in this sub-region have some of the lowest gross domestic products in the world. Health care infrastructure is deficient in most of these countries.
View Article and Find Full Text PDFPan Afr Med J
June 2012
National Cardiothoracic Center, Korle Bu Teaching Hospital, PO Box KB 846, Accra, Ghana.
We read with concern the paper of Budzee and colleagues in a recent issue of the Pan African Medical Journal. We wish to draw the attention of the authors and the readership of the journal to gross inaccuracies in the report. The first open-heart surgery in Nigeria is reported to have taken place on 1(st) February 1974 at the University of Nigeria Teaching Hospital (UNTH) in Enugu.
View Article and Find Full Text PDFJ Cardiothorac Surg
April 2011
National Cardiothoracic Center, Korle Bu Teaching Hospital, P.O. Box KB 846, Accra, Ghana.
Background: The West African sub-region has poor health infrastructure. Mechanical valve replacement in children from such regions raises important postoperative concerns; among these, valve-related morbidity and complications of lifelong anticoagulation are foremost. Little is known about the long-term outcome of mechanical valve replacement in West Africa.
View Article and Find Full Text PDFTex Heart Inst J
August 2006
Department of Surgery, National Cardiothoracic Center, University of Nigeria Teaching Hospital, Enugu, Nigeria 400 001.
Traumatic common carotid artery-to-internal jugular vein fistula is a rare entity that is not usually detected during the acute injury phase. We present 2 cases of traumatic carotid-jugular fistula. Both involved the right side of the neck, and both were due to injury from a firearm.
View Article and Find Full Text PDF