Nwiloh J, Edaigbini S, Danbauchi S, Babaniyi I, Aminu M, Adamu Y, Oyati A
Section of Cardiothoracic Surgery, St Joseph's Hospital, Atlanta, GA, USA.
Cardiovasc J Afr. 2012 Sep;23(8):432-4. doi: 10.5830/CVJA-2012-028. Epub 2012 Mar 27.
A pilot study was undertaken to determine the feasibility of establishing a heart surgery programme in northern Nigeria. During three medical missions by a visiting US team, in partnership with local physicians, 18 patients with heart diseases underwent surgery at two referral hospitals in the region. Sixteen (88.9%) patients underwent the planned operative procedure with an observed 30-day mortality of 12.5% (2/16) and 0% morbidity. Late complications were anticoagulant related in mechanical heart valve patients and included a first-trimester abortion one year postoperatively, and a death at two years from haemorrhage during pregnancy. This has prompted us to now consider bioprosthetics as the valve of choice in women of childbearing age in this patient population. This preliminary result has further stimulated the interest of all stakeholders on the urgency to establish open-heart surgery as part of the armamentarium to combat the ravages of heart diseases in northern Nigeria.
开展了一项试点研究，以确定在尼日利亚北部建立心脏外科手术项目的可行性。在一个来访的美国团队与当地医生合作进行的三次医疗任务期间，该地区两家转诊医院的18名心脏病患者接受了手术。16名（88.9%）患者接受了计划的手术，观察到的30天死亡率为12.5%（2/16），发病率为0%。晚期并发症与机械心脏瓣膜患者的抗凝有关，包括术后一年的早孕流产，以及妊娠期间两年因出血死亡。这促使我们现在考虑将生物假体作为该患者群体中育龄妇女的首选瓣膜。这一初步结果进一步激发了所有利益相关者对在尼日利亚北部建立心脏直视手术作为对抗心脏病肆虐的手段之一的紧迫性的兴趣。
