Abstract
Abstract Introduction: Open heart surgery under cardiopulmonary bypass started in the world by atrial septal defect (ASD) closure. In Burkina Faso, West Africa, open heart surgery was started in January 2021 with an operating closure of ASD (O-ASD) at the University Hospital of Tengandogo. The aim of this study was to report the early results of the first 15 cases of O-ASD that were performed in West Africa. Materials and Methods: Over a period of 2 years from January 1, 2021, to December 31, 2022, 15 patients (eight female patients and seven male patients) consecutively underwent standard closure through the right atrium. The mean age was 15.7 years (range, 3–42 years). Outcomes were defined according to cardiopulmonary and aortic cross-clamp time, intensive care unit stay time, and postoperative morbidity and mortality. Results: All the patients presented with secundum ASD with an average size of 20.3 mm (range, 10–32 mm). Overall, 86.7% of the patients presented with dilated right chambers, and 40% with a mild-to-moderate pulmonary hypertension. The mean cardiopulmonary bypass time was 76.9 min (46–150 min), and the mean aortic cross-clamp time was 39.8 min (range, 18–86 min). The postoperative course was uneventful in 14 patients (93.3%). During the study period, one patient died from consecutive complications including neurologic deficit, acute renal insufficiency and septic shock. Conclusion: In Burkina Faso, the diagnosis of congenital heart diseases has been performed late when complications have already appeared. However, O-ASD is now feasible in Burkina Faso as a safe and efficient procedure. Key actions to perform are promoting prenatal diagnosis and early correction.
Published Version
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