Use of a composite survival curve to determine the age at which surgery offers the highest survival benefit for Tetralogy of Fallot

Article in Press

Contemporary surgical practice relating to Tetralogy of Fallot is shifting towards earlier correction; however, a recent large study proposes later correction to increase event free survival. Surgery aims to improve the quantity and quality of life at minimal risk to the patient. Surgical outcome and risk assessment requires a comparison of externally valid studies of natural history and surgical outcome. We reviewed the...

Author(s):Mark N. Awori, Jonathan A. Awori, Nick K. Gachara

Use of a composite survival curve to optimise the surgical strategy for repair of Transposition of the great arteries

Article in Press

The arterial switch operation (ASO) is considered the gold standard for repair of D-transposition of the great arteries. However, when patients present after the third week of life, the early operative outcomes may be less predictable. Current guidelines recommend extra corporeal membrane oxygenation (ECMO) availability when the arterial switch is performed on patients between 3 to 6 weeks of age. Controversy remains...

Author(s):Mark N Awori, Jonathan A Awori, Nadia Makkoukdji, Stephen Takow

The Relationship Between Peripheral Arterial Disease Severity and Allostatic Load: A National Health and Nutrition Examination Survey Study

Article in Press

Objectives: Major socioeconomic disparities persist in the management and outcomes of peripheral artery disease (PAD) globally. Allostatic load, which is described as a measure of physiologic adaptation to socio-environmental stress, has been reported to partially explain higher mortality rates in US Blacks. However, it is not clear if allostatic load is associated with PAD severity. Methods: The National Health and...

Author(s):Kakra Hughes, Olubode A. Olufajo, Edmund Ameyaw, Kellee Wright, Dylan H. Roby, Craig S. Fryer, Joseph L. Wright, Neil J. Sehgal

Comparison Between Ultrasound guided Regional Anaesthesia And General Anaesthesia In Arteriovenous Fistula Creation At The Douala General Hospital

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Background: Anaesthetic modalities for arteriovenous fistula (AVF) creation include general (GA), local (LA) and regional anaesthesia (RA). Ultrasound guided regional anaesthesia (USRA) proved to have more benefits in AVF creation than the other two. We undertook a study at the Douala General Hospital to assess these benefits over GA and RA. Objective: We aimed to highlight the contribution of USRA in upper limb AVF...

Author(s):Metogo Mbengono Junette Arlette, Halle Marie Patrice, Mve Mvondo Charles, Toua Marie Michèle, Sango Joseph, Massom Annie, Yakana Linus, Mbakop Corinne, Beyiha Gérard. Ngatchou Djomo William

Direct appraoch in false Traumatic Aneurysm of the Left Radial Artery in a Teenager

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A 17-year-old man sustained a minor penetrating injury to his left foreman, resulting in false aneurysm formation. It is a generally rare unrecognized pathology. Complications are serious (embolism and thromboses of interdigital arteries). The diagnosis is based on the presence of a pulsatile mass, with finger dysesthesia. It is confirmed by duplex Doppler. Surgical treatment was resection of aneurysm hull completed by...

Author(s):R. Atipo-galloye, S.H Moumpala, B.N Tseyi Ossere, G. Ngabogo

Surgery of cardiac myxoma in sub saharan patients

Article in Press

Objectives : Myxomas are the most common form of benign cardiac tumors. We present here a successful surgical treatment of congolese patients operate in Morocco. The aim of this study was to present successful south-south medical cooperation. Patients and methods: It’s a retrospective study, between June 2011 and December 2019, congolese patients with cardiac myxomas were operated in International University Hospital...

Author(s):R. Atipo-galloye, S.H. Moumpala, B.N. Tseyi Ossere, G. Okiemy, R. Ajjaja, R. Sayah, Y. Cheikhaoui