African Annals of
Thoracic and Cardiovascular Surgery

OFFICIAL PUBLICATION OF THE AFRICAN ASSOCIATION OF THORACIC AND CARDIO-VASCULAR SURGEONS
  • Abbreviation: Afr. Ann. Thorac. Cardiovasc. Surg.
  • Language: English
  • ISSN: 1994-7461
  • DOI: 10.5897/AATCVS
  • Start Year: 2005
  • Published Articles: 69

Full Length Research Paper

Endovascular and conventional surgical treatment of aneurysms of the aorta and its main branches in Sub-Saharan Africa: The experience of the Côte d'Ivoire

Yoboua Aimé KIRIOUA-KAMENAN
  • Yoboua Aimé KIRIOUA-KAMENAN
  • Department of Cardiovascular Surgery, Abidjan Heart Institute, Côte d'Ivoire.
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Kwadjau Anderson AMANI
  • Kwadjau Anderson AMANI
  • Department of Cardiovascular Surgery, Abidjan Heart Institute, Côte d'Ivoire.
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Kouassi Antonin SOUAGA
  • Kouassi Antonin SOUAGA
  • Department of Cardiovascular Surgery, Abidjan Heart Institute, Côte d'Ivoire.
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Jules SEI BI GOURIAN
  • Jules SEI BI GOURIAN
  • Department of Cardiovascular Surgery, Abidjan Heart Institute, Côte d'Ivoire.
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Afif GHASSANI
  • Afif GHASSANI
  • Department of Vascular Surgery, Mulhouse Regional Hospital Group, South Alsace, France.
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Koutoua Eric KATCHE
  • Koutoua Eric KATCHE
  • Department of Cardiovascular Surgery, Abidjan Heart Institute, Côte d'Ivoire.
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Jean Calaire DEGRE
  • Jean Calaire DEGRE
  • Department of Cardiovascular Surgery, Abidjan Heart Institute, Côte d'Ivoire.
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Randolphe NIAVA
  • Randolphe NIAVA
  • Department of Cardiovascular Surgery, Abidjan Heart Institute, Côte d'Ivoire.
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Lucien ASSEKE
  • Lucien ASSEKE
  • Department of Cardiovascular Surgery, Abidjan Heart Institute, Côte d'Ivoire.
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Joseph KOUAME
  • Joseph KOUAME
  • Department of Anaesthesia and Intensive Care, Abidjan Heart Institute, Côte d'Ivoire.
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Flavien KENDJA
  • Flavien KENDJA
  • Department of Cardiovascular Surgery, Abidjan Heart Institute, Côte d'Ivoire.
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  •  Received: 17 September 2022
  •  Accepted: 10 February 2023
  •  Published: 31 March 2023

Abstract

The objective of this retrospective descriptive study is to share the experience of the Abidjan Heart Institute in the global management of aneurysms of aorta and its main branches from January 2007 to February 2022. It focused on the medical records of patients operated on for an aneurysm of the aorta and its main branches at the Abidjan Heart Institute. The following parameters were studied: Age, sex, circumstances of discovery, degree of urgency, anatomical-clinical characteristics thanks to CT angiography, approaches, operative techniques, duration of interventions, duration of stay in intensive care and in hospital, immediate, short and medium term post-operative results. Thirty seven medical records were collected. Twenty-nine (78.4%) patients were male and eight (21.6%) were female. The average age of the patients was 52.36 years. The circumstances of discovery were represented by clinical signs in 56.8%, while 29.7% were incidental findings, and by complications in 13.5%.  CT angiography revealed 48.7% of aneurysms located in the sub-renal abdominal aorta, 10.8% of aneurysms located in the aorto-biiliac portion, 10.8% of the aneurysms were located on the common iliac arteries, 8.1% on the ascending aorta, 18.9% on the descending thoracic aorta and 02.7%  on the left renal artery on a single kidney. The saccular anatomical type was observed in 32.4% and the fusiform type in 67.6%. Conventional surgery was performed in 75.7% and the endovascular procedure in 24.3%. These two complementary methods have considerably improved the management of patients with aortic aneurysms in Côte d'Ivoire in recent years.

Key words: Aneurysms of aorta and its main branches, conventional surgery, endovascular procedure.