Management of complex CHD at the National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital, Enugu: the role of foreign cardiac missions in 3.5 years

CHD is defined as structural defect(s) in the heart and proximal blood vessels present at birth. The National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital (UNTH), Enugu, through the aid of visiting Cardiac Missions has managed a significant number of patients within t...

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Bibliographic Details
Published in:Cardiology in the young 2017-08, Vol.27 (6), p.1174-1179
Main Authors: Nwafor, Ikechukwu A., Chinawa, Josephat M., Adiele, Daberechi K., Arodiwe, Ijeoma O., Ezemba, Ndubueze, Eze, John C., Omeje, Ikenna, Arua, Onyiye A., Novick, William
Format: Article
Language:English
Subjects:
Adolescent
Adult
Blood vessels
Bypasses
Cardiac Surgical Procedures - methods
Child
Child, Preschool
Congenital diseases
Cross-Sectional Studies
Environmental management
Female
Females
Follow-Up Studies
Heart
Heart Defects, Congenital - epidemiology
Heart Defects, Congenital - surgery
Heart diseases
Hospitals, Teaching
Humans
Incidence
India
Infant
International Cooperation
Male
Males
Medical Missions, Official - organization & administration
Mortality
Nigeria - epidemiology
Original Articles
Patients
Postoperative Complications - epidemiology
Retrospective Studies
Shunts
Surgeons
Surgery
Survival Rate - trends
Ultrasonic imaging
United Kingdom
United States
Veins & arteries
Young Adult
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Summary:CHD is defined as structural defect(s) in the heart and proximal blood vessels present at birth. The National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital (UNTH), Enugu, through the aid of visiting Cardiac Missions has managed a significant number of patients within the last 3.5 years. Aim/Objective The objective of this study was to review surgical options and outcome of complex CHD among patients attending UNTH, Enugu, Enugu. Materials and Method During the period of 3.5 years (March, 2013 to June, 2016), a total of 20 cases of complex CHD were managed by cardiac missions that visited UNTH, Enugu. Their case notes and operating register were retrieved, reviewed, and analysed using SPSS version 19 (Chicago). There were eight females and 12 males, with a ratio of 2:5. The age range was from 5 months to 34 years with a mean of 1.7. Among all, five patients died giving a mortality rate of 25%. The operative procedures ranged from palliative shunts to complete repair. The outcome was relatively good. Complex CHD are present in our environment. Their surgical management in our centre is being made possible by periodic visits of foreign cardiac missions.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951116002766