{"title":"South African Heart Journal 2019: A year in review","authors":"N. Ntusi","doi":"10.24170/17-1-4027","DOIUrl":"https://doi.org/10.24170/17-1-4027","url":null,"abstract":"","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86769059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children’s Hospital, Cape Town, South Africa: A five-year experience","authors":"F. Mpisane, A. Brooks, W. Basera, L. Zühlke","doi":"10.24170/17-1-4021","DOIUrl":"https://doi.org/10.24170/17-1-4021","url":null,"abstract":"Purpose: Sternal wound infection (SWI) is associated with significant morbidity and mortality in post-operative cardiac patients. We aimed to describe the burden, risk factors and outcomes of SWI in post-operative paediatric cardiac patients at a tertiary children’s hospital. Methods: We conducted a retrospective record review of cardiac surgeries via median sternotomy over a 5-year period to identify cases of SWI. Results: Between 2011 and 2016, 1 319 patients underwent median sternotomy. Thirty four (2.6%) patients developed SWI; 18 (13%) patients developed deep sternal wound infection (DSWI), and 16 (12%) developed superficial sternal wound infections (SSWI). Twenty two (16%) of SWIs were apparent within a week postsurgery before discharge, and the remaining were readmitted post-discharge. Seven (0.5%) patients died from complications. Conclusion: Significant morbidity was associated with SWI. Furthermore, with a mortality rate of 20% in the case of DSWI, we strongly support quality improvement procedures such as the Sternal Wound Prevention Bundle (SWPB) that was introduced in late 2014. However, the rate of SWI implies that ongoing monitoring and evaluation of the SWPB is necessary and more stringent adherence to the protocol may result in better outcomes .","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74889417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Shidhika, Alfred Mureko, Nicolaas Feris, W. Mey, H. Toit, Simon Beshir, J. Mumba, M. Jordaan, N. Afshani, M. Joseph, M. Phillips, Ndapewa Ipinge, Ndati Agapitus, Pascal Walters, Progress Mhangami, Sphamandla Simelane, Y. Makar, T. Michael, E. Rieth, J. Brink, O. Stumper
{"title":"Cardiac catheterisation and surgery in Namibia","authors":"F. Shidhika, Alfred Mureko, Nicolaas Feris, W. Mey, H. Toit, Simon Beshir, J. Mumba, M. Jordaan, N. Afshani, M. Joseph, M. Phillips, Ndapewa Ipinge, Ndati Agapitus, Pascal Walters, Progress Mhangami, Sphamandla Simelane, Y. Makar, T. Michael, E. Rieth, J. Brink, O. Stumper","doi":"10.24170/17-1-4029","DOIUrl":"https://doi.org/10.24170/17-1-4029","url":null,"abstract":"","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87849016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The year in cardiology: valvular heart disease. The year in cardiology 2019.","authors":"R. Binder, M. Dweck, B. Prendergast","doi":"10.24170/17-1-4026","DOIUrl":"https://doi.org/10.24170/17-1-4026","url":null,"abstract":"","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88436301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-compliant left atrium masquerading as severe mitral regurgitation on cardiac catheterisation haemodynamics","authors":"P. Mkoko, B. Cupido","doi":"10.24170/17-1-4031","DOIUrl":"https://doi.org/10.24170/17-1-4031","url":null,"abstract":"A prominent v wave on a capillary wedge or left atrial pressure tracings classically signify significant mitral regurgitation. However, infiltrative disease involving the left atrium and left atrial scar from prior catheter ablation or Maze procedures, may produce a similar waveform due to noncompliance of the left atrium.","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85348116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The short and one-year outcome of transcatheter Patent Ductus Arteriosus closure at Inkosi Albert Luthuli Central Hospital, Durban, South Africa: A Descriptive retrospective chart review","authors":"K. Koolash, E. Hoosen","doi":"10.24170/17-1-4020","DOIUrl":"https://doi.org/10.24170/17-1-4020","url":null,"abstract":"Background: Transcatheter closure of patent ductus arteriosus is a common intervention worldwide. A review of the outcomes of patients undergoing this procedure was undertaken at a central hospital in Durban, South Africa. Methods: Retrospective observational descriptive study of the short ( 1 year) efficacy and safety of patients who underwent transcatheter closure of PDA from January 2010 - December 2015 at Inkosi Albert Luthuli Central Hospital (IALCH), Durban, KwaZulu-Natal. Results: Over the 5 years, 181 patients underwent cardiac catheterisation for PDA closure: 170 (93.9%) had successful percutaneous closure, and 11 (6.07%) required surgical ligation. Mean age was 30.2 ± 9.7 months, weight 11.2kg ± 3.6kg, PDA diameter on echocardiography was 3.64mm (SD ± 0.97mm), fluoroscopy time 13.66 minutes (SD ± 4.37min) and radiation dose 468.61 microGrays (SD ± 149.9microGrays). Devices used included the Amplatzer Duct Occluder (ADO) I, ADO II, ADO II AS, Cera, Occlutech, detachable coils and vascular plugs. Twenty-five patients (15%) had complications (6 major: 2 device embolisation, 1 blood loss and 3 pulse loss). Conclusion: Percutaneous PDA closure at IALCH, South Africa, had a comparable level of safety and efficacy to reports from other centres.","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89961408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Response to letter on the Cape Town Declaration","authors":"P. Zilla, R. Bolman, P. Boateng","doi":"10.24170/16-4-3840","DOIUrl":"https://doi.org/10.24170/16-4-3840","url":null,"abstract":"Heart Federation]) formed an umbrella body (“Cardiac Surgery Intersociety Alliance” [CSIA]) – with the goal of jointly facilitating access to cardiac surgery in the developing world. It was ratified by all councils and is chaired by Robert Higgins, Chief at Johns Hopkins and President of STS. As called for in the Cape Town Declaration, the main mission of CSIA is to facilitate the establishment of local cardiac surgical capacity rather than fly-in “missions” or sporadic “fly-out” assistance affecting only a few children. As stated in our joint assessment of “Global unmet needs in cardiac surgery”(3) “The question as to whether these fly-in or fly-out missions have benefitted a few while harming the many is a controversial topic of ongoing debates. While one may argue that these missions could be seen as trial-runs for the infrastructure and interdisciplinary skills-harmonisation necessary for commencing local openheart surgery, the long-term verdict is largely less positive. In the long run, ‘missions’ – f inanced by NGOs or their governments and mostly deploying big teams for a handful of predominantly congenital corrections and well publicized ‘fly-out’ missions for a handful of children to private health businesses provided the local governments with fig leaves. Being able to superficially claim that heart surgery was offered to their population, allowed them to camouflage the gap between the population’s needs for life-saving surgery and the actually offered miniscule relief for society.”","PeriodicalId":22462,"journal":{"name":"The Egyptian Heart Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74408514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}