World Journal of
Pharmaceutical and Life Sciences

CORONARY ARTERY BYPASS GRAFTING SURGERY IN SUB-SAHARAN AFRICA (SENEGAL): PRELIMINARY STUDY

Mouhamadou Bamba Ndiaye*, Dr. Joseph Salvador Mingou, Maguette Ba, Christelle Akagha Kondé, Fatou Aw, Simon Antoine Sarr, Malick Bodiian, Aliou Alassane Ngaidé, Alassane Mbaye, Adama Kane, Maboury Diao and Abdoul Kane

ABSTRACT

Despite the evolution of percutaneous coronary interventions techniques, some coronary lesions still fall under revascularization surgery, in particular coronary artery bypass grafting (CABG) surgery. Accessibility to CABG remains difficult in developing countries, due to a deficit in suitable technical platform and low income of the populations. Through this series, we wanted to note the clinical profile of the patients who underwent CABG, as well as the different indications of coronary revascularization, and the surgical techniques used in these black subjects from Senegal. The study was retrospective, descriptive, carried out between October 2014 and March 2017 at the Clinique du Cap-Dakar, making it possible to identify 17 patients, mostly men (sex ration: 5.6). Hypertension was the most common risk factor (13 patients), and six of them were diabetic. Thirteen patients presented a three-vessel disease on coronary angiography. The average SYNTAX score was 34.9, while the calculated average EuroSCORE was 3.4. The majority of performed CABG were arterial (66.66%). Three patients had triple bypass surgery, the rest had a double bypass surgery. Only one patient had undergone the breast Y technique. No incidents or accidents were reported during the procedures. The intraoperative mortality was zero. Postoperatively, atrial fibrillation has been reported in one woman. Stroke and myocardial infarction were not recorded on return from the surgery. This series also shows that CABG is feasible in Dakar, and allows the revascularization of patients with complex coronary lesions. This technique must be extended to the public sector, but also to the sub-region in order to better manage these coronary diseases which are constantly growing in Africa.

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