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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

Published online by Cambridge University Press:  25 January 2017

Ikechukwu A. Nwafor ,
Josephat M. Chinawa ,
Daberechi K. Adiele ,
Ijeoma O. Arodiwe ,
Ndubueze Ezemba ,
John C. Eze ,
Ikenna Omeje ,
Onyiye A. Arua  and
William Novick
Ikechukwu A. Nwafor*
Affiliation:
University of Nigeria, Enugu Campus, Enugu, Nigeria
Josephat M. Chinawa
Affiliation:
University of Nigeria, Enugu Campus, Enugu, Nigeria
Daberechi K. Adiele
Affiliation:
University of Nigeria, Enugu Campus, Enugu, Nigeria
Ijeoma O. Arodiwe
Affiliation:
University of Nigeria, Enugu Campus, Enugu, Nigeria
Ndubueze Ezemba
Affiliation:
University of Nigeria, Enugu Campus, Enugu, Nigeria
John C. Eze
Affiliation:
University of Nigeria, Enugu Campus, Enugu, Nigeria
Ikenna Omeje
Affiliation:
Paediatric Cardiac Center, Great Omond Street Hospital, London, United Kingdom
Onyiye A. Arua
Affiliation:
Federal University Teaching Hospital Abakaliki, Abakaliki, Nigeria
William Novick
Affiliation:
William Novick Global Cardiac Alliance, United States of America
*
Correspondence to: Dr I. A. Nwafor, Department of Surgery, National Cardiothoracic Center of Excellence, Enugu, Nigeria. Tel: +234 803 778 4860; E-mail: [email protected]
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Abstract

Background

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).

Results

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.

Conclusion

Complex CHD are present in our environment. Their surgical management in our centre is being made possible by periodic visits of foreign cardiac missions.

Keywords

ComplexNational Cardiothoracic Centerforeign cardiac mission
Type
Original Articles
Information
Cardiology in the Young , Volume 27 , Issue 6 , August 2017 , pp. 1174 - 1179
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Copyright
© Cambridge University Press 2017 

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