Introduction: We aimed to describe epidemiological, diagnostic, therapeutic aspects of aortic dissection (AD) managed at the CNHU-HKM of Cotonou (Benin). Methods: It was a retrospective study from january 2018 to july 2023. All patients admitted for AD were enrolled. AD was classified as type A and type B according to Stanford. DA risk factors, socio-demographic characteristics and DA characteristics were studied. Results: Of the 2883 patients admitted during the study period, there were 17 cases of AD, representing a frequency of 0.6%. The mean age was 52 ± 9 years, and the sex ratio was 3.25. Uncontrolled hypertension was the predominant risk factor (88.3%). The main manifestations of AD were chest pain (100%) and aortic insufficiency (52.94%). Chest X-rays showed enlargement of the mediastinum in all patients. Echocardiography showed intimal flap in 62.5%. The aortic angiotomodensitometry, identified 12 type A (70.59%) and 5 type B (29.41%) of AD. Surgical or endovascular treatment was performed in 6 (35.29%) patients. Lethality rate was 47.06%. Conclusion: Aortic dissection was frequent at the teaching clinic of cardiology of CNHU-HKM of Cotonou. Surgical or endovascular treatment wasn't often available, and mortality was high. Prevention of this condition must be the rule, and it requires adequate management of hypertension, which is the most common risk factor.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 9, Issue 6) |
| DOI | 10.11648/j.ijcts.20230906.11 |
| Page(s) | 71-76 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Aortic Dissection, Arterial Hypertension, Cardiovascular Surgery, Benin
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APA Style
Bori Bata, K., Sonou, A., Dohou, H., Aïkpon, D., Agbo, M., et al. (2023). Acute Aortic Dissection at the Cardiology Clinic to the University National Hospital Hubert Koutoukou Maga of Cotonou (BENIN). International Journal of Cardiovascular and Thoracic Surgery, 9(6), 71-76. https://doi.org/10.11648/j.ijcts.20230906.11
ACS Style
Bori Bata, K.; Sonou, A.; Dohou, H.; Aïkpon, D.; Agbo, M., et al. Acute Aortic Dissection at the Cardiology Clinic to the University National Hospital Hubert Koutoukou Maga of Cotonou (BENIN). Int. J. Cardiovasc. Thorac. Surg. 2023, 9(6), 71-76. doi: 10.11648/j.ijcts.20230906.11
AMA Style
Bori Bata K, Sonou A, Dohou H, Aïkpon D, Agbo M, et al. Acute Aortic Dissection at the Cardiology Clinic to the University National Hospital Hubert Koutoukou Maga of Cotonou (BENIN). Int J Cardiovasc Thorac Surg. 2023;9(6):71-76. doi: 10.11648/j.ijcts.20230906.11
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Download@article{10.11648/j.ijcts.20230906.11,
author = {Kémal Bori Bata and Arnaud Sonou and Hugues Dohou and Donald Aïkpon and Mayeul Agbo and Carmel Abatti and Maurice Dangbegnon and Murielle Hounkponou and Xavier Fadonougbo and Phillipe Agbalika and Francis Soummonni and David Dossou and Léopold Houétondji Codjo},
title = {Acute Aortic Dissection at the Cardiology Clinic to the University National Hospital Hubert Koutoukou Maga of Cotonou (BENIN)},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {9},
number = {6},
pages = {71-76},
doi = {10.11648/j.ijcts.20230906.11},
url = {https://doi.org/10.11648/j.ijcts.20230906.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20230906.11},
abstract = {Introduction: We aimed to describe epidemiological, diagnostic, therapeutic aspects of aortic dissection (AD) managed at the CNHU-HKM of Cotonou (Benin). Methods: It was a retrospective study from january 2018 to july 2023. All patients admitted for AD were enrolled. AD was classified as type A and type B according to Stanford. DA risk factors, socio-demographic characteristics and DA characteristics were studied. Results: Of the 2883 patients admitted during the study period, there were 17 cases of AD, representing a frequency of 0.6%. The mean age was 52 ± 9 years, and the sex ratio was 3.25. Uncontrolled hypertension was the predominant risk factor (88.3%). The main manifestations of AD were chest pain (100%) and aortic insufficiency (52.94%). Chest X-rays showed enlargement of the mediastinum in all patients. Echocardiography showed intimal flap in 62.5%. The aortic angiotomodensitometry, identified 12 type A (70.59%) and 5 type B (29.41%) of AD. Surgical or endovascular treatment was performed in 6 (35.29%) patients. Lethality rate was 47.06%. Conclusion: Aortic dissection was frequent at the teaching clinic of cardiology of CNHU-HKM of Cotonou. Surgical or endovascular treatment wasn't often available, and mortality was high. Prevention of this condition must be the rule, and it requires adequate management of hypertension, which is the most common risk factor.
},
year = {2023}
}
TY - JOUR T1 - Acute Aortic Dissection at the Cardiology Clinic to the University National Hospital Hubert Koutoukou Maga of Cotonou (BENIN) AU - Kémal Bori Bata AU - Arnaud Sonou AU - Hugues Dohou AU - Donald Aïkpon AU - Mayeul Agbo AU - Carmel Abatti AU - Maurice Dangbegnon AU - Murielle Hounkponou AU - Xavier Fadonougbo AU - Phillipe Agbalika AU - Francis Soummonni AU - David Dossou AU - Léopold Houétondji Codjo Y1 - 2023/12/06 PY - 2023 N1 - https://doi.org/10.11648/j.ijcts.20230906.11 DO - 10.11648/j.ijcts.20230906.11 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 71 EP - 76 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20230906.11 AB - Introduction: We aimed to describe epidemiological, diagnostic, therapeutic aspects of aortic dissection (AD) managed at the CNHU-HKM of Cotonou (Benin). Methods: It was a retrospective study from january 2018 to july 2023. All patients admitted for AD were enrolled. AD was classified as type A and type B according to Stanford. DA risk factors, socio-demographic characteristics and DA characteristics were studied. Results: Of the 2883 patients admitted during the study period, there were 17 cases of AD, representing a frequency of 0.6%. The mean age was 52 ± 9 years, and the sex ratio was 3.25. Uncontrolled hypertension was the predominant risk factor (88.3%). The main manifestations of AD were chest pain (100%) and aortic insufficiency (52.94%). Chest X-rays showed enlargement of the mediastinum in all patients. Echocardiography showed intimal flap in 62.5%. The aortic angiotomodensitometry, identified 12 type A (70.59%) and 5 type B (29.41%) of AD. Surgical or endovascular treatment was performed in 6 (35.29%) patients. Lethality rate was 47.06%. Conclusion: Aortic dissection was frequent at the teaching clinic of cardiology of CNHU-HKM of Cotonou. Surgical or endovascular treatment wasn't often available, and mortality was high. Prevention of this condition must be the rule, and it requires adequate management of hypertension, which is the most common risk factor. VL - 9 IS - 6 ER -
Cardiology Teaching and Research Unit and University Cardiology Clinic, National University Hospital Center Hubert Koutoukou Maga and Faculty of Health Sciences of Cotonou, Abomey Calavi, Benin
Cardiology Teaching and Research Unit and University Cardiology Clinic, National University Hospital Center Hubert Koutoukou Maga and Faculty of Health Sciences of Cotonou, Abomey Calavi, Benin
Cardiology Teaching and Research Unit Cardiology Department, Borgou/Alibori Departmental University Hospital Center Faculty of Medicine, Parakou, Benin
Cardiology Teaching and Research Unit and University Cardiology Clinic, National University Hospital Center Hubert Koutoukou Maga and Faculty of Health Sciences of Cotonou, Abomey Calavi, Benin
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