%0 Journal Article %T Results of the First 10 Cases of Coronary Bypass Surgery in Senegal %A Papa Amath Diagne %A Jean Claude Ndiogou Dione %A Papa Ousmane Ba %A Momar Sokhna Diop %A El Hadji Boubacar Ba %A Momar Dioum %A Mariè %A me Soda Mbaye %A Moussa Seck Diop %A Mory Camara %A Abdou Lahad Mbengue %A Abdou Aziz Thiaw %A Abdoul Khoudoss Diallo %A Moussa Mareme Samba %A Dialtabé %A Ibrahima Gué %A ssé %A Ba %A Anta Mbaye Sall %A Papa Salmaneba %A Amadou Gabriel Ciss %J World Journal of Cardiovascular Surgery %P 45-60 %@ 2164-3210 %D 2024 %I Scientific Research Publishing %R 10.4236/wjcs.2024.144006 %X This is a review of the first 10 coronary artery bypass surgeries performed by the local team. The mean age was 62 years old [45 - 74]. The patients were predominantly male, with a M/F ratio of 4:1. Cardiovascular risk factors were mainly myocardial infarction (MI) (60%), hypertension (50%), obesity (40%) and diabetes (30%), with at least two risk factors per patient. Angina was the main symptom (80%). The average time from presentation to surgery was 8 months. The mean Euroscore 2 was 2.92 ± 1.65 [1.33 - 6.60]. Coronary angiography revealed an average of 2 lesions per patient, with 3-vessel involvement in 70% of cases: the Interventricular artery (IVA) (100%), the right coronary artery (90%) and the circumflex artery (70%). On echocardiography, the mean Left ventricular ejection fraction (LVEF) was 59% [33% - 76%]. All patients underwent median sternotomy with bypass grafting. The average duration of the cardiopulmonary bypass was 150 min [46 - 275 min]; that of aortic clamping, 120 min [43 - 232 min]. The grafts used were internal thoracic artery (ITA) in 100% of cases (80% on the left and 20% on the right), and the great saphenous vein (GSV) in 60% of cases (50% on the left and 10 on the right). Double bypass was performed in 60% of cases, single bypass in 30% and triple bypass in 10%. The bypasses were performed on the IVA (100%), the middle lateral of the circumflex (30%) and the bisector (20%). The average time to extubation was 11 hours and the length of stay in the intensive care unit was 7 days [03 - 17 days]. One patient had a reoperation on Day 0 post-op. The average hospital stay was 13 days [06 - 27 days]. Complications occurred in nine of the patients (90%), with a predominance of infectious and neurological complications. Overall operative mortality was 3%, all in intensive care. %K Coronary Bypass Surgery %K Coronary Lesions %K Cardiac Surgery %K Senegal %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=132909