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Abidjan, Ivory Coast

Dekou A.,Boulevard Of Luniversite | N'Dah J.K.,Laboratoire dAnatomie Pathologique | Kouame B.,Boulevard Of Luniversite | Kohou L.,Institute Of Cardiologie Dabidjan | And 4 more authors.
Progres en Urologie | Year: 2013

We report a bulky adrenal gland in black woman of 52 years old. This patient was submitted to surgery for resection of the mass. The histopathologic exam found primary leiomyosarcoma of adrenal gland. Beyond twelve month after adrenalectomy, the patient was alive without metastasis. © 2013. Source

Pio M.,Service de cardiologie | Adoubi K.,Institute Of Cardiologie Dabidjan | Adoh A.,Institute Of Cardiologie Dabidjan | Didi-Kouko C.,Service de cancerologie du CHU de Treichville | And 3 more authors.
Annales de Cardiologie et d'Angeiologie | Year: 2013

Objective: Evaluate the early anthracyclines cardiotoxicity. Methods: It is a prospective study made on 10. months of period from October 2008 to July 2009 and on patients who contracted a solid canny tumor hospitalized or followed in their movement and who would receive chemotherapy with an anthracycline molecule. On this effect, we have used tissue Doppler of mitral ring to detect clinic infratoxicity. Result: Forty-five patients (43women and 2men) who contracted the solid cancers were included in the study. The patients were 48 of age in average±10.12. All our patients did not show any cardiovascular symptoms at the time of the study. Cardiothoracic and electrocardiograms were not significantly modified by the chemotherapy. The cardioecography with the use of tissue Doppler revealed as followed: (a) significant low of the ejection fraction and the pick of systolic myocardia wave (Sa) on four patients (8.8%). These concerned patients were considered as having anthracycline cardio toxicity. The factor causing this cardiotoxicity was the nature of the anthracycline, which was used: the doxorubicin. The quantity accumulated threshold of the doxorubicin that shod (where toxicity appeared was 150mg/m2); (b) a low of Sa pick without that of left ventricular fraction ejection observed on five patients (11.11%). These concerned patients were considered as having potential risks to develop anthracyclines cardiotoxicity; (c) the left ventricular ejection fraction was not a good indicator the check up of the patients under chemotherapy made up with anthracyclines. Conclusion: The tissue Doppler not only enables to make diagnostics of early myocardia dysfunctions but it mainly allows to identify people with risks of a cardiotoxicity due to a going on chemotherapy. © 2012 Elsevier Masson SAS. Source

Anzouan-Kacou J.-B.,Institute Of Cardiologie Dabidjan | N'cho-Mottoh M.-P.,Institute Of Cardiologie Dabidjan | Balayssac-Siransy E.,Laboratoire Of Physiologie Et Dexplorations Fonctionnelles
Medecine Nucleaire | Year: 2012

Objective: To assess the prevalence of different types of cardiac dyssynchrony by pulsed Doppler ultrasound and Doppler tissue in patients with narrow QRS with or without left ventricular systolic dysfunction. Methodology: Prospective, cross-sectional survey at the Institute of Cardiology of Abidjan, from January to April 2012, in subjects with narrow QRS. Group 1: patients with dilated cardiomyopathy with severe left ventricular dysfunction (left ventricular end diastolic diameter greater than 60mm and/or 30mm/m 2 and ejection fraction less than 35% NYHA stage IV). Group 2: normal subjects with normal echocardiography. All patients underwent an evaluation including tissue Doppler search for different types of dyssynchrony (atrioventricular, interventricular and left intraventricular). Results: Patients in group 1 were significantly older (51.5. ±. 15.8 vs. 35.8. ±. 7.8, P=. 0.03), with larger left ventricular diameters and significantly higher pulmonary systolic pressure. The prevalence of different types of dyssynchrony in group 1 were: atrioventricular dyssynchrony 43.7%, interventricular dyssynchrony 37.5%, left ventricular dyssynchrony 65.6%. Group 2: atrioventricular dyssynchrony 0%, interventricular dyssynchrony 0%, left ventricular dyssynchrony 35%. Conclusion: A large proportion of patients with left ventricular systolic dysfunction and narrow QRS have cardiac dyssynchrony and left ventricular dyssynchrony can be found in healthy patients. This raises the problem of the specificity of Doppler ultrasound criteria using cardiac tissue Doppler to assess cardiac dyssynchrony. © 2012 Elsevier Masson SAS. Source

Konin C.,Institute Of Cardiologie Dabidjan | Adoh M.,Institute Of Cardiologie Dabidjan | Adoubi A.,Service de Cardiologie CHU de Bouake | Ekou A.,Institute Of Cardiologie Dabidjan | And 3 more authors.
Cardiovascular Journal of Africa | Year: 2012

Aim: A pulse pressure above 60 mmHg in hypertensive subjects is an independent cardiovascular risk factor. There are few data on pulse pressure in sub-Saharan Africa. The aim of this study was to describe the pulse pressure in black Africans with arterial hypertension. Methods: A 10-year study was carried out on 640 hypertensive sub-Saharan African subjects at the outpatient department of the Abidjan Heart Institute. The primary endpoint was to determine the prevalence of a high pulse pressure, the correlation between pulse pressure and cardiovascular risk factors, the impact of pulse pressure on target organs, and the variation in pulse pressure while on treatment during follow up. Evaluations were made at the start of the study, and in the first, third, sixth and twelfth months of follow up. The mean age was 56.2 years and 56% were female. Results: The prevalence of a high pulse pressure in our patients was 60% at the start of the study. The factors contributing to a high pulse pressure were age over 50 years (75.3 vs 24.7%, p < 0001), gender (60 vs 40%, p = 0.02), and diabetes (76.7 vs 23.3%, p = 0.0006). Smoking, obesity and dyslipidaemia were not related to an elevation in pulse pressure. The control of pulse pressure was poor during monitoring. Only 17.8% of patients had their pulse pressure lowered below 60 mmHg between the first and fifth consultations. A high pulse pressure was a predictor of future myocardial complications but few target organs were significantly affected. Dual therapy with a diuretic was more effective in controlling the pulse pressure, with a reduction rate of 22% during follow up (19.2 mmHg), against a rate reduction of 11% (8.4 mmHg) in patients without a dual diuretic. Conclusion: The prevalence of pulse pressure above 60 mmHg was higher in hypertensive black Africans. Their control was poor, but dual therapy with a diuretic was more effective. Myocardial consequences were significant. Source

Anzouan-Kacou J.-B.,Institute Of Cardiologie Dabidjan | Seka R.,Institute Of Cardiologie Dabidjan | N'guetta R.,Institute Of Cardiologie Dabidjan | Kramoh E.,Institute Of Cardiologie Dabidjan | Konin C.,Institute Of Cardiologie Dabidjan
Annales de Cardiologie et d'Angeiologie | Year: 2015

True pulmonary artery aneurysm (AAP) is rare and represent less than 1% of intra-thoracic aneurysms. We report a case of a AAP in a patient with a likely cor triatrium sinister, with an obstructive membrane responsible for pulmonary hypertension, explaining AAP. The long-term evolution of 17. years is made to an uncomplicated myocardial infarction. The patient died eight months later suddenly probably due to the rupture of the PAA. © 2014 Elsevier Masson SAS. Source

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