Author(s)

Samba Sidibé^1*, Coumba Adiaratou Thiam², Abdoul Karim Sacko¹, Mamadou Diakite¹, Mariam Dagnoko¹, Souleymane Coulibaly¹, Nouhoum Diallo¹, Hamidou Omar Bâ³, Ibrahima Sangaré³, Somnoma Jean-Baptiste Tougouma⁴, Massama Konaté⁵, Oumar Daouda Koné⁶, Mamadou Touré³, Mariam Sako¹, Ichaka Menta³, Illo Bela Diall¹, Boubakar Diallo¹

¹Cardiology Department, Point “G” Hospital University Center, Bamako, Mali.
²Cardiology Department, Hospital Kati, Bamako, Mali.
³Cardiology Department, Gabriel TOURE Hospital University Center, Bamako, Mali.
⁴Higher Institute of Health Sciences, Nazi Boni de Bobo Dioulasso University, Bobo Dioulasso, Burkina Faso.
⁵Cardiology Department, Hospital Mali, Bamako, Mali.
⁶Medical Department of Institute for Studies and Research, Bamako, Mali.

Objective: The work aimed at describing an epidemioclinical, therapeutic and evolutionary characteristics of patients hospitalized for aortic dissection in the cardiology department in Point “G” Hospital University Center in Bamako—Mali. Methodology: It was a descriptive cross-sectional study from January 2010 to February 2017 in the CHU Point G cardiology department, including all patients hospitalized during this period. Results: Of 6912 hospitalized patients, 23 patients were concerned by aortic dissection. The prevalence of aortic dissection was 0.33%. The most affected age group was 50 - 69 (43.5%) of patients. The predominance was male with a sex ratio of 4.75. The cardiovascular risk factors were high blood pressure (73.9%) and smoking (60.9%). The major functional signs were chest pain (65.2%) and dyspnea (65.2%). Asphygmy (56.5%) and breath of aortic insufficiency (60.9%) were the dominant physical signs. The electrocardiogram recorded sinus tachycardia with 86.9% of patients. The radiographic of the frontal thorax showed mediastina widening (73.9%). At echocardiography, dilatation of the ascending aorta was described with 73.9% and the intimal veil (47.8%). Pericardial effusion was observed with 26.1% of patients. In the thoracic angioscan, the aortic dissection gave 43.5% for type A and 56.5% for type B. The aneurysm of the aorta was abdominal with 21.7%, ascending portion (13.0%) and descending with 8.7%. Complications were dominated by heart failure (47.8%) and aneurysm of the aorta (34.8%). The lethality was 52.2%. Conclusion: Aortic dissection is a medical and surgical emergency with poor prediction.

Aortic Dissection, Cardiology, Point G Hospital

Sidibé, S. , Thiam, C. , Sacko, A. , Diakite, M. , Dagnoko, M. , Coulibaly, S. , Diallo, N. , Bâ, H. , Sangaré, I. , Tougouma, S. , Konaté, M. , Koné, O. , Touré, M. , Sako, M. , Menta, I. , Diall, I. and Diallo, B. (2018) Epidemio-Clinical, Therapeutic and Evolutive Aspects of Aortic Dissection in the Cardiology Department in Poin “G” Hospital University Center Bamako. World Journal of Cardiovascular Diseases, 8, 424-430. doi: 10.4236/wjcd.2018.88041.