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422640

Cardiopulmonary bypass in a fledgling center for open heart surgery

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Last updated: 27 Apr 2025

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Abstract

Abstract
Background: Cardiopulmonary bypass (CPB) allows the patient's heart and lungs to be temporarily devoid of circulation, with respiratory and cardiac activity suspended so that intricate cardiac, vascular, or thoracic surgery can be performed in a safe and controlled environment. Perfusion practice in Nigeria is a relatively new emerging field owing to the slow development of cardiac surgery programs in the country. It is therefore necessary to document and establish scientific, evidence-based protocols that are unique to our environment.
Objectives: To describe the management of patients on CPB (without the use of a cardioplaegia heat exchanger) at our hospital.
Patients and Methods: This was a cross-sectional study from a prospectively collected clinical database of patients operated at our hospital for intra-cardiac defects utilizing cardiopulmonary bypass over a period of 2 years between 2015 and 2017.
Results: A total of nine (9) patients who were operated on for intra-cardiac defects at UITH between the years 2015 and 2017, were placed on CPB. Oxygenated blood was added to the cardioplaegia solution in a ratio of two parts crystalloid to one part fully oxygenated patient whole blood (obtained from the bypass circuit). No cardiolplaegia heat exchanger and delivery system was used for these surgeries. We employed continuous conventional ultrafiltration during CPB. Surgeries were done under mild to moderate hypothermia. There were 8 long-term survivors with one mortality.
Conclusion: We conclude that cardiopulmonary bypass can be safely conducted in a resource challenged facility with some modifications to the conventional technique.

DOI

10.21608/ejca.2024.274051.1001

Keywords

Cardiopulmonary bypass, Cardioplaegia, Oxygenator, Extracorporeal circulation, Cross-clamp time

Authors

First Name

Peter

Last Name

Adeoye

MiddleName

Oladapo

Affiliation

Division of Thoracic and Cardiovascular surgery, Department of Surgery, University of Ilorin and University of Ilorin Teaching Hospital, Nigeria

Email

poadeoye@yahoo.ca

City

Ilorin

Orcid

-

First Name

Olufemi

Last Name

Ige

MiddleName

Adebayo

Affiliation

Department of Anaesthesia, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria

Email

femiigedoc@gmail.com

City

Ilorin

Orcid

-

First Name

Abdulrazaq

Last Name

Akiode

MiddleName

-

Affiliation

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Ilorin Teaching Hospital, Nigeria

Email

olasforeal01@yahoo.com

City

Ilorin

Orcid

-

First Name

Ifedolapo

Last Name

Olaoye

MiddleName

-

Affiliation

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria

Email

dolapoifect@gmail.com

City

Ilorin

Orcid

-

First Name

Oluwaseun

Last Name

Akanbi

MiddleName

R

Affiliation

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria

Email

akanbiseunr@gmail.com

City

Ilorin

Orcid

-

First Name

Mohammed

Last Name

Abdulkadri

MiddleName

B

Affiliation

Cardiology unit, Department of Pediatrics and Child health, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria

Email

docmohng@yahoo.com

City

Ilorin

Orcid

-

First Name

Phillip

Last Name

Kolo

MiddleName

M

Affiliation

Cardiology unit, Department of Medicine, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria

Email

kolo.pm@unilorin.edu.ng

City

Ilorin

Orcid

-

First Name

James

Last Name

Ogunmodede

MiddleName

A

Affiliation

Cardiology unit, Department of Medicine, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria

Email

ayodeleogunmodede@yahoo.com

City

Ilorin

Orcid

-

First Name

Hannah

Last Name

Olawumi

MiddleName

O

Affiliation

Department of Haematology and Blood Transfusion, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria

Email

hoolawumi@unilorin.edu.ng

City

Ilorin

Orcid

-

First Name

Olanrewaju

Last Name

Adedoyin

MiddleName

-

Affiliation

Nephrology unit, Department of Pediatrics and Child health, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria

Email

adedoyin.ot@unilorin.edu.ng

City

Ilorin

Orcid

-

First Name

Olusola

Last Name

Adesiyun

MiddleName

-

Affiliation

Department of Radiology, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria

Email

adesiyunsola@yahoo.com

City

Ilorin

Orcid

-

Volume

18

Article Issue

2

Related Issue

55118

Issue Date

2024-08-01

Receive Date

2024-03-02

Publish Date

2024-08-01

Page Start

35

Page End

41

Print ISSN

1687-9090

Online ISSN

2090-326X

Article File

EJCA_Volume 18_Issue 2_Pages 35-41.pdf

PDF . 726.8kB

Link

https://ejca.journals.ekb.eg/article_422640.html

Detail API

http://journals.ekb.eg?_action=service&article_code=422640

Order

2

Type

Original Article

Type Code

3,031

Publication Type

Journal

Publication Title

The Egyptian Journal of Cardiothoracic Anesthesia

Publication Link

https://ejca.journals.ekb.eg/

MainTitle

Cardiopulmonary bypass in a fledgling center for open heart surgery

Details

Type

Article

Created At

27 Apr 2025