Why the study?
The study aimed to show the major challenges and concerns regarding rheumatic valve disease surgery in Burundi and evaluate medium-term results.
Open heart surgery for rheumatic valve disease in Burundian patients operated abroad yielded good medium-term outcomes with a 5.5% mortality rate, underscoring the need for local cardiac surgery infrastructure.
Highlights barriers to RHD surgery access in Burundi; leaves open feasibility of local programs.
Objective: to show major challenge, concerns about rheumatic valve disease surgery in Burundi and medium term results. Methods: Included in our study, all patients whom the diagnosis of rheumatic heart disease had been made and underwent open heart surgery abroad. Results: Middle age= 24, 72 ±11.8 years, 33 (61.1%) patients were female. The average duration of the follow up=3.46±1.61years. Mitral valve was the most affected (92.59%). The main surgical procedure was mitral valve replacement performed to 47 (94%) patients. During the follow up, 3(5.5%) patients died. Conclusion: Surgical management of rheumatic heart disease remains a major challenge in Burundi. Six areas of concerns must be considered to developp a local technique plateau.
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Nijimbere et al. (2022) studied this question.
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