Infective endocarditis: diagnostic algorithm and surgical perspectives

With the introduction of new subspecialty in the discipline of surgery in Sudan, such as open-heart surgery, renal transplantation and haemodialysis, infective endocarditis is changing its face. More cases are seen with different presentations, resistance to treatment and sometimes-poor outcomes. In this review, we tried to give an update on the current clinical guidelines for the diagnosis and management of this fatal disease. In particular, we tried to emphasize the importance of team- work approach and implementing clinical algorithms and pathway. Additionally, we highlight the experience at Ahmed-Gasim Hospital, Khartoum North, and stress the need for improvement particularly in the area of training, research and information systems

Pattern and early surgical complications of atrial septal defect closure at Ahmed Gasim cardiac centre

To Review the management and outcome of patients with ASD at Ahmad Gasim cardiac surgery center and to compare with international studies. Methodology: All patients who had ASD repair in Ahmad Gasim cardiac center in the period 1998-2004 were studied. The data studied included age, sex, resident, clinical presentation, physical signs, investigations, diagnosis and postoperative complications. Most of the 40 patients presented with shortness of breath, palpitation and repeated chest infections while split 2nd heart sound and soft murmur were the common physical findings. The echocardiography was efficient in the diagnosis of ASD; the common ASD type was secundum [70%]. Postoperative complications were minor and included pulmonary complications, self-limiting arrhythmia and pericardial effusion. The mortality rate was 1:40 patients. Surgical closure of ASD is safe even in those above 40 years with only minor complications and low mortality rate