%0 Journal Article
%T First Series of Ascending Aorta Surgery in a Sub-Saharan African Country (Benin)
%A Abdel K&#233
%A mal Bori Bata
%A Yacoubou Imorou-Souaibou
%A Ahmad Ibrahim
%A D&#233
%A sir&#233
%A N&#233
%A koua
%A Ernest Ahounou
%A Arnaud Sonou
%A L&#233
%A opold Codjo
%A Pierre Demondion
%J World Journal of Cardiovascular Surgery
%P 33-41
%@ 2164-3210
%D 2025
%I Scientific Research Publishing
%R 10.4236/wjcs.2025.152004
%X <b>Background:</b> Pathologies of the ascending aorta, mainly aneurysms and dissections, represent a major challenge in cardiac surgery. The aim of this study is to report the short-term results of ascending aorta surgery in Benin. <b>Methods:</b> This is a prospective study of ascending aorta surgeries performed at Hubert Koutoukou Maga National University Hospital Center in Benin from March 2021 to October 2024. <b>Results:</b> Fifteen (15) patients were included, 11 with aneurysms and 4 with dissections of the ascending aorta, representing 11.7% of cardiac surgeries during the study period. The mean age was 50.4 &#177; 7.4 years, with a sex ratio (M/F) of 4. Dyspnea was the predominant symptom (66.7%). The mean left ventricular ejection fraction was 54.3% &#177; 9.9% and the mean left ventricular end-diastolic diameter was 68.3 &#177; 10.4 mm. The mean diameter of the ascending aorta was 55.0 &#177; 12.7 mm. The mean time of cardiopulmonary bypass was 124.5 &#177; 31.2 min, with a mean aortic cross-clamping time of 96.5 &#177; 14.4 min. Eight (8) patients underwent a Bentall procedure. A supracoronary ascending aortic replacement with aortic valve replacement was performed in 6 patients, and a Tirone David procedure in 1 patient. One patient died immediately after the operation, suffering from SARS-COV2 pneumonia. <b>Conclusion:</b> The indications for surgery on the ascending aorta in Benin are aneurysms and chronic type A aortic dissections. Bentall procedure is the most commonly used technique. Short-term results are relatively satisfactory.
%K Ascending Aorta
%K Dissection
%K Aneurysm
%K Bentall Procedure
%K Benin
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=140500