Heart surgeons find their way in Senegal

April 26, 2011 by Coumba Sylla

When Mouhamadou Ndiaye began talking about open-heart surgery in Senegal in 1990, authorities told him it wasn't a priority.

"We don't have open-heart surgery problems," they said, according to Ndiaye, head of the thoracic and cardiovascular surgery department at Dakar's Fann university teaching hospital. "Our problems are malaria, diarrhoea, vomiting."

"My reply, invariably, was that all patients were patients and needed care," said Ndiaye, who received his training in Europe and returned to Senegal in 1989.

It took time, collaboration with several non-governmental organisations and especially a fortuitous encounter, in 1995, with an American surgeon before the first open-heart operation took place in Senegal, Ndiaye said.

Four patients underwent surgery at the Aristide Le Dantec hospital in Dakar, with a large US team taking part including a surgeon and three anaesthetists, he said.

"At the time, lots of people couldn't believe it. It was a challenge," Ndiaye said.

"Fortunately, it went well" for everyone, he added, recalling "a lot of pressure" from both the Senegalese and the American sides.

Fifteen years later open-heart surgery has become common in this country of nearly 13 million, and Ngiaye's department is a reference point for the west African region.

"Here we have a permanent team. Every week there are patients who have (open-heart) operations," Ndiaye said, noting however that there are more adults than children.

"The share of pediatrics in our activity is around 15 to 20 percent, but this percentage concerns mainly big childen who weigh more than 20 kilogrammes (45 pounds)," he said.

While the centre has operated on Malian adults before, it was treating non-Senegalese children for the first time.

In the operating room, Senegalese and French lean over an open thorax in which a glistening heart is beating.

Thirteen-year-old Aminata Diakite is one of six Malian children brought to Dakar under a humanitarian programme aimed at children from poor families who need surgery to "repair" their complicated heart conditions.

Operating room attendant Amagor Diouf explains the working of the heart-lung machine, a sophisticated pump that "will take over when we stop the heart to work inside the valves."

Aminata's heart condition is "very advanced," said French thoracic and cardio-vascular surgeon Gerard Babatasi, who is based in Caen, northern France. "If we did nothing, she would die."

The programme was developed and is underwritten by the French group La Chaine de l'Espoir (The Chain of Hope), which has worked with Senegalese heart specialists for two decades and has also worked in Cambdia, Afghanistan and Mozambique.

Babatasi is also vice president of La Chaine de l'Espoir which, thanks to donations, "takes on and treats children's heart conditions in all countries where there is no cardiac surgical centre" such as Senegal's.

It brought four girls and two boys, aged between six and 15, from Mali, paying for the surgery and post-operative care.

The six children from "very poor families" suffer congenital heart disease with no one to pay for a remedy, Babatasi said.

One did not survive. "It was a very complex operation and it went badly," he said.

The five other operations at Dakar's university hospital were successful and the patients are recovering remarkably quickly, doctors say.

Nine-year-old Maimouna Diarra, her torso swathed in bandages, tubes and wires in the recovery ward, "is already alert and energetic 24 hours after her operation," said Oumar Diarra, a Senegalese member of the surgery team.

After they leave hospital, the five little Malians will stay with Senegalese families who volunteered to take them in for a few weeks as they convalesce.

The operations are very expensive by west African standards at around two million CFA francs (some 3,000 euros or 4,000 dollars), Ndiaye said.

La Chaine de L'Espoir has demonstrated the advantages of an "inter-regional" approach, notably in reducing costs compared with treatment in Europe, and in the practical training of local specialists, Ndiaye said.

"The ideal is to develop technical arenas locally so that we can operate on patients in the region," he said, adding: "The more we do, the better we do."

Related Stories

Recommended for you

Best of Last Year—The top Medical Xpress articles of 2017

December 20, 2017
It was a good year for medical research as a team at the German center for Neurodegenerative Diseases, Magdeburg, found that dancing can reverse the signs of aging in the brain. Any exercise helps, the team found, but dancing ...

Pickled in 'cognac', Chopin's heart gives up its secrets

November 26, 2017
The heart of Frederic Chopin, among the world's most cherished musical virtuosos, may finally have given up the cause of his untimely death.

Sugar industry withheld evidence of sucrose's health effects nearly 50 years ago

November 21, 2017
A U.S. sugar industry trade group appears to have pulled the plug on a study that was producing animal evidence linking sucrose to disease nearly 50 years ago, researchers argue in a paper publishing on November 21 in the ...

Female researchers pay more attention to sex and gender in medicine

November 7, 2017
When women participate in a medical research paper, that research is more likely to take into account the differences between the way men and women react to diseases and treatments, according to a new study by Stanford researchers.

Drug therapy from lethal bacteria could reduce kidney transplant rejection

August 3, 2017
An experimental treatment derived from a potentially deadly microorganism may provide lifesaving help for kidney transplant patients, according to an international study led by investigators at Cedars-Sinai.

Exploring the potential of human echolocation

June 25, 2017
People who are visually impaired will often use a cane to feel out their surroundings. With training and practice, people can learn to use the pitch, loudness and timbre of echoes from the cane or other sounds to navigate ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.