Nigerian Journal of Cardiovascular & Thoracic Surgery

Unexpected bleed during chemoport removal: How to manage?
Ravi C Arjunan, Pavan Kumar Jonnada, Uday Karjol
January-June 2019, 4(1):18-21
DOI:10.4103/njct.njct_8_19

Chemo port is a boon for majority of cancer patients for the comfort it provides for the delivery of chemotherapy. After completion of chemotherapy, it is advisable to remove the chemo port. Removal of chemo port is less morbid procedure and complications occur very rarely. Here by we share our experience of bleeding encounter during chemo port removal and further management. A 36-year-old woman diagnosed with breast cancer underwent breast conservation in 2012. She completed post-operative chemoradiotherapy. 6 years later she presented for follow-up and with no evidence of recurrence, she was advised for chemo port removal. During removal of chemo port, bleeding was encountered from non-visualised source. She was immediately transferred to cardiovascular surgery department. A venogram was performed revealing chemo port in one of the tributaries of subclavian vein and tear in the anterior wall of subclavian vein. Tear was repaired with clips and removal of the chemo port was done ligating the tributary. Chemo port removal is a less morbid procedure and complications are very rare. However, when encountered with complications, one must be learned enough to sought with them. Interdepartmental communication and instant matured decisions will guide in preventing catastrophic events and are lifesaving.

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History of pioneer black surgeons in American medicine – Conclusion
Aubre De L Maynard, Arthur Brown Lee, Mark Walker, Jonathan Nwiloh
January-June 2019, 4(1):3-8
DOI:10.4103/njct.njct_10_19

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Obstructive sleep apnea: 2019 update
Anthony P Kimani
January-June 2019, 4(1):9-13
DOI:10.4103/njct.njct_9_19

Obstructive sleep apnea (OSA) is a common and potentially life-threatening breathing disorder that remains significantly under-diagnosed worldwide. This review summarizes recent epidemiological research that sheds light on OSA in the African context for the first time, and describes the pathophysiology, clinical manifestations and treatment options. The author is hopeful that this information will assist clinicians in diagnosing and managing OSA patients, and inspire researchers to develop better diagnostic and treatment modalities.

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Audacity and perseverance under prodigious adversities
Jonathan Nwiloh
January-June 2019, 4(1):1-2
DOI:10.4103/njct.njct_11_19

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Teaching of cardiac surgery: Learning of complex surgical skills on simulators (simulation) to acquire competency
Charles Yankah, Francis Smit, Carlos A Mestres
January-June 2019, 4(1):14-15
DOI:10.4103/njct.njct_6_19

The current restriction on surgical residents' work-hours has resulted in reduced operative exposure, making it more difficult to attain technical proficiency in complex procedures, especially in low-volume centers in Sub-Saharan Africa. The use of adjunctive biological and artificial simulators in training may help overcome these challenges.

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Unusual and challenging case of right atrial lipoma
John Arnold
January-June 2019, 4(1):16-17
DOI:10.4103/njct.njct_7_19

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The Cape Town Declaration on Access to Cardiac Surgery in the Developing World: Is it a true reflection of the needs of Sub-Saharan Africa?
Robin H Kinsley, Darshan Reddy, Charles Yankah
January-June 2019, 4(1):22-22
DOI:10.4103/njct.njct_5_19

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