Cardiovascular Journal of Africa: Vol 27 No 3 (May/June 2016)

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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 27, No 3, May/June 2016 AFRICA e1
Cardiovascular Topics
Transoesophageal echocardiography (TEE) at the
Institute of Cardiology in Abidjan: indications, results
and diagnostic accuracy
Jean-Baptiste Anzouan-Kacou, Christophe Konin, Charles-Philippe Zobo, Djenamba Bamba-Kamagaté,
Marie-Paule N’cho-Mottoh, Bénédicte Boka
Abstract
Objective: The aim of the study was to define the indications
for and results and diagnostic accuracy of transoesophageal
echocardiography (TEE) in the Abidjan Cardiology Institute.
Methods: A retrospective analysis was carried out of 103 TEE
reports from February 2007 to January 2011. The analysis
focused on the clinical characteristics of the patients, quality
of the prescribers, and indications and diagnostic accuracy
(proportion of confirmed diagnoses, which is the ratio of
‘anomaly found/number of examinations made for the indi-
cation’).
Results: There were 47 women (45.6%) and 56 men (54. 4%) in
the study, with an average age of 37.9 ± 16.4 years. Prescribers
were mostly cardiologists (n = 57; 55.4%). The indications
were predominantly evaluation for atrial septal defect (ASD,
34.9%), investigation for thrombus due to rhythm distur-
bance before cardioversion (18.4%), aetiological evaluation
of ischaemic stroke (13.5%), and assessment for mitral regur-
gitation (lesion assessment, mechanism and/or quantification,
9.7%). In the evaluation for an ASD, TEE was contributory
in 17.3% and for thrombus, it was 21%. No embolic aetiology
was found in the ischaemic strokes. Three examinations were
done during cardiac surgery to assess the mechanical valves
or quality of mitral plasty. There were no incidents or acci-
dents reported during those 103 examinations.
Conclusion: Because of the high number of congenital heart
disease cases discovered in adulthood involving arrhythmias
and valvular heart disease, TEE is likely to become more
important as a means of diagnosis, and should be used
correctly so as to achieve optimal diagnostic advantage. TEE
should be provided by specialists not cardiologists.
Keywords: transoesophageal echocardiography, congenital heart
disease, valvular disease, Africa
Submitted 23/7/13, accepted 2/7/15
Cardiovasc J Afr 2016; 27: e1–e4
DOI: 10.5830/CVJA-2015-054
L’echographie trans-oesophagienne (ETO) à l’Institut de
cardiologie d’Abidjan: indications, resultats et rentabilité
diagnostique
Jean-Baptiste Anzouan-Kacou, Christophe Konin, Charles-Philippe Zobo, Djenamba Bamba-Kamagaté,
Marie-Paule N’cho-Mottoh, Bénédicte Boka
Abstract
Objectifs: Préciser les indications, les principaux résultats et
la rentabilité diagnostique de l’échographie trans-oesophagi-
enne (ETO) à l’Institut de Cardiologie d’Abidjan (ICA).
Méthode: Analyse rétrospective de 103 compte-rendus d’ETO
réalisés consécutivement de février 2007 à janvier 2011 à
l’ICA. L’analyse a porté sur les caractéristiques d’âge, de sexe,
Institut de cardiologie d’Abidjan, Abidjan, Cote d’Ivoire
Jean-Baptiste Anzouan-Kacou, MD, jb_anzouan@yahoo.
fr
Christophe Konin, MD
Charles-Philippe Zobo, MD
Djenamba Bamba-Kamagaté, MD
Marie-Paule N’cho-Mottoh, MD
Bénédicte Boka, MD
Cardiology Institute of Abidjan, Abidjan, Ivory Coast
Jean-Baptiste Anzouan-Kacou, MD, ;
Christophe Konin, MD
Charles-Philippe Zobo, MD
Djenamba Bamba-Kamagaté, MD
Marie-Paule N’cho-Mottoh, MD
Bénédicte Boka, MD