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Register a new userLeft Subclavian Artery Flap Aortoplasty (Waldhausen)
دراسة لحالات إصلاح تضيق برزخ الأبهر باستخدام شريحة الشريان تحت الترقوة الأيسر
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Damascus University ورقة بحثية
Publication date
2010
fields
Medicine
and research's language is
العربية
Authors
أحمد تكريتي( باحث )
Created by
Shamra Editor
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يمثل تضيق برزخ الأبهر 5- 8% من آفات القلب الولادية. و هنا نقدم دراسة لنتائج إصلاح هذه الآفة الخلقية باستخدام تقنية جراحية تعتمد على قطع الشريان تحت الترقوة الأيسر واستخدامه كشريحة لتصنيع مكان التضيق، أو ما يدعى طريقة waldhausen مع مقارنتها بالتقنيات الجراحية الأخرى.
Coarctation represents 5-8% of congenital heart disease.We present here a study which aimed to assess the results of this malformation correction by using left subclavian artery flap aortoplasty technique(Waldhausen) and compare these results with those of other surgical options.
References used
Tylor and Francis. Ohri-tang-stephens.coarctation of the aorta.key topics in cardiac surgery..2005.304-308
Backer C.L., Paape K., Zales V.R., Weigel T.J., Mavroudis C. Coarctation of the aorta. Circulation 1995;92(Suppl II):132-136
Kappetein A.P., Zwinderman A.H., Bogers A.J., Rohmer J., Huysmans H.A. More than thity-five years of coarctation repair. J Thorac Cardiovasc Surg 1994;107:87-95
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Background& Objective:Vascular rings are unusual rare congenital anomalies .Its incidence is less than 0.2%.Most of these defects are discovered early in infancy or childhood .They result in complete or partial encirclement of the trachea and/or esop
hagus .Some vascular rings are associated with other congenital heart defects, others may be isolated deficits. We present here eleven cases which we have encountered since the mid of 2009.These cases were managed surgically with good results .Through this study, we aim at demonstrating how to treat these cases surgically and to clarify the best approach for each case.
Materials & Methods: A retrospective study at Damascus University Cardiac Surgery Hospital in the period between 2009 to 2010 was conducted.11 patients with diagnosed vascular rings underwent surgical repair.
Results: Ages ranged between 1.5 months to 5 years with almost equal sex distribution. Most complaints were respiratory. Vascular rings include double aortic arche, aberrant left Subclavian artery and aberrant right Subclavian artery .Associated defects were in54% of cases. No complications were noticed postoperatively or in the follow up period which extended between 7 and10 months' .Remarkable relief and symptoms release were achieved postoperatively.
Conclusion: Surgery affords excellent long-term resolution of symptoms. Early diagnosis and surgery are imperative to reduce the long-termsequels.
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital
anomaly. It presents predominantly in infancy with features of myocardial ischemia or cardiac failure and
may be mistaken for common pediatric cond
itions such as colic, reflux or bronchiolitis. With early
surgical correction the prognosis is good. In this report we present unusual case of a 5-year-old female
with an anomalous left coronary artery arising from the pulmonary artery (ALCAPA) presenting with
chest pain,dyspnea and palpitation during physical exertion.Trans-thoracic echocardiography and
coronary angiography revealed an anomalous origin of the left coronary artery with mitral regurgitation .
She subsequently underwent successful surgical technique where the left internal thoracic(mammary)
artery was used to revascularise the left main coronary artery which is considered as the first unique
procedure in children. Excellent surgical results were obtained and the patient was discharged from the
hospital without complaints.
Extracranial carotid artery aneurysm (ECAA) is extremely rare, accounting for only 0.4-4% of all
peripheral artery aneurysms. Sir Astley Cooper is credited with the first successful operation for ECAA in
1808.
These aneurysms are of interest becau
se they have diverse etiologies and present diagnostic and
therapeutic challenges. The symptoms of ECAAs vary according to their location, size, and etiology. The
presentation of such aneurysms may vary from an asymptomatic mass in the neck to the development of a
permanent neurological deficit as a consequence of micro emboli arising from within the aneurysmal sac.
Although most carotid artery aneurysms are caused by atherosclerosis, other common causes include
trauma and infection.
Carotid artery aneurysms are usually diagnosed by means of ultrasonographic scanning. Additional
diagnostic testing -by computed tomographic angiography, or magnetic resonance imaging- can lead to
more accurate information on the aneurysm’s size and its relationship to surrounding structures.
We herein report an extra cranial carotid artery aneurysm detected in a 46 years old patient with
complaint of neurologic Symptoms. Because aneurysm located in the distal ICA, the treatment involved
stent graft deployment. There has been no complications noted during the 10 months follow up after
treatment.
In conclusion, Extra Cranial Carotid Artery Aneurysm is a rare condition and has high rate of
complication with conservative approach.
Atherosclerosis and infectious diseases are the most common cause. Ultrasonography, computerized
tomography, and arteriography are used to make the diagnosis and treatment is achieved by
surgery or percutaneous techniques.
We herein report a SMA a
neurysm detected in a 39 years old patient with complaint of abdominal pain.
The surgical treatment involved the aneurysm ligation and revascularization with greater saphenous vein
interposition graft.
The concept of Intravascular Technology is an advanced stage of the Medical vascular diseases therapy due to the easy usage by surgeon and the little rescue it involves on patients comparing to the traditional surgery.
In this study, we have discu
ssed one of the most modern methods of the Treatment of the Aneurysm of the Abdominal Aorta using the internal prosthesis through the artery. This has been achieved via the femoral artery. We also identified the prosthesis patterns and the used methods to get through those arteries as well as identifying the main indications and the importance of selecting the suitable patients regarding their age and health status.
We also carried out a comparison among many International studies involving the development and usage of this technology worldwide.
Indeed this therapy involves high material cost but the results prove its importance in rescuing many patients' lives that are classified to be in high rescue within traditional surgery.
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