شكل داء ابشتاين ١ % من آفات القلب الولادية، حيث ترتكز الوريقتان الخلفية و الحجابية
للدسام مثلث الشرف بشكل واطئ مع كل ما يتبع ذلك من قصور في الدسام، و تقلص
عجائبي للقسم المتأذن من البطين، و من اضطرابات هيموديناميكية، و اضطرابات النظم
و قصور البطين الأيمن .
و قد قمنا في الفترة الممتدة من ١ \ ٦\ ١٩٩٢ إلى ١٣ \ ١٢ \ ١٩٩٧ باجراء ست عشرة
عملية إصلاح لهذا التشوه طبقت خلاله تقنية طي القطعة المتأذنة سواء بالخياطة العرضانية
التي طبقت في ثلاث عشرة حالة أم بالخياطة الطولانية التي طبقت في ثلاث حالات نظراً
لشدة التشوه علماً أننا استعملنا حلقة في حالة واحدة في إصلاح حلقة الدسام .
و تبحث الأوراق في النتائج القريبة و البعيدة لهذه الطريقة حيث تبدلت الحالة الوظيفية
للمرضى من IV- III NYHA إلى I NYHA ، و تحسنت الوظيفة التقلصية للبطين الأيمن
و تحسنت اضطرابات النظم، كما لم تحصل أي حالة وفاة.
Ebstein’s anomaly represents 1 % of congenital heart disease, where the
septal and posterior leaflets of the tricuspid valve take origin at a level
lower than the atrio-ventricular junction. This deformity entails many
consequences such as tricuspid insufficiency, paradoxical contraction of
the atrialised portion of the ventricle, hemodynamic disturbances,
arrhythmias, and right ventricular failure.
During the period between 1/6/1992 to 31/12/1997 we had performed 16
repair operations to Ebstein’s anomaly. WE performed plication of the
atrialised ventricular portion either transversely which was performed in
13 cases, or longitudinally in 3 cases due to extensive deformity of the
tricuspid valve. We used also Carpentier ring for annuloplasty of the
tricuspid valve.
These papers discuss the early and late results of this technique where the
physiological function of the patients improved generally from NYHA III
– IV to NYHA I – II, The contractile function of the right ventricle
improved as well as arrhythmias, while no death occurred between
treated patients.
References used
Bernard CN, Sherire V, Surgical correction of Ebstein’s anomaly with prosthetic tricuspid valve. Surgery 54 – 302 –308, 1963
Brost H. G., K;inner w., Senning a., Herz & Herznahe Gefaesse, Edited by springer Verlag, Berlin 1978, PP 213 – 216
Danielson G.K>, Maloney J.D., Devloo REA, Surgical repair of Ebstein’s anomaly, Mayo Clinic Proc. 54: 185 – 192, 1979
Investigating the surgical approach to hyperthyroidism and
evaluating the currently-used treatment modalities and the results of
treatment during eight years between 2001 and 2009.
Till today surgeons have hardly tried there best to find the
ideal surgical method that can perfectly correct the cleft lip deformity. The
aim of this research was to perform anthropometric study for unilateral
cleft lip surgical repair by using t
The study covered 30 cases of patellar fractures in persons who were accepted and treated surgically at Al-Assad University Hospital in Lattakia from 2008 to 2013.Ages of patients ranged between 16-70 years. Average load of clinical and radial conti
This study was carried out in AL-ASSAD University Hospital during the years 2005-
2015, and included 56 patients who have been treated of gastric cancer. Male: Female ratio
was 1:1.85, the peak incidence was in the 6th and 7th decades 60%, the heig
The odontogenic keratocyst is an epithelial development cyst
of the jaws.
This lesion is commonly found in the maxilla and mandible , and can
become quite large because of its potential for significant expansion,
extension into adjacent tissues a