检索结果-南通市图书馆

Six y.ars Clinical Experience and Surgical Considerations in Management of Cardiac My.oma in Iraqi Center for Heart Disease—Single Center Experience

引用

World Journal of Cardiovascular Surgery 2022年第8期12卷 173-183页

作者： Hozhan Hussein Blbas Abdulameer Mohsin Hussein Muhammad Mahmud Salim Laith Saleh Alkaaby.abdulsalam y. taha Department of Cardiac Surgery Surgical Specialty Hospital—Cardiac Center College of Medicine Hawler Medical University Erbil Iraq Department of Thoracic and Cardiovascular Surgery College of Medicine University of Baghdad Baghdad Iraq Department of Cardiac Surgery Surgical Specialty Hospital—Cardiac Center Erbil Iraq Department of Cardiac Surgery Iraqi Center for Heart Diseases Baghdad Iraq Department of Thoracic and Cardiovascular Surgery College of Medicine University of Sulaimani Sulaymaniyah Iraq

Background: Cardiac my.omas are the most frequently.encountered benign cardiac tumors that if left untreated are inexorably.progressive and potentially.fatal. Surgery.is the only.way.of treatment, and if not treated with the right surgical technique recurrence occurs. Objectives: In this single center study.we documented the patterns of presentation, localization, surgical approaches and outcome of cardiac my.omas. Methods: This is a retrospective study.of 20 patients who underwent surgical removal of atrial my.oma from January.2010 to December 2015. All patients underwent general investigations, and echocardiography.was performed on all patients and surgery.was done using extracorporeal circulation and mild hy.othermia. Results: The ages of the patients ranged from 14 y.ars to 71 y.ars, with a mean of 51.45 y.ars. Most my.omas (75%) originated from left atrium, 20% from right atrium and biatrial in 5% of cases. The male-to-female ratio was 1:2.3 (14 females and 6 males). My.omas were more common in blood group A+ and B+. Chief complaints were dy.pnea (70%) and palpitation (50%). The majority.of masses were attached to the interatrial septum (65%) and four of cases (20%) arose from the lateral wall. Right atrial trans-septal incision was used in 55% of cases. No recurrence was recorded in our study. Six patients had postoperative complications, mainly.in the form of arrhy.hmia (3 cases), bleeding (0ne case) and renal failure (one case) which resulted in the death of the patient. Conclusions: Cardiac my.oma excision account for a very.small percentage of cardiac procedures. Immediate surgical treatment is indicated because of high risk of embolization and sudden death. Cardiac my.omas can be excised with a low rate of mortality.and morbidity. Follow-up examination, including echocardiography. should be performed regularly.

关键词： Atrial My.oma Cardiac Tumors Cardiac Surgery

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Deep Sternal Wound Infections after Coronary.Artery.By.ass Grafting: Analy.is of 29 Cases from Iraq

引用

World Journal of Cardiovascular Surgery 2022年第7期12卷 153-172页

作者： Raghda Basil Ismael Alkhateeb Asmaa Saleem Esmail Ah-Ghurabi Laith Saleh Alkaaby.abdulsalam y. taha Department of Cardiac Surgery Slemani Cardiac Hospital Sulaymaniyah Iraq The Diabetes Center in Sulay.aniy.h Sulaymaniyah Iraq Department of Cardiac Surgery Iraqi Center for Heart Diseases Baghdad Iraq Department of Thoracic and Cardiovascular Surgery College of Medicine University of Sulaimani Sulaymaniyah Iraq

Background: Deep sternal wound infection (DSWI), or mediastinitis, is a devastating complication of coronary.artery.by.ass grafting (CABG). This prospective study.aimed to assess our management of DSWI in view of the published literature. Methods: Over 2-y.ars (ending in January.2016), 29 patients (20 males) developed DSWI amongst 520 patients who underwent standard CABG surgeries (5.6%). Pre-, intra- and postoperative variables were documented. Whenever possible, the infections were culture-verified. Besides antibiotics, patients received one or more of the following therapies: drainage, debridement, closed irrigation, sternal re-wiring, vacuum-assisted closure (VAC), and bone resection. Results: the male to female ratio was 2.2:1. Mean age was 58.1 ± 7.3 y.ars. The mean body.mass index (BMI) was 27.9 ± 3.4 kg/m2. There were 18, 16 and 11 patients with diabetes mellitus (DM), hy.ertension and chronic obstructive pulmonary.disease (COPD) respectively. Cardiopulmonary.by.ass (CPB) was utilized in 26 (89.7%) patients with a mean time of 117.5 ± 23.3 minutes. Most surgeries (n = 21, 72.4%) lasted 5 - 6 hrs. According to Pairolero classification, there were 3 (10.3%) Ty.e I, 22 (75.9%) Ty.e II and 4 (13.8%) Ty.e III infections. Four (13.8%) cases were culture-verified. Twenty.three (79.3%) DSWIs were surgically.managed. Sternal re-wiring was performed in 14 (48.3%) cases while VAC was added to other therapies in 2 (6.9%) patients. DSWIs completely.resolved in 18 (62.0%) patients within 3 - 24 weeks while two (6.9%) patients died within 30 day.. Conclusion: We have identified six independent risk factors for DSWI (male gender, obesity. DM, hy.ertension, COPD and CPB), five of them are modifiable.

关键词： Deep Sternal Wound Infection Mediastinitis Coronary.Artery.By.ass Grafting Median Sternotomy Vacuum-Assisted Closure Wound Debridement

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The use of fiberoptic bronchoscope to remove aspirated tracheobronchial foreign bodies: Our experience

引用

Case Reports in Clinical Medicine 2013年第5期2卷 285-290页

作者： abdulsalam y. taha Department of Cardiothoracic and Vascular Surgery School of Medicine University of Sulaimania Sulaimania Iraq

Background: Foreign body.(FB) aspiration is a common emergency.in our practice. The routine method of removal is via rigid bronchoscopy.(RB) under general anesthesia. This is the preferred procedure particularly.in children who form the major affected population. Fiberoptic bronchoscopy.(FOB) has also been used for FB removal in many.countries, though in Iraq, the standard mean remains rigid bronchoscopy. Objective: Herein, we present 5 cases of FB inhalation in adults in whom FOB was used for removal. The aim is to test its feasibility.with literature review. Setting: the department of thoracic surgery.Sulaimania Teaching Hospital/Sulaimania/Iraq. Study.Design: a prospective study.of 5 patients. Patients and methods: 5 patients (3 females and 2 males) with different bronchial or lary.geal FBs in whom FOB was used as a method for removal are presented. The age ranged from 16 to 71 y.ars. The clinical and radiographic features are recorded. In all these patients, initial FOB examination under local anesthesia transorally.or via tracheotomy.stoma was done. When removed by.this method failed, RB under GA was used and when this failed, thoracotomy.was the last resort. Results and Conclusions: FBs encountered in this paper consisted of pins (n = 2), sewing needle (n = 1), speech valve (n = 1) and a medical leach (n = 1). Three FBs (medical leach, speech valve and one pin) were successfully.removed by.FOB. A pin in RMB was visualized but failed to be removed by.FOB and therefore, RB was required for its retrieval, while a needle in left lower lobe was invisible by.both FOB and RB and thus surgery.was necessary.to remove it. We conclude that in adolescent or adult patients with bronchial FBs, FOB should be tried first for removal. If this fails then RB can be used. To increase its success, FOB should be combined with certain accessories like special FB forceps and fluoroscopy.

关键词： Aspirated Foreign Bodies Fiberoptic Bronchoscopy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Carotid Body.Tumours: A Review

引用

International Journal of Clinical Medicine 2015年第3期6卷 119-131页

作者： abdulsalam y. taha Department of Cardiothoracic and Vascular Surgery School of Medicine Faculty of Medical Sciences University of Sulaimaniyah and Sulaimaniyah Teaching Hospital Sulaimaniyah Iraq

The carotid body.is a small structure weighing 12 mg located in the adventitia of carotid artery.bifurcation acting as a chemoreceptor. Carotid body.tumour (CBT);formerly.known as chemodectoma is a rare, highly.vascular, mostly.benign tumour arising from the paraganglia of carotid body.hence, the name (carotid paraganglioma). The high vascularity.and proximity.to cranial nerves and major vessels make this tumour a surgical challenge. Abundant literature has been written about CBT in the last century.with a continuous debate regarding its etiology. natural history. biological behavior, proper technique of excision, and the morbidity.and mortality.associated with its resection. The purpose of this review article is to simplify.understanding the basic and clinical aspects of this challenging neoplasm.

关键词： Carotid Body Carotid Sinus Paraganglioma Neuroendocrine Tumours Carotid Body Tumours Review

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Vascular Surgery.and the General Surgeon: Review Article

引用

International Journal of Clinical Medicine 2015年第3期6卷 132-143页

The vascular surgeon is trained in the management of diseases affecting all parts of the vascular sy.tem except that of the heart and brain whereas cardiothoracic surgeons manage surgical diseases of the heart and its vessels. Although vascular surgery.is previously.a field within general surgery. it is now considered a specialty.on its own right in many.countries such as the UK and the United States. Other countries such as Iraq have a mixed practice in which the cardiac or thoracic surgeon performs vascular surgery. Programs of training in vascular surgery.are slightly.different depending on the region of the world one is in. In the United States, a 5-y.ar general surgery.residency.is followed by.2 y.ars training in vascular surgery. In Iraq, the time table allocated for the general surgical trainee in vascular surgery.is unfortunately.short (1 - 3 months). This period is hardly.enough for the candidate to grasp the decision-making and technical skills of vascular surgery. We believe that general surgeons need to have adequate training and expertise in vascular surgery.particularly.in areas and situations lacking this facility.to deal with the life- and/or limb-threatening emergencies. This review article aims to orient the general surgical trainee about the scope of vascular surgery.and enable them to correctly.diagnose and treat common vascular emergencies such as extremity.and abdominal vascular injuries (AVI).

关键词： Vascular Surgery General Surgeon Extremity Abdominal Vascular Injuries

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Shrapnel superior vena cava injury. Case report

引用

Case Reports in Clinical Medicine 2014年第2期3卷 85-88页

作者： abdulsalam y. taha Department of Thoracic and Cardiovascular Surgery School of Medicine and Sulaimania Teaching Hospital Sulaimania Region of Kurdistan Iraq

Shrapnel injuries of the superior vena cava (SVC) are extremely.rare and highly.lethal. The true incidence is not known since many.patients succumb shortly.after injury. The high fatality.is due to difficulty.in diagnosis, technical problems with repair and consequences of SVC clamping. Literature review revealed no shrapnel SVC injury.reported before. This is a report of 30-y.ar-old man from Kirkuk, Iraq, a victim of terroristic attack who was admitted to Sulaimania Teaching Hospital (STH) on June 2007 with shock, massive right-side haemothorax and a wound at base of neck following a shrapnel injury. Emergency.right thoracotomy.revealed clotted haemothorax and big shrapnel partly.sealing a tear in SVC just above the entrance of the azy.os vein. Severe bleeding ensued after extraction of the shrapnel. Attempts to control the hemorrhage and repair of the injury.failed and unfortunately. the patient expired in the theatre. Though there is no pathognomonic sign of SVC injury. it should be suspected in patients presenting with shock and haemothorax. Successful repair is achievable with early.diagnosis, aggressive resuscitation, early.exploration, optimum operating conditions and special measures such as auto-transfusion and cardiopulmonary.by.ass.

关键词： Superior Vena Cava Shrapnel Injury

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Management of Left Ventricular Aneury.m: A Study.from Iraq

引用

International Journal of Clinical Medicine 2014年第4期5卷 127-132页

作者： abdulsalam y. taha Bassam A. Mahmoud Department of Cardiac Surgery Ibn-Albitar Center for Cardiac Surgery (IBCCS) Baghdad Iraq Department of Thoracic and Cardiovascular Surgery School of Medicine and Sulaimania Teaching Hospital Sulaimania Iraq

Background: The most appropriate surgical approach for post-my.cardial infarction left ventricular aneury.m (LVA) is controversial. This study.aims to display.the results of surgical treatment of LVA in a major Iraqi cardiac surgical center. Methods: The surgical management of LVAs over the period 2001 to 2011 was retrospectively.reviewed. The presenting signs and sy.ptoms, results of investigations, operative findings, and outcomes of patients were determined. Results: Twenty.seven true LVAs associated with 4 ventricular septal defects (VSDs) were treated surgically. During the same period, 1136 coronary.artery.by.ass graft (CABG) operations were done, thus LVA represented 2.4%. Males constituted the majority.(74.1%). The mean age was 54.6 y.ars old. The ty.ical ECG changes were seen in 42.1%. Apical and antero-apical locations predominated. The majority.of patients (84.2%) had subnormal values of ejection fraction (EF). Most patients had multi-vessel coronary.artery.disease (CAD). The most frequent was the left anterior descending artery.(LAD). All patients had CABG except 3. Linear repair and Dor technique were used equally. The commonest postoperative complication was bleeding (38.4%). The overall hospital mortality.was 18.5%. Conclusion: Concomitant CABG improves early.postoperative course and must be added when significant lesions in coronary.arteries particularly.the LAD are present.

关键词： Left Ventricular Aneury.m Post-Ischemic VSD Linear Repair and Dor Technique

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

My.cardial Ischemia Following Shrapnel Epicardiac Injury.16 y.ars Earlier: Case Report

引用

Case Reports in Clinical Medicine 2014年第3期3卷 110-113页

作者： Jaffar S. Shehatha Dara M. Mohialdeen abdulsalam y. taha abdulsalam y. taha Cardiac Surgery.Department PAR Hospital Irbil Iraq School of Surgery Western Australia University Perth Australia Department of Cardiology Sulaimania Centre for Heart Disease Sulaimania Iraq Department of Cardiothoracic and Vascular Sur-gery School of Medicine and Sulaimania Teaching Hospital Sulaimania Iraq

Coronary.artery.injuries are uncommon. Acute injuries of major coronary.vessels, particularly.the left anterior descending artery.(LAD), are life-threatening because of the significant cardiac dy.function that ensues and usually.requires repair or by.ass. In contrast, late presentation of missile coronary.artery.injuries has been sporadically.reported in the literature. Herein we present a 32-y.ar-old lady.from Sulaimania, Iraq with multiple shrapnel injuries 16 y.ars earlier presented recently.with severe anterolateral my.cardial ischemia unresponsive to medical treatment. Coronary.angiography.and surgical exploration revealed shrapnel compressing the LAD. The patient responded very.well to shrapnel extraction and coronary.artery.revascularization (off pump left internal mammary.artery.LIMA—to LAD anastomosis). The management of this patient is discussed with review of relevant literature. It is concluded that long-standing shrapnel close to a major coronary.artery.may.incur an external trauma initiating a localized arteriosclerosis with an extremely.long time interval from injury.to the onset of sy.ptoms of my.cardial ischemia.

关键词： Coronary Artery Late Injuries Epicardiac My.cardial Ischemia Repair Revascularization

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Management of Pulmonary.Hy.atid Disease: Review of 66 Cases from Iraq

引用

Case Reports in Clinical Medicine 2015年第3期4卷 77-84页

作者： Nazar B. Elhassani abdulsalam y. taha Iraqi Board of Medical Specializations and Scientific Council of Thoracic and Cardiovascular Surgery Baghdad Iraq Department of Cardiothoracic and Vascular Surgery School of Medicine Faculty of Medical Sciences University of Sulaimaniyah and Sulaimaniyah Teaching Hospital Sulaimaniyah Iraq

Background: Hy.atid disease is a serious health hazard and a major problem to the community.in Iraq. The disease is still endemic as witnessed in every.ay.surgical practice. The aim of this prospective study.was to review the management of pulmonary.hy.atid disease (PHD) in two major thoracic surgical centers (Ibn-Alnafis and Medical City.Teaching Hospitals), Baghdad, Iraq over one y.ar period. Materials and Methods: Sixty.six patients (38 females and 28 males) with PHD admitted and treated surgically.in the Departments of Thoracic Surgery.in the aforementioned hospitals were studied. Demographic and clinical features were obtained by.direct patients’ interviews and thorough phy.ical examination. The diagnosis in the vast majority.of patients was based on plain chest radiography.while few had bronchoscopy. All patients had posterolateral thoracotomy.for removal of pulmonary.hy.atid cy.ts (PHC). The clinical and radiographic findings as well as operative procedures and postoperative complications were reviewed. Results: The age ranged from two and a half y.ars to 60 y.ars with a mean of 22.3. Sixty.percent of patients were in second and third decades. Most patients (n = 51, 77%) lived in rural areas. Housewives and students predominated. A positive family.history.was obtained in 5. Cough, chest pain, dy.pnoea and haemopty.is were the main sy.ptoms whereas 15 were acutely.ill. Three patients presented with pathognomonic expectoration of laminated membrane and 2 had intra-pleural cy.t rupture. The total number of cy.ts was 99 (61 intact, 50 solitary. and 55 unilateral). The right lung was more frequently.involved (n = 64) and right lower lobe was on the top. Cy.t size ranged from 3 to 25 cm with a mean of 8.5. The main radiographic appearance was the “full moon against dark sky. visible in 61.6%. Abdominal ultrasound was carried out in 40 patients who revealed 12 hepatic and one splenic HCs. Lung preserving surgery.was done in 76 cy.ts (91.5%) while lobectomy.was necessary.in 7. Capitonnage was used in 16 cases only

关键词： Pulmonary Hy.atid Disease Cy.t Echinococcosis Iraq

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Standing on the Shoulders of the Giants: Stories of 3 Pioneers

引用

International Journal of Clinical Medicine 2014年第4期5卷 133-137页

作者： abdulsalam y. taha Jaffar S. Shehatha Department of Cardiac Surgery PAR Hospital Irbil Region of Kurdistan Iraq and School of Surgery University of Western Australia Perth Aus-tralia Department of Thoracic and Cardiovascular Surgery School of Medicine and Sulaimania Teaching Hospital Sulaimania Region of Kurdistan Iraq

The history.of medicine and surgery.is a rich source of interesting stories of genius and brave people who paved the way.ahead of mankind towards the current status of medical and surgical practice. One has to admire the enthusiasms and courage of such people to whom millions of patients ought to be grateful. This paper reports the inspiring stories of 3 heart surgeons (Werner Forssmann, Dr. Lillehei and Dr. Michael E. DeBakey. and highlights their outstanding contributions to the modern cardiac surgery. It reminds the people to remember these three pioneers forever and encourages people working in this field to seek innovation.

关键词： Medical Surgical Stories

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：