Bronchogenic cysts (BC), occur until gestational 6th weeks from abnormal budding of thrachea. They are generally situated in mediastinum and parenchyma of the lungs. Extrathoracic localizations, although uncommon, are neck, abdomen and subcutaneous areas. Substernal-subcutanous settlement of bronchogenic cysts is reported very rarely in literature. In our case; 15 years old boy suffering only from right sided chest pain. The chest X-ray showed a circular lesion nearby the hilar region of right lung. This case is the rarely place bronchogenic cyst localized on intratoracis area that is away from mediastinum and lung. Its treatment is surgical excision on diagnosis.
{"title":"The Localization Of Bronchogenic Cyst Away From Mediastinum","authors":"G. Fındık, E. Çakır, Doğan Kahraman, S. Kaya","doi":"10.5580/113e","DOIUrl":"https://doi.org/10.5580/113e","url":null,"abstract":"Bronchogenic cysts (BC), occur until gestational 6th weeks from abnormal budding of thrachea. They are generally situated in mediastinum and parenchyma of the lungs. Extrathoracic localizations, although uncommon, are neck, abdomen and subcutaneous areas. Substernal-subcutanous settlement of bronchogenic cysts is reported very rarely in literature. In our case; 15 years old boy suffering only from right sided chest pain. The chest X-ray showed a circular lesion nearby the hilar region of right lung. This case is the rarely place bronchogenic cyst localized on intratoracis area that is away from mediastinum and lung. Its treatment is surgical excision on diagnosis.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116501623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fuad Jan, Hina Mehboob, R. Qadir, A. Jan, Khalil Kanjwal
Cytomegalovirus (CMV) associated vascular thrombosis is an rare but increasingly reported phenomenon and should be considered in the differential diagnosis of splenic infarction once more common diagnoses, such as endocarditis and lymphoma have been excluded. We present a case of a previously healthy, immunocompetent African American woman with acute CMV infection complicated by vascular thrombosis resulting in splenic infarct.
{"title":"Splenic vascular thrombosis in an immunocompetent host due to Cytomegalovirus Infection.","authors":"Fuad Jan, Hina Mehboob, R. Qadir, A. Jan, Khalil Kanjwal","doi":"10.5580/c16","DOIUrl":"https://doi.org/10.5580/c16","url":null,"abstract":"Cytomegalovirus (CMV) associated vascular thrombosis is an rare but increasingly reported phenomenon and should be considered in the differential diagnosis of splenic infarction once more common diagnoses, such as endocarditis and lymphoma have been excluded. We present a case of a previously healthy, immunocompetent African American woman with acute CMV infection complicated by vascular thrombosis resulting in splenic infarct.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131767801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Mortality due to CAD is increasing at an alarming rate in developing countries and it is going to be the largest killer by 2020. Major risk factors include rapid urbanization, physical inactivity, stressful employment and the personality of an individual, all of which act synergistically resulting in increased CAD rates. Though Indians have less conventional risk factors, they are more susceptible to this disease. The current study was focused on impact of behavioral aspects, lifestyle and physical activity influence on CAD, as these risk factors are not properly established by recent research. AIM: The study was undertaken to evaluate the impact of behavior, lifestyle and physical activity in predicting CAD risk in normolipidaemic acute myocardial infarct patients and to compare the findings with healthy subjects. SETTING & DESIGN: Lipid profile and behavioral aspects and lifestyles were determined in 165 normolipidaemic acute myocardial infarct patients and compared with 165 age/sexmatched controls. MATERIAL & METHODS: Total cholesterol, triglycerides, and HDL-cholesterol were analyzed enzymatically using kits obtained from Randox Laboratories Limited, Crumlin, UK. Plasma LDL-cholesterol was determined from the values of total cholesterol and HDL- cholesterol using the Friedwald's formula. The lifestyle and behavioral aspects of the subjects were determined using pre-tested questionnaires. STATISTICS: The values were expressed as means ± standard deviation (SD) and data from patients and controls were compared using students 't'-test. RESULTS AND CONCLUSION: Lipid profiles were higher in case of patients than with controls .apart from HDL-c levels (p<.001), which were significantly lower in patients (p<.001). Patients had higher serum cholesterol and blood pressure compared to controls in each behavioral assessment parameters. Physical activity was found to be lower in patients compared to controls. Hyperactive, irrelevant thinkers and highly ambitious subjects had higher cholesterol and blood pressure in each category. Mostly the middle socioeconomic class was affected (71%) by AMI. In conclusion, our findings indicated a high prevalence of various behavioral risk factors among the myocardial infarct patients. Remedial measures are needed to minimize future morbidity burden and there by minimizing medical expenses. In regard to the risk factor of smoking, a strict public policy in restricting the behaviour and .cigarette distribution may be considered. Although the Government has taken steps in this regard, it is the individual and community who should reduce the risk factor, especially the high risk groups such as lower social status groups.
{"title":"Behavioral pattern, life style and socio economic status in elderly Normolipidemic Acute Myocardial Infarct Subjects - A case control study from South Asia","authors":"Arun Kumar, R. Sivakanesan, S. Nagtilak","doi":"10.5580/3d7","DOIUrl":"https://doi.org/10.5580/3d7","url":null,"abstract":"BACKGROUND: Mortality due to CAD is increasing at an alarming rate in developing countries and it is going to be the largest killer by 2020. Major risk factors include rapid urbanization, physical inactivity, stressful employment and the personality of an individual, all of which act synergistically resulting in increased CAD rates. Though Indians have less conventional risk factors, they are more susceptible to this disease. The current study was focused on impact of behavioral aspects, lifestyle and physical activity influence on CAD, as these risk factors are not properly established by recent research. AIM: The study was undertaken to evaluate the impact of behavior, lifestyle and physical activity in predicting CAD risk in normolipidaemic acute myocardial infarct patients and to compare the findings with healthy subjects. SETTING & DESIGN: Lipid profile and behavioral aspects and lifestyles were determined in 165 normolipidaemic acute myocardial infarct patients and compared with 165 age/sexmatched controls. MATERIAL & METHODS: Total cholesterol, triglycerides, and HDL-cholesterol were analyzed enzymatically using kits obtained from Randox Laboratories Limited, Crumlin, UK. Plasma LDL-cholesterol was determined from the values of total cholesterol and HDL- cholesterol using the Friedwald's formula. The lifestyle and behavioral aspects of the subjects were determined using pre-tested questionnaires. STATISTICS: The values were expressed as means ± standard deviation (SD) and data from patients and controls were compared using students 't'-test. RESULTS AND CONCLUSION: Lipid profiles were higher in case of patients than with controls .apart from HDL-c levels (p<.001), which were significantly lower in patients (p<.001). Patients had higher serum cholesterol and blood pressure compared to controls in each behavioral assessment parameters. Physical activity was found to be lower in patients compared to controls. Hyperactive, irrelevant thinkers and highly ambitious subjects had higher cholesterol and blood pressure in each category. Mostly the middle socioeconomic class was affected (71%) by AMI. In conclusion, our findings indicated a high prevalence of various behavioral risk factors among the myocardial infarct patients. Remedial measures are needed to minimize future morbidity burden and there by minimizing medical expenses. In regard to the risk factor of smoking, a strict public policy in restricting the behaviour and .cigarette distribution may be considered. Although the Government has taken steps in this regard, it is the individual and community who should reduce the risk factor, especially the high risk groups such as lower social status groups.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130356933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
U. Yetkin, B. Ozpak, B. Sozmen, A. Çallı, I. Yurekli, M. Akyuz, A. Gürbüz
The myxomas are considered to be rare benign intracardiac tumors.In this study we present our surgical treatment strategy in a case with giant left atrial myxoma and acute pancreatitis. Our patient underwent excision of myxoma using cardiopulmonary bypass. Early and late results of surgery were acceptable for the patients with benign tumors.
{"title":"Our surgical treatment strategy in a case with giant left atrial myxoma and acute pancreatitis","authors":"U. Yetkin, B. Ozpak, B. Sozmen, A. Çallı, I. Yurekli, M. Akyuz, A. Gürbüz","doi":"10.5580/fb4","DOIUrl":"https://doi.org/10.5580/fb4","url":null,"abstract":"The myxomas are considered to be rare benign intracardiac tumors.In this study we present our surgical treatment strategy in a case with giant left atrial myxoma and acute pancreatitis. Our patient underwent excision of myxoma using cardiopulmonary bypass. Early and late results of surgery were acceptable for the patients with benign tumors.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"29 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134041903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Lone, M. Wani, A. Ahanger, A. M. Dar, Zahur Hussain, M. Bhat, G. Lone
BackgroundImportance of early postoperative enteral feeding by placement of feeding jejunostomy catheter is widely accepted after oesophagogastrectomy. However very little attention has been paid to the surgical complications and their consequences following feeding jejunostomy. Feeding jejunostomy can lead to serious surgical complications necessitating relaparotomy.Methods150 patients underwent oesophagogastrectomy for carcinoma oesophagus between Jan 2005 to Jan 2008.In all these patients feeding jejunostomy was done at the end of procedure for postoperative enteral feeding. All these patients were prospectively evaluated in the database for surgical complications related to feeding jejunostomy.ConclusionFeeding jejunostomy for enteral feeding after oesophagogastrectomy can lead to severe surgical complications sometimes necessitating relaparotomy. Modifying surgical technique does decrease the incidence of jejunojejunal intussusception. Relaparotomy lead to increased morbidity in these patients.
{"title":"Jejunojejunal Intussusception: An Unusual Complication Of Feeding Jejunostomy.","authors":"R. Lone, M. Wani, A. Ahanger, A. M. Dar, Zahur Hussain, M. Bhat, G. Lone","doi":"10.5580/12b9","DOIUrl":"https://doi.org/10.5580/12b9","url":null,"abstract":"BackgroundImportance of early postoperative enteral feeding by placement of feeding jejunostomy catheter is widely accepted after oesophagogastrectomy. However very little attention has been paid to the surgical complications and their consequences following feeding jejunostomy. Feeding jejunostomy can lead to serious surgical complications necessitating relaparotomy.Methods150 patients underwent oesophagogastrectomy for carcinoma oesophagus between Jan 2005 to Jan 2008.In all these patients feeding jejunostomy was done at the end of procedure for postoperative enteral feeding. All these patients were prospectively evaluated in the database for surgical complications related to feeding jejunostomy.ConclusionFeeding jejunostomy for enteral feeding after oesophagogastrectomy can lead to severe surgical complications sometimes necessitating relaparotomy. Modifying surgical technique does decrease the incidence of jejunojejunal intussusception. Relaparotomy lead to increased morbidity in these patients.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134092147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Group B streptococcal endocarditis following elective abortion is a rare complication seen in patients colonized with Group B Streptococci. Screening and prophylaxis for Group B Streptococci should be considered for all patients undergoing elective abortion.
{"title":"Group B streptococcal tricuspid valve endocarditis after abortion, presenting with septic emboli to the lungs.","authors":"Rehana Qadir, Anjum Ara, Asma Taj","doi":"10.5580/643","DOIUrl":"https://doi.org/10.5580/643","url":null,"abstract":"Group B streptococcal endocarditis following elective abortion is a rare complication seen in patients colonized with Group B Streptococci. Screening and prophylaxis for Group B Streptococci should be considered for all patients undergoing elective abortion.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115164999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
U. Yetkin, M. Kestelli, T. Gunes, M. Bademci, I. Yurekli, A. Gürbüz
Thromboembolism and bleeding rate are higher with mechanical prosthetic heart valves.In this study we discussed the choice of valve prosthesis in an epileptic case with future pregnancy.
机械人工心脏瓣膜的血栓栓塞和出血率较高。在本研究中，我们讨论了在癫痫患者的选择瓣膜假体与未来妊娠。
{"title":"Epilepsy, Future Pregnancy and Choice of Valve Prosthesis","authors":"U. Yetkin, M. Kestelli, T. Gunes, M. Bademci, I. Yurekli, A. Gürbüz","doi":"10.5580/24d8","DOIUrl":"https://doi.org/10.5580/24d8","url":null,"abstract":"Thromboembolism and bleeding rate are higher with mechanical prosthetic heart valves.In this study we discussed the choice of valve prosthesis in an epileptic case with future pregnancy.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116800398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Komolafe, D. Adeyemi, S. O. Adewole, E. Obuotor
This study assessed the changes in serum lipid profiles of experimentally-induced diabetic Wistar rats with view to elucidate the effects STZ induced diabetes on the serum levels of cholesterol and triglycerides of Wistar rats. Twenty adult Wistar rats were randomly assigned into two groups (A and B) of ten rats each. Group A was the control, while Group B was the STZ treated group. The body weight, blood glucose level and serum lipid profiles were monitored in all the animals for four weeks before the commencement of the experiment and throughout the experimental period. Diabetes mellitus was experimentally induced in groups B rats by daily intra-peritoneal administration of multiple doses of 40mg/kg streptozotocin dissolved in 0.1M sodium citrate buffer for 5 consecutive days. The control group was given equivalent volume of citrate buffer. The animals were monitored for four weeks after streptozotocin administration. The data obtained were analyzed using descriptive and inferential statistics. The result revealed a significant (P < 0.05) increase in the serum level of total cholesterol, triglyceride, low-density lipoprotein cholesterol, and very low-density lipoprotein cholesterol of diabetic rats when compared with the control rats while a significant decrease in the high-density lipoprotein cholesterol was obtained. The study revealed that induction of diabetes in rats using STZ result in development of hyperlipidemia in these rats.
{"title":"Streptozotocin-Induced Diabetes Alters The Serum Lipid Profiles Of Adult Wistar Rats","authors":"O. Komolafe, D. Adeyemi, S. O. Adewole, E. Obuotor","doi":"10.5580/2251","DOIUrl":"https://doi.org/10.5580/2251","url":null,"abstract":"This study assessed the changes in serum lipid profiles of experimentally-induced diabetic Wistar rats with view to elucidate the effects STZ induced diabetes on the serum levels of cholesterol and triglycerides of Wistar rats. Twenty adult Wistar rats were randomly assigned into two groups (A and B) of ten rats each. Group A was the control, while Group B was the STZ treated group. The body weight, blood glucose level and serum lipid profiles were monitored in all the animals for four weeks before the commencement of the experiment and throughout the experimental period. Diabetes mellitus was experimentally induced in groups B rats by daily intra-peritoneal administration of multiple doses of 40mg/kg streptozotocin dissolved in 0.1M sodium citrate buffer for 5 consecutive days. The control group was given equivalent volume of citrate buffer. The animals were monitored for four weeks after streptozotocin administration. The data obtained were analyzed using descriptive and inferential statistics. The result revealed a significant (P < 0.05) increase in the serum level of total cholesterol, triglyceride, low-density lipoprotein cholesterol, and very low-density lipoprotein cholesterol of diabetic rats when compared with the control rats while a significant decrease in the high-density lipoprotein cholesterol was obtained. The study revealed that induction of diabetes in rats using STZ result in development of hyperlipidemia in these rats.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123986167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Özbek, U. Yetkin, M. Aksun, smail Yürekli, N. Karahan, A. Gürbüz
Patients referred to a hospital with mitral stenosis and severe pulmonary hypertension often have other associated cardiac diseases and comorbid conditions.We describe our surgical and anesthetic technique for a complex cardiac intervention performed on a case with severe pulmonary hypertension.
{"title":"Our Surgical and Anesthetic Technique for A Complex Cardiac Intervention Performed On a Case with Severe Pulmonary Hypertension","authors":"C. Özbek, U. Yetkin, M. Aksun, smail Yürekli, N. Karahan, A. Gürbüz","doi":"10.5580/249e","DOIUrl":"https://doi.org/10.5580/249e","url":null,"abstract":"Patients referred to a hospital with mitral stenosis and severe pulmonary hypertension often have other associated cardiac diseases and comorbid conditions.We describe our surgical and anesthetic technique for a complex cardiac intervention performed on a case with severe pulmonary hypertension.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128358868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The calcific deposits may vary in size from microscopic to massive, encircling all or most of the heart and readily visible by radiographic examination. In this study we're presenting a massive calcific pericardial heart disease due to idiopathic ethiology and encircling all of the heart .We're reporting the pathogenesis,clinical and surgical indications for operation,and the prognosis. Conventional open pericardiectomy via the median sternotomy , which enables a safer, wider, and more effective approach and it relieved the symptoms and altered the hemodynamic findings.
{"title":"Encircling All Of The Heart By A Bone Cage Due To Chronic Constrictive Idiopathic Pericarditis","authors":"U. Yetkin, B. Ozpak, A. Çall, C. Özbek, A. Gürbüz","doi":"10.5580/1e6a","DOIUrl":"https://doi.org/10.5580/1e6a","url":null,"abstract":"The calcific deposits may vary in size from microscopic to massive, encircling all or most of the heart and readily visible by radiographic examination. In this study we're presenting a massive calcific pericardial heart disease due to idiopathic ethiology and encircling all of the heart .We're reporting the pathogenesis,clinical and surgical indications for operation,and the prognosis. Conventional open pericardiectomy via the median sternotomy , which enables a safer, wider, and more effective approach and it relieved the symptoms and altered the hemodynamic findings.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130299736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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