Pattern of Truncus Arteriosus in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, South West Nigeria
Olukemi Bamigboye-Taiwo,
John Akintunde Okeniyi,
Babajide Samson Adeyefa,
Olugbenga Olalekan Ojo,
Uvie Ufuoma Onakpoya,
Joel Oghenevware Eyekpegha,
Abayomi Oguns
Issue:
Volume 8, Issue 3, May 2022
Pages:
24-28
Received:
29 March 2022
Accepted:
25 April 2022
Published:
24 May 2022
DOI:
10.11648/j.ijcts.20220803.11
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Abstract: Background: Truncus arteriosus (TA) is a rare complex cyanotic congenital heart disease (CCHD) with significant morbidity and mortality. There are few reports on the pattern of TA in Nigeria. Objectives: To determine the pattern of TA in patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Methods: A three-year retrospective audit of the hospital records including echocardiograms and cardiac tomography scans where available, of consecutive patients diagnosed with TA was undertaken. Results: Twenty children, 10 boys and 10 girls had TA; median age at diagnosis was 6.5 months, range: 11 days-90 months, mean (SD): 16.8 ± 21.8 months. The mean weight was 7.3 ± 4.4 kg, range: 2.65-17.0 kg and the mean oxygen saturation was 72.5 ± 17.3%, range: 36-89%. Sixteen children (80.0%) had type I and 4 (20.0%) had type II TA. Types III and IV TA were not seen. The truncal valve was tricuspid in 12 (60.0%), quadricuspid in 7 (35.0%) patients, and bicuspid in one (5.0%) patient. Truncal valve regurgitation occurred in 10 (50.0%) patients; 60.0% were mild. Associated cardiac defects included patent ductus arteriosus [PDA (15.0%)], mitral atresia (15%), atrial septal defects, major aortopulmonary collateral arteries (10%), left superior vena cava (5%), tricuspid atresia (5%), common atrium (5%). Conclusions: Although TA is a critical CCHD, diagnosis is often late in our setting. Type I is the most common variant and associated anomalies include PDA, mitral and tricuspid atresia.
Abstract: Background: Truncus arteriosus (TA) is a rare complex cyanotic congenital heart disease (CCHD) with significant morbidity and mortality. There are few reports on the pattern of TA in Nigeria. Objectives: To determine the pattern of TA in patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Methods: A three-year r...
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Perceval Sutureless Valve - A Limbo Concept or a Future Trial
Ajeet Bana,
Saurabh Jaiswal,
Vimalkant Yadav,
Mukta Tiwari,
Anuj Sangal
Issue:
Volume 8, Issue 3, May 2022
Pages:
29-34
Received:
14 May 2022
Accepted:
30 May 2022
Published:
9 June 2022
DOI:
10.11648/j.ijcts.20220803.12
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Abstract: Aortic stenosis has traditionally been addressed with surgical aortic valve replacement with a stented prosthesis. Several technologies have emerged as an alternative treatment method for aortic valve disease. Among them, Perceval Sutureless valve has been used in clinical practice for more than a decade. The aim of this study was to evaluate the results of Perceval Sutureless valve from single centre in Indian population. Between April 2018 to December 2021, 30 elective patients underwent aortic valve replacement with the Perceval Sutureless valve. 19 patients had isolated AVR and 11 patients underwent AVR + Coronary artery bypass grafting (CABG) with average grafts 2.1 ± 0.8. Majority of isolated AVR, 12 of 19, were done by minimally invasive approach. Mean age was 67.3 ± 13.8 and mean STS score was 2.7 ± 1.5. Mean aortic cross clamp time for isolated AVR and combined procedure were 42 ± 11 and 74 ± 23 respectively. There was no in-hospital mortality. 3 patients required ventilation for > 24 hours. New onset left bundle branch block occurred in 4 patients which recovered before discharge in 2 patients. The peak and mean valve gradients were satisfactory. None of implanted valve showed para-valvular leak. SAVR using Perceval Sutureless valve is associated with excellent results and represent a safe and effective treatment option for patients with severe AS. This valve also facilitates MI approach and reduces aortic x-clamp and cardiopulmonary bypass time.
Abstract: Aortic stenosis has traditionally been addressed with surgical aortic valve replacement with a stented prosthesis. Several technologies have emerged as an alternative treatment method for aortic valve disease. Among them, Perceval Sutureless valve has been used in clinical practice for more than a decade. The aim of this study was to evaluate the r...
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Epidemiological and Clinical Characteristic of Road Traffic Crashes Related Thoracic Traumas in Rural Area: A 3-year Observational Study
Hari Wahyu Patrihady,
Maz Isa Ansyori
Issue:
Volume 8, Issue 3, May 2022
Pages:
35-38
Received:
23 March 2022
Accepted:
12 April 2022
Published:
21 June 2022
DOI:
10.11648/j.ijcts.20220803.13
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Abstract: Background: Thoracic trauma is one of the major causes of morbidity and mortality in both depeloved and developing countries. Thoracic trauma can become a life-threatening condition if the treatment doesn’t immediate and appropriate. This study aimed to review and analyzed the demographic and clinical characteristic of road traffic crashes related (RTCR) thoracic injuries in West Nusa Tenggara Province General Hospital. Methods: Clinical records of patients with thoracic trauma admitted to thoracic surgery department between May 2018 and May 2021 were retrospectively retrieved and reviewed. Patient’s profile and clinical characteristics were comparatively analyzed between road traffic crashes caused injury and other injury mechanism. Results: The study included 42 thoracic trauma patient with most often in patients aged between 20 and 60 years (n=71,4%), of whom 85,7% were male. Most of the patients (38,1%, n=16) had rib fracture. Road traffic crashes was responsible for 78,6% (n=33) of the injuries. Most of patients had treated with chest tube insertion presented in 14 patients (33,3%). Operative chest tube insertion were required in 12 (36,36%) patients RTCR chest trauma, while the majority of non-RTCR thoracic injuries were managed operative thoracotomy + chest tube insertion (44,44%, n=4). Conclusions: RTC contributed for a considerable number of traumatic chest injury in this study, which usually affects productive age males with rib fractures were the most pattern of injuries.
Abstract: Background: Thoracic trauma is one of the major causes of morbidity and mortality in both depeloved and developing countries. Thoracic trauma can become a life-threatening condition if the treatment doesn’t immediate and appropriate. This study aimed to review and analyzed the demographic and clinical characteristic of road traffic crashes related ...
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