Takayasu disease revealed by aortic insufficiency associated with an aneurysm of the ascending aorta
Article in Press
Introduction: Takayasu's disease is a rare inflammatory disease of unknown etiology that affects the large vessels, particularly the aorta and its major branches. Observation: We report the case of a 29-year-old patient whom we received for surgical management of severe aortic insufficiency. Preoperative clinical and paraclinical investigations revealed a dilatation of the ascending aorta associated with a stenosis of...
Use of a composite survival graph to optimise the surgical strategy for Tricuspid atresia.
Article in Press
Objectives: The introduction of the Fontan circulation has improved the long term survival of patients with Tricuspid Atresia (TA) in general. Neonates and infants with TA presenting with reduced pulmonary blood flow (RPBF) are usually offered a systemic arterial-to-pulmonary artery shunt (SAPAS) in the hope that they will eventually achieve a Fontan circulation. There is evidence that palliative surgery may not improve...
Article in Press
Objectives: Surgery aims to increase longevity and improve symptomatology. Surgical correction of Truncus arteriosus after five months of age does not appear to offer a survival advantage over the natural history; repair after 5 months of age can be considered to be ‘late’ in this regard. Although surgical correction after five months of age can be achieved with low operative mortality, it remains unclear whether...
Article in Press
Objectives: Major socioeconomic disparities persist in the management and outcomes of peripheral artery disease (PAD) globally. Allostatic load, which is described as a measure of physiologic adaptation to socio-environmental stress, has been reported to partially explain higher mortality rates in US Blacks. However, it is not clear if allostatic load is associated with PAD severity. Methods: The National Health and...
Article in Press
Background: Anaesthetic modalities for arteriovenous fistula (AVF) creation include general (GA), local (LA) and regional anaesthesia (RA). Ultrasound guided regional anaesthesia (USRA) proved to have more benefits in AVF creation than the other two. We undertook a study at the Douala General Hospital to assess these benefits over GA and RA. Objective: We aimed to highlight the contribution of USRA in upper limb AVF...
Direct appraoch in false Traumatic Aneurysm of the Left Radial Artery in a Teenager
Article in Press
A 17-year-old man sustained a minor penetrating injury to his left foreman, resulting in false aneurysm formation. It is a generally rare unrecognized pathology. Complications are serious (embolism and thromboses of interdigital arteries). The diagnosis is based on the presence of a pulsatile mass, with finger dysesthesia. It is confirmed by duplex Doppler. Surgical treatment was resection of aneurysm hull completed by...
Surgery of cardiac myxoma in sub saharan patients
Article in Press
Objectives : Myxomas are the most common form of benign cardiac tumors. We present here a successful surgical treatment of congolese patients operate in Morocco. The aim of this study was to present successful south-south medical cooperation. Patients and methods: It’s a retrospective study, between June 2011 and December 2019, congolese patients with cardiac myxomas were operated in International University Hospital...
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