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1.
J Pak Med Assoc ; 73(Suppl 4)(4): S92-S97, 2023 Apr.
Article in English | MEDLINE | ID: mdl-37482838

ABSTRACT

Objectives: To evaluate the relationship between left ventricular hypertrophy (LVH) and coronary artery bypass grafting (CABG) procedure especially on the early outcome during the first 6 months following surgical intervention. Method: This prospective cohort study included 82 patients with coronary artery disease indicating CABG. These patients were admitted, operated and followed -up in cardiothoracic surgery departmentsin the faculty of medicine, Kafrelsheikh university hospitals in the period from April 2019 till November 2021.The patients included in this study were divided into two groups according to presence or absence of left ventricular hypertrophy, Group I had 38 (46.34%) patients with LVH and Group 2 had 44 (53 .65%). patients without LVH. RESULTS: The time to regain mechanical activity waslonger (5.76±1.82) minutesin LVH patients(p <0.001). LVH group had a significantly longer period of mechanical ventilation 16.50±4.25 hours (p <0.001) compared to non LVH group which was 9.61±3.78 hours. Also, the mean duration of ICU stays in the LVH group compared to the non LVH group was 3.81±1.20 days versus 2.56±0.81 daysrespectively. The ICU follow up showed a statistically significant relationship of arrhythmias with LVH (p =0.022), infections (p =0.005) and wound infections (p<0.001). CONCLUSIONS: In patients undergoing CABG surgery, LVH has been associated with increased morbidity and poor outcome.


Subject(s)
Coronary Artery Disease , Hypertrophy, Left Ventricular , Humans , Hypertrophy, Left Ventricular/complications , Prospective Studies , Coronary Artery Bypass , Coronary Artery Disease/complications , Coronary Artery Disease/surgery , Treatment Outcome
2.
J Pak Med Assoc ; 73(Suppl 4)(4): S334-S336, 2023 Apr.
Article in English | MEDLINE | ID: mdl-37482882

ABSTRACT

Polyostotic fibrous dysplasia is a rare benign asymptomatic tumour of the ribs not requiring surgery on most occasions. We present here a case with left 10th and 11th rib fibrous dysplasia which was causing a hinderance to the Urologist for renalstone extraction. Therefore the 10th and 11th ribs were excised followed by chest wall reconstruction.


Subject(s)
Fibrous Dysplasia of Bone , Fibrous Dysplasia, Polyostotic , Humans , Fibrous Dysplasia, Polyostotic/diagnostic imaging , Fibrous Dysplasia, Polyostotic/surgery , Tomography, X-Ray Computed , Fibrous Dysplasia of Bone/diagnostic imaging , Fibrous Dysplasia of Bone/surgery , Ribs/diagnostic imaging , Ribs/surgery , Ribs/pathology , Diagnosis, Differential
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