MARC details
| 000 -LEADER |
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| fixed length control field |
08030namaa22004451i 4500 |
| 003 - CONTROL NUMBER IDENTIFIER |
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| control field |
OSt |
| 005 - أخر تعامل مع التسجيلة |
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| control field |
20250223033233.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
240330s2023 |||a|||fr|m|| 000 0 eng d |
| 040 ## - CATALOGING SOURCE |
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| Original cataloguing agency |
EG-GICUC |
| Language of cataloging |
eng |
| Transcribing agency |
EG-GICUC |
| Modifying agency |
EG-GICUC |
| Description conventions |
rda |
| 041 0# - LANGUAGE CODE |
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| Language code of text/sound track or separate title |
eng |
| Language code of summary or abstract |
eng |
| Language code of sung or spoken text |
ara |
| 049 ## - Acquisition Source |
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| Acquisition Source |
Deposit |
| 082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER |
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| Classification number |
617.412 |
| 092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC) |
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| Classification number |
617.412 |
| Edition number |
21 |
| 097 ## - Degree |
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| Degree |
Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| Local Call Number |
Cai01.11.05.Ph.D.2023.Mo.F |
| 100 0# - MAIN ENTRY--PERSONAL NAME |
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| Authority record control number or standard number |
Mohamed Eldesouky Mohamed Shehata, |
| Preparation |
preparation. |
| 245 10 - TITLE STATEMENT |
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| Title |
Factors Predicting morbidity and mortality After surgical Pulmonary Valve Replacement / |
| Statement of responsibility, etc. |
By Mohamed Eldesouky Mohamed Shehata; Supervised by Prof. Dr. Hossam Hassanein, Prof. Dr. Hesham AlKady, Dr. Sobhy Ayman, Dr. Ahmed Lamloum. |
| 246 15 - VARYING FORM OF TITLE |
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| Title proper/short title |
العوامل المتنبئة بالاعتلال و الوفاة بعد الاستبدال الجراحي للصمام الرئوي بالقلب |
| 264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE |
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| Date of production, publication, distribution, manufacture, or copyright notice |
2023. |
| 300 ## - PHYSICAL DESCRIPTION |
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| Extent |
82 pages : |
| Other physical details |
illustrations ; |
| Dimensions |
25 cm. + |
| Accompanying material |
CD. |
| 336 ## - CONTENT TYPE |
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| Content type term |
text |
| Source |
rda content |
| 337 ## - MEDIA TYPE |
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| Media type term |
Unmediated |
| Source |
rdamedia |
| 338 ## - CARRIER TYPE |
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| Carrier type term |
volume |
| Source |
rdacarrier |
| 502 ## - DISSERTATION NOTE |
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| Dissertation note |
Thesis (Ph.D)-Cairo University, 2023. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliography: pages 71-82. |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
Certain conditions might affect the pulmonary valve causing its stenosis or insufficiency to the degree that necessitates its replacement. For instance, during repair of lesions causing pulmonary stenosis in childhood, e.g., Tetralogy of Fallot, the pulmonary annulus may be incised and the RVOT is augmented with a transannular outflow tract patch. Later on, the created pulmonary insufficiency induces right ventricular dysfunction as a result of chronic volume overload.<br/>In addition, endocarditis may rarely affect the pulmonary valve in <1.5–2% of all cases and may end in its destruction and replacement. Most cases of reported pulmonic valve endocarditis occur in children with congenital heart disease or in intravenous drug abusers. Also, the pulmonary valve may be very rarely destroyed by other diseases e.g. carcinoid disease, Marfan's syndrome and pulmonary hypertension.<br/>Pulmonary valve replacement (PVR) is employed in such cases to prevent the detrimental effects of PR or PS on the right ventricular function and overall patient survival.<br/>Surgical PVR is becoming now one of the most common operations in adult congenital heart diseases. However, time management although essential for optimal long-term functional and hemodynamic results, remains undetermined.<br/>We herein present our experience with surgical PVR through an observational prospective retrospective study in patients with surgically corrected TOF,<br/>PVE and denovo adult Fallot’s Tetralogy using stented bioprosthetic and mechanical valves. This study aimed to identify risk factors associated with postoperative morbidity and mortality in patients who underwent surgical pulmonary valve replacement, including occurrence of major adverse events including stroke, arrhythmias, renal failure, prolonged ventilation, deep sternal infection, reoperation, …etc.<br/>There were five mortalities among included patients. Postoperative complications occurred in the form of 6 patients (7.5%) with chest infection, 8 patients (10%) had arrhythmias, 7 patients (8.75%) were reopened due to bleeding, 3 patients (3.75%) suffered from cerebrovascular stroke, 2 patients (2.5%) showed diaphragmatic paralysis, 2 patients (2.5%) with superficial wound infection, 2 patients (2.5%) showed post operative low cardiac output. One patient (1.25%) complicated with acute renal failure.<br/>We concluded that early valve replacement before the development of significant right ventricular dysfunction was associated with low operative mortality and the significant risk factors for mortality included old age and presence of preoperative signs of heart failure while no significant risk factors were identified for morbidity except for prolonged operative Aortic cross clamp (ACC) time and the significant risk factors for a prolonged hospital stay included the old age, previous cardiac surgery (redo cases) , prolonged operative Aortic cross clamp (ACC) time.<br/>Finally, our recommendation is to do further studies of both surgical and interventional pulmonary valve replacement with larger sample sizes and longer follow up periods to determine factors predicting morbidity in the long run. |
| 520 ## - SUMMARY, ETC. |
|---|
| Summary, etc. |
ان عملية تغيير الصمام الرئوي بالقلب هي عمليه نادرة عند البالغين, فان غالبية الامراض عند البالغين تكون مصاحبة بالصمام الأورطي و الصمام الميترالي بالقلب.<br/>في الجانب الآخر فالامراض المصاحبة بالصمام الرئوي و المسار الخارج للبطين الأيمن تعتبر شائعة عند الأطفال .<br/>يعتبر الأرتجاع الشديد بالصمام الرئوي بعد عملية الأصلاح الكامل لمتلازمة رباعي فالوت واصلاح الضيق بالصمام الرئوي امر شائع الحدوث.<br/>ان طول مدة الارتجاع الشديد بالصمام الرئوى تؤدى الي فشل في عضلة البطين الأيمن ومن ثم فشل في عضلة القلب وقد يؤدي ذلك الي مشاكل في كهرباء القلب التي قد تؤدي الي الوفاة.<br/>لذلك يحتاج الأرتجاع الشديد للصمام الرئوي الي عملية جراحية لتغيير الصمام الرئوي قبل حدوث هذه المضاعفات.<br/>و تم عمل هذه الرساله لدراسه العوامل المتنبئة بالاعتلال و الوفاة بعد الاستبدال الجراحي للصمام الرئوي بالقلب باستخدام صمامات نسيجيه و ميكانيكية وذلك لحالات رباعي الفالوت و لحالات التهاب الصمام الرئوي بالقلب والحالات المرضية الأخرى المصاحبة للصمام الرئوي التي تحتاج لتغييره وذلك في قسم جراحه القلب و الصدر بمستشفي ابو الريش الجامعي و مستشفي القصر العيني ومستشفي جامعة مصر للعلوم و التكنولوجيا ما بين الفتره يناير 2014 الي سبتمبر 2022 .<br/>و تم تسجيل البيانات الخاصه بكل مريض من حيث السن ,الجنس,الوزن,التحاليل الطبية,والموجات الصوتية واشعة الرنين المغناطيسي للقلب ما قبل العملية ,مدة العمليه,مدة البقاء علي ماكينه القلب الصناعي و الاحتياج الي ادويه محفزة لعضله القلب و مدة البقاء علي جهاز التنفس لبصناعي و مده البقاء في الرعايه و المستشفي ..<br/>وتم عمل التدخل الجراحي بنسبه نجاح تقارب 94% ونسبت وفاة 6%<br/>وكانت اهم العوامل المؤثرة علي نسبة الوفاة و الاعتلال بعد الجراحة هي زيادة عمر المريض و عدد العمليات التي قام بها المريض بالقلب من قبل و طول مدة العملية الجراحية <br/> |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE |
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| Issues CD |
Issued also as CD |
| 546 ## - LANGUAGE NOTE |
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| Text Language |
Text in English and abstract in Arabic & English. |
| 650 #7 - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
surgical pulmonary valve replacement |
| Source of heading or term |
qmark |
| 653 #0 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
surgical pulmonary valve replacement |
| -- |
early outcome |
| -- |
factors affecting mortality and morbidity |
| -- |
Tetralogy of Fallot |
| -- |
pulmonary valve endocarditis |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Hossam Hassanein |
| Relator term |
thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Hesham AlKady |
| Relator term |
thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Sobhy Ayman |
| Relator term |
thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Ahmed Lamloum |
| Relator term |
thesis advisor. |
| 900 ## - Thesis Information |
|---|
| Grant date |
01-01-2023 |
| Supervisory body |
Hossam Hassanein |
| -- |
Hesham AlKady |
| -- |
Sobhy Ayman |
| -- |
Ahmed Lamloum |
| Universities |
Cairo University |
| Faculties |
Faculty of Medicine |
| Department |
Department of cardiothoracic surgery |
| 905 ## - Cataloger and Reviser Names |
|---|
| Cataloger Name |
Huda |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Source of classification or shelving scheme |
Dewey Decimal Classification |
| Koha item type |
Thesis |
| Edition |
21 |
| Suppress in OPAC |
No |
