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003 EG-GiCUC
005 20250223032737.0
008 210518s2020 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2020.Sh.S
100 0 _aShebl Mohamed Shebl Shama
245 1 0 _aResults of surgical or trans catheter management of coarctation of aorta in infants and children /
_cShebl Mohamed Shebl Shama ; Supervised Fatmaa Alzahraa Mostafa Gomaa , Gehan Hussein Ahmed ,Yasmin Mohamed Ramadan
246 1 5 _aنتائج العلاج الجراحى أو عن طريق القسطرة لضيق الشريان الأورطى عند الرضع والأطفال
260 _aCairo :
_bShebl Mohamed Shebl Shama ,
_c2020
300 _a96 P . :
_bcharts , facsmilies ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aCoarctation of aorta (CoA) is a common birth defect that account for 5-8% of congenital heart diseases with variable management strategies. Objective: to study the results of CoA repair by surgery or trans catheter balloon angioplasty(BA) to find the best intervention modality according to age. Methodology: cross-sectional study was conducted in Cairo University Children Hospital in the period from March 2005 to August 2018. The medical records of the patients were reviewed including patient age, presenting manifestations, age of intervention, type of intervention, post-intervention complications, laboratory finding including e-GFR and transthoracic color Doppler echocardiography, preintervention and post intervention follow up. Results: From a total of 115 studied cases, 107 (93%) were proved to have surgical repair. About 75 % of them were below one year old. Surgery as an initial treatment prevents the progress of heart failure beyond NYHA class I in 70% of cases. About 29 % of patients had blood pressure measurement above 95th percentile for age and gender with more susceptibility to post intervention hypertensive in trans catheter treated cases. Recoarctation is more common with balloon angioplasty (BA) (75%) than for surgery (53%). Postoperative complications included re-coarctation (88.3 %), high blood pressure (31.3%), absent peripheral pulsations (51.9 %) and infections (10.4%). Conclusion: surgery is a commonly used management strategy in CoA repair. systemic hypertension and re-coarctation are a common findings after CoA intervention
530 _aIssued also as CD
653 4 _aBA
653 4 _aCoA
653 4 _aHypertension
700 0 _aFatmaa Alzahraa Mostafa Gomaa ,
_eSupervising
700 0 _aGehan Hussein Ahmed ,
_eSupervising
700 0 _aYasmin Mohamed Ramadan ,
_eSupervising
856 _uhttp://172.23.153.220/th.pdf
905 _aAmira
_eCataloger
905 _aNazla
_eRevisor
942 _2ddc
_cTH
999 _c80937
_d80937