| 000 | 03123cam a2200349 a 4500 | ||
|---|---|---|---|
| 003 | EG-GiCUC | ||
| 005 | 20250223032802.0 | ||
| 008 | 210815s2021 ua dh f m 000 0 eng d | ||
| 040 |
_aEG-GiCUC _beng _cEG-GiCUC |
||
| 041 | 0 | _aeng | |
| 049 | _aDeposite | ||
| 097 | _aM.Sc | ||
| 099 | _aCai01.11.05.M.Sc.2021.Mo.R | ||
| 100 | 0 | _aMohamed Nasr Esmail Ali | |
| 245 | 1 | 0 |
_aResults of pulmonary artery debanding : _bSimple band removal versus pulmonary artery repair with pericardial patch / _cMohamed Nasr Esmail Ali ; Supervised Mohammad Fawzy Badr Eddeen Abbas , Hesham Alkady , Ihab Elsharkawy |
| 246 | 1 | 5 |
_aنتائج إزالة تحزيم الشريان الرئوى : _bالإزالة البسيطة للحزمة مقابل إصلاح الشريان الرئوى بواسطة رقعة من غشاء التامور |
| 260 |
_aCairo : _bMohamed Nasr Esmail Ali , _c2021 |
||
| 300 |
_a81 P. : _bcharts , facsimiles ; _c25cm |
||
| 502 | _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery | ||
| 520 | _aBackground: Among the complications noted after debanding is those relatedto residual pulmonary stenosis. Some studies show that the removal of band without repairing pulmonary artery could be enough. Other studies recommend patching of the pulmonary artery at the site of the band during debanding because of the possibility of residual gradient caused by a residual shelf or narrowing and distortion of the arterial wall.This may necessitate re-operation especially if it leads to pressure over-load on the right ventricle Patients and methods: This retrospective observational study included 40 patients who underwent pulmonary artery debanding in the period between January 2016 and January 2020 at the cardiothoracic surgery department of Cairo University hospitals and Atfal Masr Hospital. Patients were divided into two groups; group A which included 20 patients who underwent simple band removal and group B which included 20 patients who underwent pulmonary artery debanding with pericardial patch repair. Results:The median pressure gradient across the main pulmonary artery postoperatively was 15 mm Hg for group A (mean 22.58 ± 18.0) and 10 mm Hg for group B (mean 11.3 ± 8.0) with statistically significant value (p = 0.020). 40.0% of cases in Group A had significant residual pressure gradient compared to only 10.0% of cases in Group B, and that difference was statistically significant (p=0.028).The median pressure gradient across the band immediate preoperatively was 60 mm Hg for group A (mean 62.0 ± 9.8) and 70 mm Hg (mean 64.2 ± 10.6) with statistically insignificant value (p = 0.065) | ||
| 530 | _aIssued also as CD | ||
| 653 | 4 | _aAtrio-ventricular canal | |
| 653 | 4 | _aPulmonary artery debanding | |
| 653 | 4 | _aVentricular septal defect | |
| 700 | 0 |
_aHesham Alkady , _eSupervisor |
|
| 700 | 0 |
_aIhab Elsharkawy , _eSupervisor |
|
| 700 | 0 |
_aMohammad Fawzy Badr Eddeen Abbas , _eSupervisor |
|
| 856 | _uhttp://172.23.153.220/th.pdf | ||
| 905 |
_aNazla _eRevisor |
||
| 905 |
_aShimaa _eCataloger |
||
| 942 |
_2ddc _cTH |
||
| 999 |
_c81730 _d81730 |
||