Mitral valve replacement with preservation of valve leaflets and chordae tendineae

Forty patients with chronic mitral valve disease underwent mitral valve replacement [MVR] at the National Heart Institute, Imbaba in a prospective study to compare between MVR with and without preservation of valve leaflets and chordae tendineae, to study the influence of preservation of parts of the MV apparatus on immediate and early postoperative course of left ventricualr [LV] function. The patients [pts] have been divided into two groups: group I [20 pts] had MVR with preservation of the MV apparatus while group II [20 pats] had conventional MVR. Preoperative, operative and postoperative data are reviewed for both groups with follow up for 6 months. Patients of group l showed easier weaning off bypass, shorter stay in ICU and hospital, and better preservation of IV function early postoperatively when compared to patients of group II. We conclude that MVR with preservation of the MV apparatus is more economic to patient and hospital, and decreases morbidity and mortality duo to better preservation of LV function postoperatively

Percutaneous needle versus bronchoscopic biopsy in diagnosis of bronchogenic carcinoma

Thirty patients with bronchogenic carcinoma have been studied, these cases were collected from cardiothoracic surgery units in Kasr El Aini, Tanta and Zagazig Universities. Histopathological examination for the specimens taken by bronchoscopic biopsy, needle biopsy and open thoracotomy biopsy proved that squamous cell carcinoma represented 43.2 percent of our cases; large cell carcinoma is next common 21.6 percent, adenocarcinomas 18.9 percent, while small cell carcinoma represented 10.8 percent. As regard the positivity and sensitivity of each method, bronchoscopic biopsy, needle biopsy and open thoracotomy biopsy, the positivity is 84.6 percent, 66.6 percent and 100 percent respectively; while sensitivity is 86.6 percent, 75 percent and 100 percent respectively

Sputum cytology versus bronchial lavage cytology in diagnosis of bronchogenic carcinoma

We studied forty cases, which were provisionally diagnosed as broachogenlc carcinoma, from cardiothoracic surgical units in Kasr el-Aini, Tanta and Zagazig Universities. Our study showed male predominance, 80 percent were males and 20 percent were females. Smokers represented 77.5 percent of our cases. Cough represented the main complaint of our patients [75 percent] and well defined opacity was the commonest radiological finding [82.5 percent]. Sputum cytology for 3 successive days showed positivity of 55 percent and sensitivity of 68.9 percent. Bronchial lavage cytological examination showed positivity of 72.5 percent and sensitivity of 78.4 percent