Outcome of surgical repair of ruptured sinus of valsalva aneurysm

Aneurysm of sinus of valsalva is a rare anomaly. Here, we analyze retrospectively patients operated at PIC during 93 and 98.Sixteen cases of'ruptured aneurysm of sinus of valsalva were operated upon at PIC. The majority arose from the right coronary sinus. The right ventricle was the most common chamber of rupture [62.5%]. Ventricle septa] defect was associated in 7 patients, of which 5 were supracristal type. The VSD was most common in aneurysm arising from the right coronary sinus 5 cases. Aortic regurgitation was found in 7 patients. In only 2 cases it was severe enough to have aortic valve replacement. The defects were closed through aortic root alone in two patients, while in rest of the cases combine approach was used [aortic root and chamber of rupture were opened]. In only two cases aortic valve repair was done. There was no immediate mortality, only one patient died in late follow up. Repair of RSVA through an aortotomy with or without cardiotomy permits inspection of the aortic root complex and facilitate aortic valve repair. Surgery for aneurysm of sinus of valsalva yields gratifying result and it should be as soon as the condition is diagnosed

Reproductive morbidity in the countryside of Damascus[Daraia]

At first we filled the specific file for reproductive morbidity, then a clinical examination and laboratory examination took place. The results showed: Hypertension 11.3% of women. Diabetes mellitus 2.6% of women. Adnexitis 10% of women. Prolapse 11.3% of women. Anemia 26% of women. Urinary tract infection 15.3% of women. Cervix ectopia 40% of women. Vaginal infection 52.6% of women. More than one complication was found in some women as anemia and vaginal infection, because of the economic, social and health conditions This leads to increased gestational and labour complications, which lead to an increase in perinatal and maternal morbidity indirectly if the patient suffers from hemorrhage or ambulant surgical condition

Toxic shock syndrome following a simple skin injury

A 14 year old boy had a syndrome following simple injury to the skin, that was diagnosed as toxic shock syndrome [T.S.S.]. Appropriate treatment resulted in his complete recovery. The authors feel that more cases of T.S.S. may be diagnosed if carefully looked for