RESUMO
We report the first case of off-pump complete myocardial revascularization through antero-lateral thoracotomy [Thora-CAB] in Middle-East. 69 year old gentleman having angina pectoris for last three years with severe double vessel disease involving the left anterior descending artery [95% proximal lesion] and the circumflex system [80% mid circumflex lesion with significant osteal disease in obtuse marginal] and insignificant disease in right coronary artery with moderate left ventricular impairment underwent Thora-CAB, Post-operatively, he had minimal pain, quick symptomatic improvement and no complications. He was discharged home on 5th post-operative day. This indicates that the thoracotomy approach is safe and practical for CABG. It is well tolerated hemodynamically with no/minimal post-operative morbidity
Assuntos
Humanos , Masculino , Toracotomia , Literatura de Revisão como Assunto , Ponte de Artéria CoronáriaRESUMO
To study the prevalence of cutaneous disorders in patients with diabetes mellitus. All diabetic patients attending the Department of Dermatology, Al-Farwaniya Hospital, Kuwait, and diabetic in-patients with skin disorders were examined over a period of 18 months from March 2004 to August 2005. A total of 106 diabetic patients displaying 1 or more dermatological manifestations were identified and thoroughly examined for any skin disorder. The diabetic profile of the patients was obtained from medical records. Of the 106 patients, 69 had only 1 cutaneous manifestation, 27 had 2, 6 had 3 and 4 had 4. Infections [68.0%] were the major cutaneous manifestations with fungal infection occurring in 41 patients followed by bacteria in 27. The second most common presenting symptom was pruritus. Hypertension [74%] was the most common systemic complication, and most of the diabetic patients who developed cutaneous manifestations were in the 40- to 60-year age group. The data show that infections were the most common cutaneous manifestation and hypertension the most common systemic complication