Endovascular stent placement for branch pulmonary artery stenosis-report of two cases

Two patients, aged nine years and fourteen years, with severe left pulmonary artery branch stenosis, were treated by balloon dilation and stent implantation. The first patient had tetralogy of Fallot [Case 1], and the second patient had tetralogy of Fallot with catheterization showed right ventricular hypertension and severe left pulmonary artery branch stenosis in both cases. Initially, balloon dilation alone was attempted and was unsuccessful. Subsequently, Palmar Stent [Johnson and Johnson Interventional Systems, Sommerville, New Jersey, USA] was loaded onto a balloon dilation catheter and delivered through a long 11F Mullins sheath. The stent expanded with the balloon and remained expanded after pressure gradient across the stenosis fell from 50 mm to 2 mmHg in the first case and from 35mm to 0 mmHg in the second case. The increased from 5mm to 18mm in the first case and 4mm to 12mm in the second. There were no complications with catheterization. These cases illustrate the first use of the endovascular stent to treat congenital heart disease in the Kingdom of Saudi Arabia

Coronary heart disease: review of 110 cases

A series of 110 hospitalised patients of coronary heart disease have been reviewed. This included 95 males and 15 females, age range 38-70 years. The majority [57%] of the cases belonged to the low economical group; 32% of patients were laborers, and 17% were house wives. 18% of the males were cigarette smokers. The chest pains was predominatly retrosternal [63%]. 86 [78%] cases had myocardial infarction, 15 [13.6%] cases had acute coronary insufficiency and 11 [10.4%] had angina pectoris

Experience with echocardiography: a review of 330 cases

Echocardiography was performed in 330 patients, suspected as having a cardiac lesion. The largest group studied was of Rheumatic Heart Disease [139 patients] followed by Congenital Heart Disease [50], Cardiomyopathy [41] and Pericardial Effusion [19] in that order. Eight one patients did not show any cardiac lesions. In Rheumatic Heart Disease group, mitral stenosis was the commonest lesion. V.S.D. and Fallot's Terology were the common congenital lesions