Transcatheter closure of patent ductus arteriosus using ADO device: retrospective study of 149 patients

Patent ductus arteriosus [PDA] is a common form of congenital heart disease and forms about 5-10% of congenital heart diseases. Surgical closure is safe and effective; however, certain patients may experience some morbidity. Recently, transcatheter closure of PDA using the Amplatzer duct occluder has been shown to be safe and efficacious. To evaluate whether transcatheter closure with this device offers an alternative to surgical closure of PDA. Between July 2006 to July 2008, 149 patients [98 females and 51 males] with PDA underwent cardiac catheterization in an attempt to close their PDA by transcatheter approach using Amplatzer duct occluder device. The patient's age ranged from 4 months to 45 years [median 5 years]. Successful PDA closure was achieved in 136 patients [91.2%] with 100% complete closure rate within 24 hours after the procedure. Thirteen patients [8.7%] had unsuccessful attempts, 11 [7.3%] of them had failure of deployment of the device, while embolization of the device occurred in two of the patients [1.3%]. Amplatzer duct occluder device is safe and effective for closure of different types and sizes of PDA with low rate of complication

Percutaneous pulmonary valvuloplasty in critical pulmonary valve stenosis

Critical plumonary valve stenosis represents an emergency and immediate treatment is mandatory. Percutaneous plumonary valvuloplasty is the treatment of choice for isolated plumonary valve stenosis. Results and complications, of this procedure in our cath. Lab. From January 2006 to August 2009, 28 neonates and infants with critical plumonary valve stenosis [mean age 33.5 days: range 6-88 days] underwent percutenous plumonary valvulopalsty. All patients were cyanosed, and the clinical diagnosis was confirmed by cross sectional and Doppler echocardiography. The plumonary valve was successfully crossed in all patients. The trasvalvular gradient dropped from 86.9+_21mmgh to 33.2+_20.9mmgh, the mean right ventricular systolic pressure dropped from 100.4-f_2o.7mmgh to 54.2+_20.9mmgh, and oxygen saturation increased from 81+_8% to 97+_2%. There were 9[32.1%] major complication including 4[14.2%] death ,3[10.7%] hemopericardium reguiring drainge and transfusion, and two[7.1%] patients developed considerable venous congesation. During a mean followup of 1.6 years, 19[86.3%] of the 22 patients remain free of important restenosis. Percutaneous plumonary valvuloplasty is effective procedure of first choice in treatment neonates and infants with critical plumonary stenosis

morphological classification of ventrical septal defects

The ventricular septal defects are the most common cnongenital heart disease, Ventricular septum composed of two parts:the memberanous septum is relatively small very thin stracture and themuscular septum, Which is divided into three regions; inlet; trabecular and outlet portion. To find out morphological classification of ventricular septal defects in Iraqi population. Two hundred isolated ventricular septal defect in 196 patients, were identified by two dimension echocardiography and Doppler color flow mapping. Age, Sex of patients and family history were studied. Cross section scan was obtained using a SSH-140A Toshiba machine. Ventricular septal defects were perimemberanous in 70%, inlet in 18%, Trabecular in9%, and outlet in 3%. Lage defects were identified in 21%, and eisenmengers cpmplex in 5%. Delay in referreal of patient with ventricular septal defects to our hospital usually resulted in delay institusion of appropriate management and increase risk of future surger

clinical study of vibriosis during 1999 in Al-Mansour childrens teaching hospital

Cholera is an acute infectious disease characterized by profuse watery diarrhea and vomiting. lt is caused by Vibrio Cholerae Ol and O139 sero-group. To find out clinical variety of the admitted cases of Vibriosis. Clinical features of the illness were studied, and fresh stool specimens were sent for culture. The stool is taken in seawater containers to the laboratory where further processing of the stool is done on alkaline peptone and TCBS medium. All patients presented with diarrhea and the majority had vomiting [65%], [37.5%] of the patients presented with severe dehydration and no patient died during this study. The epidemic mainly caused by Ogawa serotype [75%], and there was different antibiotic resistance recorded especially for trimethoprim [47.5%] and tetracycline [25%]. Nearly all cases in vitro were susceptible to cefotaxime