ABSTRACT
The effect of pre-operative atorvastatin on systemic inflammatory response syndrome (SIRS), often seen after coronary artery bypass grafting (CABG) was evaluated in 40 patients undergoing elective CABG. Patients were divided into two groups: group I (pre-operative LDL cholesterol > or = 100 mg/dl; n = 20) received 20 mg/day atorvastatin for at least 15 days pre-operatively; group II (pre-operative LDL cholesterol < 100 mg/dl; n = 20) did not receive antihyperlipidaemic agents. All patients underwent CABG with cardiopulmonary bypass. Blood samples were taken pre-operatively and 24 h post-operatively. There were no significant differences between the two groups in terms of demographic, pre-operative or operative parameters. At 24 h post-operatively, median high-sensitivity C-reactive protein and mean interleukin-6 levels were significantly lower in group I compared with group II. There were no other significant differences in post-operative parameters between the two groups, except for duration of stay in the intensive care unit, which was shorter in group I patients. In conclusion, pre-operative atorvastatin treatment in patients undergoing elective CABG decreased inflammation parameters and could be effective in preventing SIRS.
Subject(s)
Anticholesteremic Agents/therapeutic use , Heptanoic Acids/therapeutic use , Preoperative Care/methods , Pyrroles/therapeutic use , Systemic Inflammatory Response Syndrome/prevention & control , Anticholesteremic Agents/administration & dosage , Atorvastatin , Biomarkers/blood , C-Reactive Protein/analysis , Coronary Artery Bypass/adverse effects , Female , Heptanoic Acids/administration & dosage , Humans , Interleukin-6/blood , Male , Middle Aged , Postoperative Complications , Pyrroles/administration & dosage , Systemic Inflammatory Response Syndrome/blood , Systemic Inflammatory Response Syndrome/etiology , Treatment OutcomeABSTRACT
In this article, the case of a 30-years-old female patient with supravalvular aortic stenosis is reported. Her clinical picture was otherwise completely different from Williams syndrome. Since supravalvular aortic stenosis is rarely seen, its forms are discussed and it is concluded that supravalvular aortic stenosis can be present without Williams syndrome.
Subject(s)
Aortic Valve Stenosis/congenital , Adult , Aortic Valve Stenosis/diagnosis , Female , Humans , Williams Syndrome/diagnosisABSTRACT
Hydatid cysts are common in Turkey. Authors have seen 248 cases of lung hydatid cysts; Fifty hydatid cyst of lung had ruptured. Their symptoms and detailed findings are reported. Rupture caused asphyxia in 3, haemoptysis in 20, lung abcess in 16, rupture in pleural cavity in 4 and anaphylactic reaction in one case.
Subject(s)
Echinococcosis, Pulmonary/surgery , Emergencies , Echinococcosis, Pulmonary/complications , Echinococcosis, Pulmonary/diagnosis , Female , Humans , Lung Abscess/diagnosis , Lung Abscess/surgery , Male , Middle Aged , Pneumonectomy , Pulmonary Fibrosis/diagnosis , Pulmonary Fibrosis/surgery , Rupture, SpontaneousABSTRACT
Aspirated foreign bodies are important problems during childhood. Some instances may be fatal. Most of the foreign bodies are removed with use of classic instruments like rigid bronchoscopes and foreign body forceps. But sometimes we fail to remove them, particularly aspirated beads and spherical objects. In this case, a Fogarty catheter is helpful. Although we have had many experiences recently we failed to remove one aspirated foreign body which was a pencil cap. We succeeded in removing this pencil cap with a new technique that is explained in this article. We used a Storz transbronchial aspiration biopsy needle and a cotton-carrier stylet to remove the pencil cap.
Subject(s)
Bronchi , Foreign Bodies/therapy , Adolescent , Bronchoscopy , Child , Humans , Male , NeedlesABSTRACT
196 cases of peripheral arterial injury presented to our clinic between 1976 and 1986 are summarised. Most of the cases were between 11 and 30 years of age and most of the injuries were by fire-arms and sharp weapons. The most common localisations were a. femoralis (29% cases), a. poplitea and branches (28%), a. brachialis injury (20%). The most common surgical measures were end-to-end anastomosis (43% cases) and venous orthograft replacement (17%). There were 5 mortalities. Factors affecting treatment success are discussed.
Subject(s)
Arteries/injuries , Arteries/surgery , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Male , Methods , Middle Aged , Postoperative Complications , Time Factors , Wounds, Nonpenetrating , Wounds, PenetratingABSTRACT
Between 1976 and 1986 one hundred and ten children with pulmonary hydatid disease were treated surgically. Sixty five of the patients were males and 45 were females. We diagnosed hydatid cyst in 36 cases submitted in our clinic with hemoptysis. Thirty of the patients had cough, 16 had chest pain and dyspnea, 12 had purulent sputum and 8 cases had fever and anaphylactic phenomena. In most of the patients hydatid cysts were localised in the right lung. However, they had affinity for the lower lobes of both lungs, rather than the upper lobes. The radiological examination was found to be the most reliable diagnostic method. In the majority of our cases we performed thoracotomy + cystotomy + capitonnage, while in some cases we performed resection, like cystectomy, wedge resection and lobectomy. We did not encounter any serious operative and postoperative complications, except for one pleural empyema and a single case of mortality.
Subject(s)
Echinococcosis, Pulmonary/surgery , Adolescent , Child , Child, Preschool , Echinococcosis, Pulmonary/epidemiology , Female , Humans , Male , TurkeyABSTRACT
The closed rupture of the pericardium without accompanying intrathoracal injuries, is a rare lesion. These cases are diagnosed generally at autopsy. Authors describe a case, successfully treated by operation.
