Effects of total thoracoscopic surgery on coronary artery fistulae complicated with ectasia.

Abstract:

OBJECTIVE:To compare the effects of thoracotomy and total thoracoscopic surgery on coronary artery fistulae complicated with ectasia. METHODS:Forty-six patients with coronary artery fistulae complicated with ectasia were randomly divided into a treatment group and a control group (n=23) which were given totally thoracoscopic surgery and thoracotomy respectively. Both groups were followed up. RESULTS:All patients survived the surgeries and were discharged from the hospital. The treatment group had significantly less intraoperative blood loss, earlier postoperative ambulation and shorter postoperative hospitalization stay more than those of the control group (P<0.05). The two groups had similar plasm cortisol and adrenocorticotropic hormone levels one day before and after surgery. These levels peaked on the postoperative 3rd day, but those of the treatment group were significantly lower (P<0.05). The two groups had similar left and right atrial diameters as well as left ventricular ejection fractions (LVEFs) before surgery, but the treatment group had significantly higher postoperative LVEF (P<0.05) as well as significantly smaller left and right atrial diameters in the postoperative 1st and 3rd months (P<0.05). The treatment group was significantly less prone to postoperative complications such as chest pain, atelectasis and pulmonary infection than the control group (P<0.05). CONCLUSION:Total thoracoscopic surgery promoted the recovery of coronary artery fistulae complicated with ectasia, improved cardiac remodeling and cardiac function, and alleviated stress reaction, with well-proved safety.

journal_name

Pak J Med Sci

authors

Sun H,Zhang L,Han X,Wang Z,Xu L

doi

10.12669/pjms.321.7501

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

176-80

issue

1

eissn

1682-024X

issn

1681-715X

pii

PJMS-32-176

journal_volume

32

pub_type

杂志文章
  • Friedewald's equation for calculating LDL-cholesterol: Is it the time to say "Goodbye" and adopt direct LDL cholesterol methods?

    abstract:Objectives:To measure correlation and concordance between measured LDL cholesterol (mLDLc) and Friedewald's calculated LDL cholesterol (cLDLc). To compare the mLDLc and cLDLc values for various anthropometric measures and biochemical indices including insulin resistance, nephropathy, glycated hemoglobin and triglycerid...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.35.2.679

    authors: Khan SH,Niazi NK,Sobia F,Fazal N,Manzoor SM,Nadeem A

    更新日期:2019-03-01 00:00:00

  • To compare anti-albumin urea effects of valsartan alone with combination of valsartan and amlodipine in patients of chronic kidney disease.

    abstract:OBJECTIVE:To compare anti-albumin urea effects of Valsartan alone with combination of Valsartan and Amlodipine in patients of chronic kidney disease. METHODS:This randomized clinical trial was conducted at the Department of Medicine, Combined Military Hospital Bahawalpur, from April 2014 to 30 September 2014. 140 pati...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.323.9541

    authors: Ameen,Kashif MA,Sumreen

    更新日期:2016-05-01 00:00:00

  • Glial Fibrillary Acidic Protein (GFAP) as a Mesenchymal marker of Early Hepatic Stellate Cells Activation in Liver Fibrosis in Chronic Hepatitis C Infection.

    abstract:OBJECTIVE:This study aims to determine expression of Glial Fibrillary Acidic Protein and of Alpha Smooth Muscle Actin (α-SMA) in hepatic stellate cells of CHC cases and their association with stage of fibrosis. METHODS:The study was conducted at Ziauddin University, Clifton Campus during the year 2010-2012. Sixty Chro...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.305.5534

    authors: Hassan S,Syed S,Kehar SI

    更新日期:2014-09-01 00:00:00

  • Effects of routine physiotherapy with and without neuromobilization in the management of internal shoulder impingement syndrome: A randomized controlled trial.

    abstract:Background & Objective:Routine physiotherapy has been advocated was an effective treatment for internal shoulder impingement syndrome. However, there is lack of best exercise treatment and lots of studies are under consideration. The objective of the study was to compare the effects of Neuromobilization and routine phy...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.36.4.1545

    authors: Akhtar M,Karimi H,Gilani SA,Ahmad A

    更新日期:2020-05-01 00:00:00

  • Neonatal idiopathic primary hypoparathyroidism: A rare cause of neonatal seizures.

    abstract::Etiology of neonatal seizures (NNS) is diverse and hypocalcemia is one of the treatable causes. Neonatal hypocalcemia (NHC) due to congenital hypoparathyroidism, either permanent or transient, is extremely rare. Its biochemical abnormalities include hypocalcemia, hyperphosphatemia and low levels of intact parathyroid ...

    journal_title:Pakistan journal of medical sciences

    pub_type:

    doi:10.12669/pjms.315.7807

    authors: Hussain S,Sabir MU,Ali M,Shah SA

    更新日期:2015-09-01 00:00:00

  • Reperfusion times of ST-Segment elevation myocardial infarction in hospitals.

    abstract:OBJECTIVE:To investigate the reperfusion time in patients with ST-segment elevation myocardial infarction (STEMI) in Henan Province, China, and discuss the strategies for shortening that period. METHODS:The reperfusion times of 1556 STEMI cases in 30 hospitals in Henan Province were analyzed from January 2008 to Augus...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.306.5696

    authors: Dong S,Chu Y,Zhang H,Wang Y,Yang X,Yang L,Chen L,Yu H

    更新日期:2014-11-01 00:00:00

  • Ultrasound diagnosis of age-related involutional changes in the lower third of face and neck to determine treatment techniques.

    abstract:Objective:To develop a clinical technique for objective estimation of exact location and degree of participation of face and neck soft tissues in age-related deformations for determine effective mini-invasive treatment techniques. Methods:Ultrasound examination was performed in 2017-2019 at 63 patients with age-relate...

    journal_title:Pakistan journal of medical sciences

    pub_type:

    doi:10.12669/pjms.37.1.3034

    authors: Sharobaro V,Alimova S,Telnova A,Shamanaeva L

    更新日期:2021-01-01 00:00:00

  • An 85-year-old woman with Miller Fisher syndrome.

    abstract::Miller Fisher's syndrome (MFS) commonly presents in the fourth and fifth decades and are rare in people over 70 years. An 85-year-old female with no significant medical history presented with upper extremity anesthesia, ptosis, and unsteady gait. The patient had a history of hypertension and diabetes mellitus. Physica...

    journal_title:Pakistan journal of medical sciences

    pub_type:

    doi:10.12669/pjms.295.3793

    authors: Wang SH,Zhang YB,Xie YC,Wang DX,Li JM

    更新日期:2013-09-01 00:00:00

  • Prevalence of Hepatitis B and C virus infection and their co-relation with hematological and hepatic parameters in subjects undergoing Premarital Screening in the Jazan Region, Kingdom of Saudi Arabia.

    abstract:Objective:Hepatitis is a serious health concern with a high rate of mortality and morbidity world over. Saudi Arabia also has its course of the disease incidence. The data on the prevalence of the disease is still limiting. This study aimed to estimate the prevalence of hepatitis B virus [HBV] and hepatitis C virus [HC...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.342.14278

    authors: Abdullah SM

    更新日期:2018-03-01 00:00:00

  • Diagnostic accuracy of ultrasound in evaluation of obstructive jaundice with MRCP as gold standard.

    abstract:Objective:To evaluate the diagnostic accuracy of ultrasound in obstructive jaundice taking MRCP as gold standard. Methods:This cross-sectional study was conducted at Dow Institute of Radiology (DIR), Dow University of Health Sciences (DUHS), Karachi from 2nd May 2018 till 2nd November 2018. Both male and female patien...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.36.4.1665

    authors: Hanif H,Khan SA,Muneer S,Adil SO

    更新日期:2020-05-01 00:00:00

  • Study on risk factors (predisposing factors) for poor diabetes control during Hajj (1436/2015) in people with diabetes.

    abstract:BACKGROUND AND OBJECTIVE:Each year millions of Muslims perform pilgrimage to Makkah, Saudi Arabia. It is particularly stressful during the peak five days, when all rituals have to be performed at specific periods of time at different sites. Poor diabetes control in people with diabetes predisposes to morbidity and incr...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.325.11217

    authors: Hasan G,Moabber H,Alyamani A,Sayeed A,Altatar F

    更新日期:2016-09-01 00:00:00

  • Exploring variability of teaching & supervision at clinical clerkship teaching sites.

    abstract:Objective:To explore undergraduate medical students' perception of variation in teaching and supervision at different clinical teaching sites. Methods:This descriptive cross-sectional study was conducted at the College of Medicine & Health Sciences, United Arab Emirates University, UAE during 2017. Four clinical teach...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.342.14656

    authors: Naeem N,Elzubeir M,Al-Houqani M,Ahmed LA

    更新日期:2018-03-01 00:00:00

  • Labour induction with gestational hypertension: A great obstetric challenge.

    abstract:OBJECTIVE:To observe the fetomaternal morbidity and mortality with induction of labour in pregnant women with gestational hypertension. METHODS:The subjected study population included was 138 pregnant women with gestational hypertension. These pregnant women were between 34-40 weeks of gestational period in whom labou...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.331.10386

    authors: Khaskheli MN,Baloch S,Sheeba A,Baloch S,Khan F

    更新日期:2017-01-01 00:00:00

  • Determinants of severe acute malnutrition among children under five years in a rural remote setting: A hospital based study from district Tharparkar-Sindh, Pakistan.

    abstract:Objectives:To understand and catalogue the specific determinants of this alarming rate of malnutrition among children of Tharparkar district, Sindh Pakistan. Methods:This was a hospital based analytical survey. Data was collected through a semi-structured questionnaire by interviewing mothers of the children (age 6-59...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.342.14977

    authors: Sand A,Kumar R,Shaikh BT,Somrongthong R,Hafeez A,Rai D

    更新日期:2018-03-01 00:00:00

  • Prevalence of dental caries and associated social risk factors among preschool children in Riyadh, Saudi Arabia.

    abstract:OBJECTIVES:To determine the prevalence of dental caries, and associated social risk factors among preschool children in Riyadh, Saudi Arabia. METHODS:The study consisted of a random sample of 3 to 5 years- old preschool children who were examined in Riyadh, Saudi Arabia; 388 children (184 boys and 204 girls) were exam...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.322.9439

    authors: Al-Meedani LA,Al-Dlaigan YH

    更新日期:2016-03-01 00:00:00

  • Association between grades of Hydronephrosis and detection of urinary stones by ultrasound imaging.

    abstract:Objective:To correlate between hydronephrosis grades and detection of urinary stones by B-mode ultrasound imaging. Methods:This study included 210 ultrasound reports of patients who underwent abdominal ultrasound imaging in the period from 1st January 2016 to 31st October 2017, and diagnosed as hydronephrosis. Data co...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.344.14602

    authors: Alshoabi SA

    更新日期:2018-07-01 00:00:00

  • Assessment of Risk Factors of Obesity and Diet on Breast Cancer in Ankara, Turkey.

    abstract:OBJECTIVE:To determine the risk factors of obesity and diet on breast cancer in Ankara, Turkey. METHODS:A case-controlled study was carried out on newly diagnosed 40 breast cancer patients [patient group (PC)] and 40 volunteer individuals [control group (CG)] with no diagnosis of cancer and history of cancer in the fa...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.326.11346

    authors: Alim NE,Kiziltan G

    更新日期:2016-11-01 00:00:00

  • Cardiovascular risk factors among retired attendees visiting primary care clinics.

    abstract:OBJECTIVE:The aim of this study was to highlight cardiovascular risk factors among retired attendees attending a primary care clinic, Riyadh, Saudi Arabia. METHODS:A cross sectional study was conducted from Januaryto February 2013 at Primary Care Clinics of King Khalid University Hospital and College of Medicine, King...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.303.4269

    authors: Al Turki YA

    更新日期:2014-05-01 00:00:00

  • Diagnostic accuracy of NMP 22 and urine cytology for detection of transitional cell carcinoma urinary bladder taking cystoscopy as gold standard.

    abstract:Objective:To determine diagnostic accuracy of NMP 22 and urine cytology in the detection of transitional cell carcinoma (TCC) urinary bladder taking cystoscopy as a gold standard in patients having provisional diagnosis of bladder cancer (BC). Methods:This cross sectional validational study enrolled 380 patients fulfi...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.36.4.1638

    authors: Sajid MT,Zafar MR,Ahmad H,Ullah S,Mirza ZI,Shahzad K

    更新日期:2020-05-01 00:00:00

  • Prevalence of blindness and causes of visual impairment among adults aged 50 years or above in southern. Jiangsu Province of China.

    abstract:OBJECTIVE:The prevalence of blindness and low vision among adults aged ≥50 years in southern Jiangsu Province were surveyed and estimated. METHODS:Cluster sampling was employed from January to September 2010 to randomly select 6,722 individuals aged ≥50 years in 28 clusters from southern Jiangsu Province. The survey w...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.295.3866

    authors: Yao Y,Shao J,Sun W,Zhu J,Hong Fu D,Guan H,Liu Q

    更新日期:2013-09-01 00:00:00

  • Advantages, Limitations and Recommendations for online learning during COVID-19 pandemic era.

    abstract:Objective:During COVID-19 pandemic, the institutions in Pakistan have started online learning. This study explores the perception of teachers and students regarding its advantages, limitations and recommendations. Methods:This qualitative case study was conducted from March to April 2020. Using maximum variation sampl...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.36.COVID19-S4.2785

    authors: Mukhtar K,Javed K,Arooj M,Sethi A

    更新日期:2020-05-01 00:00:00

  • Efficacy of botulinum toxin in benign essential Blepharospasm: Desirable & undesirable effects.

    abstract:OBJECTIVE:To study the efficacy, desirable and undesirable effects of locally injectable preparation of botulinum toxin in patients suffering from Benign Essential Blepharospasm (BEB). METHODS:It was a prospective study carried out from October 2006 till November 2012 at a private set up, "Dr Shakaib's Eye Clinic", in...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.296.3853

    authors: Anwar MS,Zafar H

    更新日期:2013-11-01 00:00:00

  • Perceived social support in pregnant adolescents in Mersin area in Turkey.

    abstract:Objective:The study examines the level and source of perceived social support in pregnant adolescents and the factors related to their perception of social support. Methods:This descriptive study was conducted with the voluntary participation of 127 adolescent pregnant females who visited the Gynecology and Pediatric ...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.341.14221

    authors: Yurdakul M

    更新日期:2018-01-01 00:00:00

  • Low dose albumin for the prevention of renal impairment following large volume paracentesis in cirrhosis.

    abstract:OBJECTIVES:To evaluate the effect of low dose Albumin i.e. 4 grams per litre of ascitic fluid after large volume paracentesis (LVP) for the prevention of paracentesis induced circulatory dysfunction (PICD) related renal impairment in cirrhosis. METHODS:Case records of all patients with cirrhosis who underwent LVP from...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.313.7281

    authors: Hussain W,Khalid AB,Usmani T,Ghufran A,Shah H

    更新日期:2015-01-01 00:00:00

  • Predictors of serious findings on bi-directional endoscopy in young patients with anemia and GI symptoms.

    abstract:Background and Objective:Iron deficiency anemia (IDA) has been cited as the most common cause of anemia globally. Gastrointestinal (GI) lesions are amongst the common cause of IDA. Endoscopic evaluation is the most effective way to investigate the IDA. The aim of this study was to show the association of alarming GI sy...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.344.14391

    authors: Aslam F,Khalid AB,Siddiqui F,Jadoon Y

    更新日期:2018-07-01 00:00:00

  • Therapeutic outcomes of canal wall up mastoidectomy in combination with Type I tympanoplasty in otitis media.

    abstract:OBJECTIVE:To evaluate the therapeutic effects in terms of disease clearance and hearing improvement of canal wall up mastoidectomy in combination with Type I tympanoplasty in otitis media. METHODS:A total of 78 patients (81 ears) with otitis media were treated by canal wall up mastoidectomy in combination with Type I ...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.323.9780

    authors: Zhang L

    更新日期:2016-05-01 00:00:00

  • The prevalence of psychiatric disorders among visitors to faith healers in Saudi Arabia.

    abstract:OBJECTIVE:We investigated the prevalence of psychiatric disorders among visitors to Faith Healers (FHs) in Riyadh, Saudi Arabia. We also studied the sociodemographic profiles for these visitors, in addition to their past psychiatric history, reason(s) for seeking FH help, and past and current treatment experience with ...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.305.5434

    authors: Alosaimi FD,Alshehri Y,Alfraih I,Alghamdi A,Aldahash S,Alkhuzayem H,Albeeeshi H

    更新日期:2014-09-01 00:00:00

  • Analysis of the relationship between liver regeneration rate and blood levels.

    abstract:OBJECTIVES:The aim of this study was to investigate the difference of liver function changes according to the liver regeneration rate after liver transplantation through blood tests. METHODS:Fifty donors, who underwent computed tomography (CT) 3D volumetry, were analyzed before and after liver transplantation. CT 3D v...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.311.5864

    authors: Kim MS,Lee HK,Kim SY,Cho JH

    更新日期:2015-01-01 00:00:00

  • Subtenon Vs Intravitreal Triamcinolone injection in Diabetic Macular Edema, A prospective study in Chinese population.

    abstract:OBJECTIVE:Purpose of this study was to validate that Subtenon (SB) Triamcinolone (TA) injection is an alternative to Intravitreal (IV) Triamcinolone (TA) injection for the treatment of diabetic macular edema (DME). METHODS:Forty eyes were selected having DME due to type 1 or type 2 diabetes. All the patients were trea...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.304.4810

    authors: Luo D,Zhu B,Zheng Z,Zhou H,Sun X,Xu X

    更新日期:2014-07-01 00:00:00

  • Assessment of increased risk of arrhythmia in advanced age pregnancies.

    abstract:Background and Objective:Cardiovascular deaths usually occur in older pregnancies and arrhythmia is the third most common cause. Our study aimed to determine whether the risk of arrhythmia increases in pregnancy with advanced age. Methods:In total, 280 pregnant women, of whom 98 were of advanced age and 182 were under...

    journal_title:Pakistan journal of medical sciences

    pub_type: 杂志文章

    doi:10.12669/pjms.343.14313

    authors: Aslan MM,Atici A

    更新日期:2018-05-01 00:00:00