scholarly journals Partial upper median sternotomy for anterior aortopexy for innominate artery compression syndrome: Our preferred technique.

2021 ◽  
Author(s):  
Sandeep Sainathan ◽  
Raghav Murthy
Keyword(s):  
Median Sternotomy ◽  
Innominate Artery ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Tracheal Resection ◽  
Female Ratio ◽  
Compression Syndrome ◽  
The Us ◽  
University Teaching Hospitals ◽  
Male To Female

Objectives: Innominate artery compression syndrome (IAS) is caused by an anterior compression of the trachea by an abnormally originating innominate artery. One option to relieve such a compression is an anterior aortopexy (AA). In this paper we describe our technique of an AA via a partial upper median sternotomy. Methods: A retrospective review of a prospectively maintained database of patients with IAS (July 2017 to November 2020) treated with AA via a partial upper median sternotomy at University teaching hospitals in the US was done. Results: Nine consecutive patients underwent AA for IAS during the study period. The median age was 9 months (IQR 3- 16.5). The male to female ratio was 1.25. All patients had > 70% compression by flexible bronchoscopy. 2 patients had previous surgeries. The follow-up was a median of 6 (IQR 4- 8.5) months. The indications for the operation were: reflex apnea (4/9 patients), recurrent intubation (4/9 patients), and severe stridor (1/9). IAS was a technical success (defined as ≤ 20 % residual stenosis) in 78 % (7/9) of the patients. Complete symptom resolution after an AA was seen in 71% (5/7) of the patients. 2 patients had an unsuccessful AA, requiring a tracheal resection and an innominate artery reimplantation, respectively. Conclusion: An upper partial sternotomy approach provides a very versatile approach to an AA for IAS. Besides facilitating an adequate AA, it provides options for direct tracheal surgery or an innominate artery reimplantation in case an optimal result is not obtained by an AA.

scholarly journals Median Sternotomy for Innominate Artery Compression Syndrome and Distal Tracheal Stenosis

2021 ◽  
pp. 000313482199867
Author(s):  
Sandeep Sainathan ◽  
Mahesh Sharma
Keyword(s):  
Premature Infant ◽  
Tracheal Stenosis ◽  
Median Sternotomy ◽  
Innominate Artery ◽  
Initial Diagnosis ◽  
Tracheal Resection ◽  
Tracheal Cartilage ◽  
Compression Syndrome

We present a case of a premature infant who had an initial diagnosis of an innominate artery compression syndrome. This was approached by a median sternotomy for an aortopexy. However, the patient was found to have a distal tracheal stenosis due to a tracheal cartilage deficiency and was treated by a tracheal resection and primary anastamosis.

Maternal mortality in the last triennium of the Millennium Development Goal Era at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

2017 ◽  
Vol 38 (2) ◽  
pp. 189-193 ◽  
Author(s):  
Ibraheem Olayemi Awowole ◽  
Olusegun Olalekan Badejoko ◽  
Oluwafemi Kuti ◽  
Omotade Adebimpe Ijarotimi ◽  
Oluwaseun Oludotun Sowemimo ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Millennium Development Goal ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Development Goal ◽  
University Teaching Hospitals

scholarly journals Pattern of childhood malignant tumours in two tertiary teaching hospitals in Nigeria: Comparative study

2013 ◽  
Vol 40 (2) ◽  
pp. 175-178
Author(s):  
UA Shehu ◽  
SA Adegoke ◽  
U Abdulsalam ◽  
M Ibrahim ◽  
OA Oyelami ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Public Health Problem ◽  
Bone Tumours ◽  
Teaching Hospitals ◽  
Malignant Tumours ◽  
Acute Leukemias ◽  
Female Ratio ◽  
Hospital Unit ◽  
Tertiary Teaching ◽  
Male To Female

Background: Cancer is a public health problem worldwide affecting all categories of persons. It is the second common cause of death in developed countries and among the three leading causes of death in developing countries.Objective: To compare the patterns of malignant childhood tumours intwo tertiary hospitals in the north- Western and South western Nigeria.Methods: Retrospective studies of childhood malignancies diagnosedat Aminu Kano Teaching Hospital (AKTH), Kano and Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) (Ife Hospital Unit, Ile-Ife and Wesley Guild Hospital Unit, Ilesa, Osun state) were undertaken from January, 2001 to December, 2010. The patterns of childhood cancers inthese hospitals were compared.Results: Four hundred and ten children aged 7 months to 15 years were admitted at AKTH with malignancies of which 236 were males and 174 females with male to female ratio of 1.4:1. At OAUTHC, 568 children aged two months to 15 years were admitted with malignancies over the ten year period. There were 401 males and 167 females, with male to female ratio of 2.4:1. Lymphomas were the commonest type of malignancy in both centers, which accounted for 47.3% and 59.7% at AKTH and OAUTHCrespectively. Retinoblastoma was the second commonest tumour atAKTH constituting 14.9% of all malignancies followed by nephroblastomaand acute leukemias. In contrast, acute leukemias were the second commonest malignancy at OAUTHC accounting for 12.7% of all malignancies followed by retinoblastoma and nephroblastoma. Tumoursof central nervous system were observed to be commoner at AKTH, while bone tumours were commoner at OAUTHC.Conclusion: The pattern of childhood cancer varies rather little betweendifferent regions in Nigeria, with malignant lymphomas being the most common as is the case in most developing countries. However, the findings in this study suggest that there is variation in prevalence of leukemia, CNS and bone tumours in northern and southern Nigeria.Key words: Childhood, malignant tumours, pattern, teaching hospitals,Nigeria

Suspected Down Syndrome in one of non-identical twins in Ile-Ife: A case report

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Akaninyene Eseme Ubom ◽  
Keyword(s):  
Down Syndrome ◽  
Trisomy 21 ◽  
Advanced Maternal Age ◽  
Identical Twins ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Nigerian Women ◽  
Chromosomal Disorder ◽  
Port Harcourt ◽  
University Teaching Hospitals

Nigerian women of southwest extraction have the highest rate of dizygotic twinning worldwide, with a reported incidence as high as 49 per 1000 deliveries. Among the risk factors for dizygotic twinning is advanced maternal age, which is also an independent risk factor for Down syndrome (trisomy 21). Down syndrome is the most common chromosomal disorder affecting live born neonates. It occurs very rarely in twins, seen in 14-15 per million non-identical twins. Down syndrome in one of non-identical twins was first reported in Nigeria by Otaigbe in Port Harcourt, in 2007. Herein, we report another case of suspected Down syndrome in one of non-identical twins born to a 41-year-old grand multiparous woman at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun state, Nigeria. Keywords: Down Syndrome; dizygotic; fraternal; dichorionic; diamniotic.

scholarly journals Trainees need more psychiatric teaching sessions and role models: exposure to psychiatry in the Foundation Programme

2013 ◽  
Vol 37 (6) ◽  
pp. 207-209
Author(s):  
Adam Moreton ◽  
Andrew Collier
Keyword(s):  
Role Models ◽  
Active Role ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Clinical Implications ◽  
General Hospitals ◽  
Foundation Programme ◽  
The Mean ◽  
University Teaching Hospitals ◽  
North Western

Aims and methodTo determine the provision of teaching in psychiatry for foundation doctors up to the point of making specialty applications. Data for the cohort of foundation doctors entering training in 2010 were collected from teaching programmes across the Mersey Deanery and North Western Foundation Schools.ResultsIn the 17 hospitals that provided data, ‘protected teaching’ totalled 2354 h; 1.8% of time was dedicated to psychiatry, with 4 hospitals providing no teaching on mental health topics. The mean duration of psychiatry teaching was higher in university teaching hospitals (3 h 34 min) than district general hospitals (2 h 57 min); and almost a quarter of teaching sessions were titled only ‘psychiatry’.Clinical implicationsFor many foundation doctors their only experience of psychiatry will be through teaching sessions, and this is potentially the only time to change opinions and build interest in the specialty. Psychiatrists need to take a more active role in the provision of high-quality teaching for foundation doctors and become the visible role models which are currently lacking.

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