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Search Results: 1 - 10 of 51293 matches for " Abdulsalam Y. Taha "
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The use of fiberoptic bronchoscope to remove aspirated tracheobronchial foreign bodies: Our experience  [PDF]
Abdulsalam Y. Taha
Case Reports in Clinical Medicine (CRCM) , 2013, DOI: 10.4236/crcm.2013.25077
Abstract: Background: Foreign body (FB) aspiration is a common emergency in our practice. The routine method of removal is via rigid bronchoscopy (RB) under general anesthesia. This is the preferred procedure particularly in children who form the major affected population. Fiberoptic bronchoscopy (FOB) has also been used for FB removal in many countries, though in Iraq, the standard mean remains rigid bronchoscopy. Objective: Herein, we present 5 cases of FB inhalation in adults in whom FOB was used for removal. The aim is to test its feasibility with literature review. Setting: the department of thoracic surgery/Sulaimania Teaching Hospital/Sulaimania/Iraq. Study Design: a prospective study of 5 patients. Patients and methods: 5 patients (3 females and 2 males) with different bronchial or laryngeal FBs in whom FOB was used as a method for removal are presented. The age ranged from 16 to 71 years. The clinical and radiographic features are recorded. In all these patients, initial FOB examination under local anesthesia transorally or via tracheotomy stoma was done. When removed by this method failed, RB under GA was used and when this failed, thoracotomy was the last resort. Results and Conclusions: FBs encountered in this paper consisted of pins (n = 2), sewing needle (n = 1), speech valve (n = 1) and a medical leach (n = 1). Three FBs (medical leach, speech valve and one pin) were successfully removed by FOB. A pin in RMB was visualized but failed to be removed by FOB and therefore, RB was required for its retrieval, while a needle in left lower lobe was invisible by both FOB and RB and thus surgery was necessary to remove it. We conclude that in adolescent or adult patients with bronchial FBs, FOB should be tried first for removal. If this fails then RB can be used. To increase its success, FOB should be combined with certain accessories like special FB forceps and fluoroscopy.
Shrapnel superior vena cava injury: Case report  [PDF]
Abdulsalam Y. Taha
Case Reports in Clinical Medicine (CRCM) , 2014, DOI: 10.4236/crcm.2014.32021

Shrapnel injuries of the superior vena cava (SVC) are extremely rare and highly lethal. The true incidence is not known since many patients succumb shortly after injury. The high fatality is due to difficulty in diagnosis, technical problems with repair and consequences of SVC clamping. Literature review revealed no shrapnel SVC injury reported before. This is a report of 30-year-old man from Kirkuk, Iraq, a victim of terroristic attack who was admitted to Sulaimania Teaching Hospital (STH) on June 2007 with shock, massive right-side haemothorax and a wound at base of neck following a shrapnel injury. Emergency right thoracotomy revealed clotted haemothorax and big shrapnel partly sealing a tear in SVC just above the entrance of the azygos vein. Severe bleeding ensued after extraction of the shrapnel. Attempts to control the hemorrhage and repair of the injury failed and unfortunately, the patient expired in the theatre. Though there is no pathognomonic sign of SVC injury, it should be suspected in patients presenting with shock and haemothorax. Successful repair is achievable with early diagnosis, aggressive resuscitation, early exploration, optimum operating conditions and special measures such as auto-transfusion and cardiopulmonary bypass.

Carotid Body Tumours: A Review  [PDF]
Abdulsalam Y. Taha
International Journal of Clinical Medicine (IJCM) , 2015, DOI: 10.4236/ijcm.2015.63017
The carotid body is a small structure weighing 12 mg located in the adventitia of carotid artery bifurcation acting as a chemoreceptor. Carotid body tumour (CBT); formerly known as chemodectoma is a rare, highly vascular, mostly benign tumour arising from the paraganglia of carotid body; hence, the name (carotid paraganglioma). The high vascularity and proximity to cranial nerves and major vessels make this tumour a surgical challenge. Abundant literature has been written about CBT in the last century with a continuous debate regarding its etiology, natural history, biological behavior, proper technique of excision, and the morbidity and mortality associated with its resection. The purpose of this review article is to simplify understanding the basic and clinical aspects of this challenging neoplasm.
Vascular Surgery and the General Surgeon: Review Article  [PDF]
Abdulsalam Y. Taha
International Journal of Clinical Medicine (IJCM) , 2015, DOI: 10.4236/ijcm.2015.63018
The vascular surgeon is trained in the management of diseases affecting all parts of the vascular system except that of the heart and brain whereas cardiothoracic surgeons manage surgical diseases of the heart and its vessels. Although vascular surgery is previously a field within general surgery, it is now considered a specialty on its own right in many countries such as the UK and the United States. Other countries such as Iraq have a mixed practice in which the cardiac or thoracic surgeon performs vascular surgery. Programs of training in vascular surgery are slightly different depending on the region of the world one is in. In the United States, a 5-year general surgery residency is followed by 2 years training in vascular surgery. In Iraq, the time table allocated for the general surgical trainee in vascular surgery is unfortunately short (1 - 3 months). This period is hardly enough for the candidate to grasp the decision-making and technical skills of vascular surgery. We believe that general surgeons need to have adequate training and expertise in vascular surgery particularly in areas and situations lacking this facility to deal with the life- and/or limb-threatening emergencies. This review article aims to orient the general surgical trainee about the scope of vascular surgery and enable them to correctly diagnose and treat common vascular emergencies such as extremity and abdominal vascular injuries (AVI).
Standing on the Shoulders of the Giants: Stories of 3 Pioneers  [PDF]
Abdulsalam Y. Taha, Jaffar S. Shehatha
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.54022

The history of medicine and surgery is a rich source of interesting stories of genius and brave people who paved the way ahead of mankind towards the current status of medical and surgical practice. One has to admire the enthusiasms and courage of such people to whom millions of patients ought to be grateful. This paper reports the inspiring stories of 3 heart surgeons (Werner Forssmann, Dr. Lillehei and Dr. Michael E. DeBakey) and highlights their outstanding contributions to the modern cardiac surgery. It reminds the people to remember these three pioneers forever and encourages people working in this field to seek innovation.

Surgery for Aneurysmal Right Coronary Fistula and Constrictive Pericarditis in an Adult: Case Report  [PDF]
Jaffar S. Shehatha, Abdulsalam Y. Taha
Case Reports in Clinical Medicine (CRCM) , 2014, DOI: 10.4236/crcm.2014.33041

Coronary artery fistula (CAF) is a direct communication between a coronary artery and the lumen of any of the cardiac chambers, i.e. the coronary sinus, the pulmonary artery, the superior vena cava or the proximal pulmonary veins. The majority of these fistulas are congenital in origin although they may occasionally be detected after cardiac surgery. Congenital CAF is a rare anomaly and aneurysmal formation in the fistula is even rarer. Majority of CAFs are isolated lesions, however, congenital or acquired heart diseases may co-exist. Herein, we report a case of huge congenital aneurysmal right CAF connected to the right atrium in an Iraqi man of 62 associated with tuberculous effusive-constrictive pericarditis to whom off pump pericardiectomy was performed followed by ligation of right coronary artery and vein graft implantation to its posterior descending branch under cardiopulmonary bypass. To the best of our knowledge, such association was not previously reported. CAF can be repaired surgically with minimum risk and excellent outcome. Surgery is advised whenever coronary fistula is diagnosed unless it is very small to avoid the potential complications.

Management of Left Ventricular Aneurysm: A Study from Iraq  [PDF]
Abdulsalam Y. Taha, Bassam A. Mahmoud
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.54021

Background: The most appropriate surgical approach for post-myocardial infarction left ventricular aneurysm (LVA) is controversial. This study aims to display the results of surgical treatment of LVA in a major Iraqi cardiac surgical center. Methods: The surgical management of LVAs over the period 2001 to 2011 was retrospectively reviewed. The presenting signs and symptoms, results of investigations, operative findings, and outcomes of patients were determined. Results: Twenty-seven true LVAs associated with 4 ventricular septal defects (VSDs) were treated surgically. During the same period, 1136 coronary artery bypass graft (CABG) operations were done, thus LVA represented 2.4%. Males constituted the majority (74.1%). The mean age was 54.6 years old. The typical ECG changes were seen in 42.1%. Apical and antero-apical locations predominated. The majority of patients (84.2%) had subnormal values of ejection fraction (EF). Most patients had multi-vessel coronary artery disease (CAD). The most frequent was the left anterior descending artery (LAD). All patients had CABG except 3. Linear repair and Dor technique were used equally. The commonest postoperative complication was bleeding (38.4%). The overall hospital mortality was 18.5%. Conclusion: Concomitant CABG improves early postoperative course and must be added when significant lesions in coronary arteries particularly the LAD are present.

Management of Pulmonary Hydatid Disease: Review of 66 Cases from Iraq  [PDF]
Nazar B. Elhassani, Abdulsalam Y. Taha
Case Reports in Clinical Medicine (CRCM) , 2015, DOI: 10.4236/crcm.2015.43018
Background: Hydatid disease is a serious health hazard and a major problem to the community in Iraq. The disease is still endemic as witnessed in everyday surgical practice. The aim of this prospective study was to review the management of pulmonary hydatid disease (PHD) in two major thoracic surgical centers (Ibn-Alnafis and Medical City Teaching Hospitals), Baghdad, Iraq over one year period. Materials and Methods: Sixty six patients (38 females and 28 males) with PHD admitted and treated surgically in the Departments of Thoracic Surgery in the aforementioned hospitals were studied. Demographic and clinical features were obtained by direct patients’ interviews and thorough physical examination. The diagnosis in the vast majority of patients was based on plain chest radiography while few had bronchoscopy. All patients had posterolateral thoracotomy for removal of pulmonary hydatid cysts (PHC). The clinical and radiographic findings as well as operative procedures and postoperative complications were reviewed. Results: The age ranged from two and a half years to 60 years with a mean of 22.3. Sixty percent of patients were in second and third decades. Most patients (n = 51, 77%) lived in rural areas. Housewives and students predominated. A positive family history was obtained in 5. Cough, chest pain, dyspnoea and haemoptysis were the main symptoms whereas 15 were acutely ill. Three patients presented with pathognomonic expectoration of laminated membrane and 2 had intra-pleural cyst rupture. The total number of cysts was 99 (61 intact, 50 solitary, and 55 unilateral). The right lung was more frequently involved (n = 64) and right lower lobe was on the top. Cyst size ranged from 3 to 25 cm with a mean of 8.5. The main radiographic appearance was the “full moon against dark sky” visible in 61.6%. Abdominal ultrasound was carried out in 40 patients who revealed 12 hepatic and one splenic HCs. Lung preserving surgery was done in 76 cysts (91.5%) while lobectomy was necessary in 7. Capitonnage was used in 16 cases only (19.2%). Two patients had lung decortication and four had trans-diaphragmatic removal of liver HCs. Few complications developed mostly managed conservatively. Reoperation was necessary in 4 patients (prolonged air leak, n = 2 and bleeding, n = 2). Two patients died (3%). Conclusion: PHC is endemic in Iraq, mainly diagnosed by plain chest radiography, and can be safely managed by lung preserving
Myocardial Ischemia Following Shrapnel Epicardiac Injury 16 Years Earlier: Case Report  [PDF]
Jaffar S. Shehatha, Dara M. Mohialdeen, Abdulsalam Y. Taha, Abdulsalam Y. Taha
Case Reports in Clinical Medicine (CRCM) , 2014, DOI: 10.4236/crcm.2014.33027

Coronary artery injuries are uncommon. Acute injuries of major coronary vessels, particularly the left anterior descending artery (LAD), are life-threatening because of the significant cardiac dysfunction that ensues and usually requires repair or bypass. In contrast, late presentation of missile coronary artery injuries has been sporadically reported in the literature. Herein we present a 32-year-old lady from Sulaimania, Iraq with multiple shrapnel injuries 16 years earlier presented recently with severe anterolateral myocardial ischemia unresponsive to medical treatment. Coronary angiography and surgical exploration revealed shrapnel compressing the LAD. The patient responded very well to shrapnel extraction and coronary artery revascularization (off pump left internal mammary artery—LIMA—to LAD anastomosis). The management of this patient is discussed with review of relevant literature. It is concluded that long-standing shrapnel close to a major coronary artery may incur an external trauma initiating a localized arteriosclerosis with an extremely long time interval from injury to the onset of symptoms of myocardial ischemia.

Giant Left Atrial Myxoma in an Elderly Man: Case Report  [PDF]
Darya A. Faqi Mahmoud, Jaafar S. Aldoori, Abdulsalam Y. Taha
Case Reports in Clinical Medicine (CRCM) , 2014, DOI: 10.4236/crcm.2014.34052

Left atrial myxomas (LAM), the most common primary tumours of the heart are unusual or rare in the elderly. Moreover, elderly patients often present with non-specific symptoms that are frequently overlooked in the absence of a supporting cardiac history which makes an early diagnosis challenging. Herein, we reported large LAM in 70-year-old Iraqi Kurdish male who was presented with minimal obstructive symptoms and the diagnosis was not suspected clinically but discovered by trans-thoracic echocardiography (TTE) followed by successful surgical excision. Although atrial myxomas are benign, they have potential serious complications which mandate prompt therapy. Due to low morbidity and mortality besides its excellent outcome even in the elderly, surgery is the preferred choice of treatment for LAMs.

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