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  1. Article: Congenital circumflex coronary arteriovenous fistula with aneurysmal termination in the pulmonary artery.

    Darwazah, Ahmad K / Hussein, Izzedein H / Hawari, Mohammad H

    Texas Heart Institute journal

    2005  Volume 32, Issue 1, Page(s) 56–9; discussion 58–9

    Abstract: Coronary arteriovenous fistula is a rare congenital anomaly that is seen in 0.1 % to 0.2% of coronary angiograms. Aneurysmal formation in the fistula is even rarer. We report a case of congenital circumflex arteriovenous fistula with aneurysmal formation ...

    Abstract Coronary arteriovenous fistula is a rare congenital anomaly that is seen in 0.1 % to 0.2% of coronary angiograms. Aneurysmal formation in the fistula is even rarer. We report a case of congenital circumflex arteriovenous fistula with aneurysmal formation just near its termination in the pulmonary artery, associated with atherosclerotic left anterior descending coronary artery. The anomaly was successfully repaired.
    MeSH term(s) Aneurysm/complications ; Aneurysm/congenital ; Arteriovenous Fistula/complications ; Arteriovenous Fistula/congenital ; Coronary Disease/complications ; Coronary Disease/congenital ; Humans ; Male ; Middle Aged ; Pulmonary Artery/abnormalities
    Language English
    Publishing date 2005
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 604761-0
    ISSN 1526-6702 ; 0730-2347
    ISSN (online) 1526-6702
    ISSN 0730-2347
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Multiple left ventricular myxomas arising from the interventricular septum and ventricular trabeculae: a case report.

    Darwazah, Ahmad K / Hawari, Mohammad H / Hussein, Izzedein H / El-Hassan, Haitham K

    The heart surgery forum

    2006  Volume 9, Issue 2, Page(s) E587–9

    Abstract: Myxoma is the most common tumor of the heart, with an estimated incidence of 0.5 to 1 per million per year. The majority of these tumors arise from the left atrium, and 20% arise from the right atrium with the remaining 5% arising in either the right or ... ...

    Abstract Myxoma is the most common tumor of the heart, with an estimated incidence of 0.5 to 1 per million per year. The majority of these tumors arise from the left atrium, and 20% arise from the right atrium with the remaining 5% arising in either the right or left ventricle. We present a rare case of multiple myxomas of the left ventricle arising from the interventricular septum and nearby ventricular trabeculae that clinically presented with an occlusion of the left axillary artery. The patient was successfully treated using cardiopulmonary bypass, during which the tumor was completely removed using a transventricular approach.
    MeSH term(s) Adult ; Axillary Artery/surgery ; Cardiopulmonary Bypass ; Heart Neoplasms/complications ; Heart Neoplasms/surgery ; Heart Septum/surgery ; Humans ; Male ; Myxoma/complications ; Myxoma/surgery ; Peripheral Vascular Diseases/etiology ; Peripheral Vascular Diseases/surgery ; Treatment Outcome
    Language English
    Publishing date 2006
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2069188-9
    ISSN 1522-6662 ; 1098-3511
    ISSN (online) 1522-6662
    ISSN 1098-3511
    DOI 10.1532/HSF98.20051175
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Visceral leishmaniasis complicated by fungal pulmonary valve endocarditis.

    Darwazah, Ahmad K / Hawari, Mohammad H / Qaqa, Zakaria / Abu Sham'a, Raed A H / Sharabati, Barakat

    The Journal of infection

    2006  Volume 53, Issue 4, Page(s) e185–9

    Abstract: We present a rare neglected case of fungal pulmonary valve endocarditis which presented with typical extra cardiac manifestations after repeated injections for treatment of visceral leishmaniasis. Surgical intervention to replace the pulmonary valve was ... ...

    Abstract We present a rare neglected case of fungal pulmonary valve endocarditis which presented with typical extra cardiac manifestations after repeated injections for treatment of visceral leishmaniasis. Surgical intervention to replace the pulmonary valve was the only option to manage the patient in spite of extensive medical treatment.
    MeSH term(s) Adolescent ; Candida albicans/isolation & purification ; Candidiasis/microbiology ; Echocardiography ; Endocarditis/microbiology ; Endocarditis/surgery ; Female ; Heart Valve Diseases/microbiology ; Heart Valve Diseases/surgery ; Humans ; Leishmaniasis, Visceral/complications ; Pulmonary Valve/microbiology ; Pulmonary Valve/surgery
    Language English
    Publishing date 2006-10
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 424417-5
    ISSN 1532-2742 ; 0163-4453
    ISSN (online) 1532-2742
    ISSN 0163-4453
    DOI 10.1016/j.jinf.2005.12.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Myocardial revascularization in patients with low ejection fraction < or =35%: effect of pump technique on early morbidity and mortality.

    Darwazah, Ahmad K / Abu Sham'a, Raed A / Hussein, Ezzidin / Hawari, Mohammad H / Ismail, Hasan

    Journal of cardiac surgery

    2006  Volume 21, Issue 1, Page(s) 22–27

    Abstract: Background and aim: Left ventricular dysfunction is an important predictor of in-hospital mortality. Surgical risk among these patients remains high. The present study is conducted to evaluate the difference in early morbidity and mortality among ... ...

    Abstract Background and aim: Left ventricular dysfunction is an important predictor of in-hospital mortality. Surgical risk among these patients remains high. The present study is conducted to evaluate the difference in early morbidity and mortality among patients with compromised left ventricular function (LVF) after myocardial revascularization using either off-pump or on-pump coronary artery bypass graft.
    Methods: Between April 2000 and April 2004, 150 patients with ejection fraction (EF) < or =35% underwent isolated coronary artery bypass grafting. Eighty-four patients underwent conventional bypass (mean EF 30.1%+/- 4.2) and 66 patients had off-pump coronary artery bypass (mean EF 27.5%+/- 5.5). Different variables (preoperative, intraoperative, and postoperative) were evaluated and compared. Determination of operation risk was done using EuroSCORE. Patients who underwent OPCAB were more risky due to a high percentage of associated comorbidities, mean EuroSCORE was 12.96 +/- 13.21 in comparison to 8.47 +/- 10.22 in CCAB.
    Results: The mean operative mortality was 8.7%. Patients who underwent OPCAB had a lower operative mortality than CCAB (6.1% vs. 10.7%) inspite of a higher preoperative predicted risk score. Completeness of revascularization was higher among the CCAB group (85.7% vs. 69.7%; p = 0.01). Subsequently, the mean number of grafts was significantly higher among this group (3.4+/-0.7 vs. 2.0 +/-0.9; p < 0.001). On the other hand, morbidity was significantly higher in CCAB (35.7% vs. 19.7%; p = 0.03). However, the incidence of both myocardial infarction and atrial fibrillation was more among OPCAB.
    Conclusions: Patients with left ventricular dysfunction are high-risk group. These patients can benefit from myocardial revascularization using either off-pump or conventional CABG, but both are associated with a higher mortality and morbidity than those with normal ventricle. The use of off-pump CABG resulted in better clinical outcome and mortality, but less number of grafts performed than those with conventional CABG especially in patients with lowest EF.
    MeSH term(s) Coronary Artery Bypass/methods ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Morbidity/trends ; Myocardial Ischemia/epidemiology ; Myocardial Ischemia/physiopathology ; Myocardial Ischemia/surgery ; Retrospective Studies ; Risk Factors ; Stroke Volume/physiology ; Survival Rate/trends ; Time Factors ; Treatment Outcome ; Ventricular Dysfunction, Left/epidemiology ; Ventricular Dysfunction, Left/physiopathology ; Ventricular Dysfunction, Left/surgery
    Language English
    Publishing date 2006-01
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/j.1540-8191.2006.00163.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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