Determination of The Relationship Between Severity of Obstructive Sleep Apnea And Chronic Obstructive Pulmonary Disease
Vahid
Dehestani
Fellow of Pulmonology, Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Fariba
Rezaeetalab
Pulmonologist, Lung Disease Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mahnaz
Amini
Pulmonologist, Lung Disease Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Davood
Attaran
Pulmonologist, Lung Disease Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Leila
Ghofraniha
Pulmonologist, Lung Disease Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mohammadreza
kasraei
Pulmonologist, Lung Disease Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2017
eng
Introduction: Chronic obstructive pulmonary disease (COPD) patients are at increased risk of sleep-disorders. The concomitant occurrence of COPD and obstructive sleep apnea hypopnea syndrome (OSAHS) is named overlap syndrome. This study aimed to evaluate the severity of OSAHS in overlap syndrome patients.Materials & Methods: This cross-sectional study was conducted on adult patients with forced expiratory volume in 1 second (FEV1%)/forced vital capacityResults: Forty patients (62.5% male) with mean age of 59.7±8.3 years participated in the study. Severity of obstructive sleep apnea was low, moderate, and severe in 23 (57.5%), 14 (35%), and 3 (7.5%) cases, respectively and there was no statistical relation between OSAHS and FEV1% (P=0.55).Conclusion: This study showed that there was no significant correlation between apnea–hypopnea index and FEV1% predicted in overlap syndrome patients.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
5
v.
1
no.
2017
530
532
https://jctm.mums.ac.ir/article_7416_2e9f94b3099f5d0f9d6e4e3e809ec152.pdf
dx.doi.org/10.22038/jctm.2016.7416
Frequency of Acute Kidney Injury in Patients Treated With Normal Saline after Off-Pump Coronary Artery Bypass Grafting
Shima
Sheybani
Anesthesiologist, Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Siamak
Boustan
General Practitioner, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Shahram
Amini
Anesthesiologist, Department of Anesthesiology, Cardiac Anesthesia Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mona
Najaf Najafi
Community Medicine, Imam Reza Clinical Research Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mohammad
Abbasi Tashnizi
Cardiac Surgeon, Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Nahid
Zirak
Anesthesiologist, Department of Anesthesiology, Cardiac Anesthesia Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2017
eng
Introduction: Acute kidney injury (AKI) is a common postoperative complication of cardiac surgery, which is associated with an increased risk of morbidity and mortality. This study investigated the frequency of postoperative AKI in low risk adult patients undergoing off-pump coronary artery bypass grafting (CABG).Materials & Methods: All consecutive adult patients of American Society of Anesthesiologists (ASA) class II and III, who were transferred to the post-operative cardiac surgery ICU after off-pump CABG and were low risk for AKI from October 2013 to September 2014 at Emam Reza Hospital, Mashhad, Iran were enrolled in this prospective cohort study at a teaching hospital. The patients were explored for AKI development, based on risk-injury-failure-loss- end stage kidney disease (RIFLE) and acute kidney injury network (AKIN) criteria, frequency of metabolic acidosis, hypernatremia, hyperchloremia, and length of stay in ICU.Results: According to the results of the present study, 479 patients with the mean age of 60.8±10.75 yrs were included. AKI occurred in 22 (4.4%) and23 (4.8%) patients, based on both the RIFLE and AKIN criteria, respectively with the highest rate of AKI, reported on the third and fourth post-operative days. Additionally, hyperchloremia and hypernatremia were observed in 71 (14.8%) and 76 (15.9%) patients, respectively. Only one case of mortality occurred during the study. Metabolic acidosis was reported in 112 (23.4%) patients with a high anion gap in 60 (12.5%) cases.Conclusion: The current study demonstrated that hypernatremia and metabolic acidosis but not AKI are frequently seen in patients receiving normal saline following off pump CABG with low risk for AKI.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
5
v.
1
no.
2017
533
537
https://jctm.mums.ac.ir/article_7976_b0837dd9aab6670a8d911bc7c4860a06.pdf
dx.doi.org/10.22038/jctm.2017.7976
Video-assisted Thoracoscopic Surgery Versus Axillary Thoracotomy in Primary Spontaneous Pneumothorax
Reza
Bagheri
Thoracic surgeon, Cardio-Thoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Seyed
Ziaollah Haghi
Thoracic surgeon, Cardio-Thoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Davood
Attaran
Pulmonologist, Lung Disease Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Fatemeh
Ebadi
General Practitioner, Cardio-Thoracic Surgery & Transplant Research Center, Emam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
author
Yaser
Rajabnejad
General Surgeon, Cardio-Thoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Ata'ollah
Rajabnejad
Student of Medical Science, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2017
eng
Introduction: Video-assisted thoracic surgery (VATS) is now commonly used for primary spontaneous pneumothorax. In the present study we compared the outcomes of this technique with those obtained by conventional thoracotomy.Material and Methods: In this cross-sectional stud, forty patients were enrolled into two groups: VATS (n=20) and thoracotomy (n=20). In both groups the blebs were resected and pleural abrasion was performed with putting a mesh on the apical surface of the parietal pleura, finalized by patchy pleurectomy and mechanical abrasion with gas. Two groups were appropriately matched for age, gender, side of bleb, indication for surgery, and the smoking habits. As outcome measures, the conversion from VATS to thoracotomy and the early complications including wound infection, air leakage and intraoperative bleeding were assessed. After discharge, follow up schedule included visits at one, three, six months and one year post-operation to evaluate the recurrence rate.Results: Mean age of these forty patients (34 males and 6 females) was 28.4±8.74 years. There was no conversion from VATS to thoracotomy group. The complications, including prolonged air leakage and wound infection, were seen in three patients of each group (totally 6 patients) (P=0.712). One patient in VATS group experienced the recurrence (P=0.235). Average admission time was 5±0.79 days in the VATS and 5.65±0.81 days in the thoracotomy group (P=0.043), duration of surgery in the open thoracotomy and VATS groups were 76±5.52 and 48.35±4.35 min, respectively (P<0.001) and intra-operative bleeding in the open thoracotomy and VATS groups were 127.5±10.69 and 112.5±8.5 mL, respectively (P<0.001) these three factors were significantly less in the VATS group.Conclusion: VATS seems to be superior to thoracotomy, when it is indicated due to the recurrence or other reasons, because in spite of the similar therapeutic efficacy and recurrence rate, VATS is associated with less tissue damage and shorter hospital stay.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
5
v.
1
no.
2017
538
542
https://jctm.mums.ac.ir/article_8325_18d04960d07ab17b354581bb7edee970.pdf
dx.doi.org/10.22038/jctm.2017.20823.1123
Avoidance of Dialysis in an End-Stage Renal Disease Patient Status-post Off-pump Coronary Artery Bypass Grafting
Juan
Siordia
Research Assistant, University of Arizona College of Medicine, Tucson, Arizona, United States
author
Sreekumar
Subramanian
General Surgeon, University of Arizona College of Medicine, Tucson, Arizona, United States
author
text
article
2017
eng
Certain benefits are clearly associated with the use of off-pump coronary artery bypass grafting (CABG) as compared with the on-pump CABG. The superiority is more evident in patients with multiple co morbidities including renal failure.We reviewed the medical records of a 67-year-old male with a past medical history that was significant for multiple cardiovascular diseases and new-onset end-stage renal disease. The case was suffering from dyspnea and work-up was suggestive of non-ST elevation myocardial infarction and congestive heart failure.During the hospital course, he developed end-stage renal disease requiring hemodialysis. Further cardiac evaluation presented three-vessel coronary artery disease. The patient underwent off-pump CABG. Post-operatively, the patient had minimal complications and did not receive hemodialysis for 53 days.Off-pump CABG has evident short-term benefits for patients with the end-stage renal disease requiring dialysis, including possible improvement in cardiac function and avoidance of hemodialysis
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
5
v.
1
no.
2017
543
546
https://jctm.mums.ac.ir/article_8327_e4c9f569a271e558813f012dd7812a3b.pdf
dx.doi.org/10.22038/jctm.2017.13000.1081
Intracardiac Infection at the Tip of Hemodialysis Catheter: Life threatening Morbidity
Hamid
Hoseinikhah
Cardiac Surgeon,Mashhad University of Medical siences, Mashhad, Iran
author
Shima
Sheibani
Anaesthesiologist, Faculty of Medicine, Mashhad University of Medical Sciences,Mashhad,Iran
author
Narges
Imani
Nurse of Cardiac Surgery,Mashhad University of Medical siences, Mashhad, Iran
author
text
article
2017
eng
Endocarditis and intracardiac infection have been increased recently especially in dialysis dependent renal failure patients. This is usually intractable infection to broad spectrum Antibiotic therapy and in most cases surgical intervention was necessary. We have presented 45 years old man with intracardiac infection at the tip of dialysis catheter that after catheter removal intracardiac infection was removed.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
5
v.
1
no.
2017
547
549
https://jctm.mums.ac.ir/article_7955_b0f3def844e19c6a9af18e874e8a1f03.pdf
dx.doi.org/10.22038/jctm.2016.7955
Malignant Fibrous Histiocytoma of the Lung: A Case Report
Seyed Hossein
Fattahi Masoom
Thoacic Surgeon, Cardio‐Thoracic Surgery & Transplant Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University
of Medical Sciences, Mashhad, Iran
author
Marziyeh
Nouri Dalouee
Thoracic surgeon, Minimally Invasive Endoscopy Surgery Research Center, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Ali
Taherian
Resident of Pathology, Mashhad University of Medical Sciences,Mashhad,Iran
author
text
article
2017
eng
Malignant Fibrous Histiocytoma (MFH) is the most common soft-tissue sarcoma which predominantly surfaces in the retro-peritoneum and extremity. MFH of lung is a very rare condition. The diagnosis is essentially through histologic examination. However, the invasion of the chest wall or other organs might help establish the malignant nature.We report a case of a 77-year-old man who had been presented with a history of dyspnea and non-massive hemoptysis. Computed Tomography (CT) scan of the chest showed a lobulated mass which had developed into the hilum of the lung. Furthermore, the inferior pulmonary artery was invaded. Thus, the final histological diagnosis confirmed MFH. The patient underwent a left pneumonectomy along with the dissection of the regional lymph nodes. Although lung MFH is rather an uncommon condition, it must be taken into consideration in differentiating between the types of lung tumor. What can be concluded is that complete surgical resection is the essential approach.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
5
v.
1
no.
2017
550
552
https://jctm.mums.ac.ir/article_7951_73a86c5fb0c0352e1b596f24234e94bf.pdf
dx.doi.org/10.22038/jctm.2016.7951
Idiopathic Exudative Hydropneumothorax and Spontaneous Pneumomediastinum in a Young Iranian Man: A Case Report
Oldooz
Aloosh
Fellowship in pulmonology, Chronic Respiratory Diseases Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Haleh
Afshar
Anesthesiologist, Department of Anesthesiology, Lorestan University of Medical Sciences, Khoram abad, Iran
author
Niloufar
Dadashpour
Anesthesiologist, Department of Anesthesiology, Lorestan University of Medical Sciences, Khoram abad, Iran
author
Arda
Kiani
Pulmonologist, Chronic Respiratory Diseases Research Center, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Majid
Golestani Eraghi
Anesthesiologist, Fellowship in intensive Care, Lung Transplantation Research Center, National Research Institute of Tuberculose and Lung Disease, Masih Daneshvari Hospital, Shahid Beheshti of Medical Sciences, Tehran, Iran
author
text
article
2017
eng
Hydropneumothorax denotes concurrent presence of pneumothorax and hydrothorax in the pleural space, which can be a fatal situation. In this study, we presented the case of a 35-year-old male with history of progressive pleuritic chest pain 30 days before admission with idiopathic hydropneumothorax and spontaneous pneumomediastinum
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
5
v.
1
no.
2017
553
555
https://jctm.mums.ac.ir/article_8329_b459fedaed24d223ad4af76370f32cab.pdf
dx.doi.org/10.22038/jctm.2017.19308.1118
Three Different Imaging Modalities of a Patient with the Aortic Coarctation
Ramin
Khameneh Bagheri
Cardiologist, Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Leila
Bigdelu
Cardiologist, Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mostafa
Ahmadi
Cardiologist, Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2017
eng
The patient was a 19 year-old woman with the diagnosis of resistant hypertension, although she was under treatment of three classes of anti-hypertensive drugs (beta blocker, angiotensin receptor blocker, diuretic) for more than one year. In physical examination there was only a significant difference between the systolic blood pressure of upper and lower extremities (200 vs. 120 mmHg), without any other remarkable finding. Three different imaging modalities (echocardiography (Figure 1), CT angiography (Figure 2), conventional aortography (Figure 3) confirmed the aortic coarctation at 30 mm after left subclavian artery origin, with the 3.5-4 mm diameter of the narrowest segment. She underwent implantation of a self-expanding aortic stent and therefore the systolic pressure gradient decreased from 90 to 15 mmHg. After three months, her blood pressure was stable on 110/80 mmHg, while she received only metoprolol 25 mg twice daily and follow-up echocardiography showed 15-20 mmHg pressure gradient through the stent.
Journal of Cardio-Thoracic Medicine
Mashhad University of Medical Sciences
2345-2447
5
v.
1
no.
2017
556
557
https://jctm.mums.ac.ir/article_8328_5b0c2f30a50026aa3ca9b95f04e1e4b7.pdf
dx.doi.org/10.22038/jctm.2017.20002.1121