We describe a 13-month-old patient with tetralogy of Fallot, left pulmonary artery discontinuity, and supracardiac totally anomalous pulmonary venous drainage to the azygos vein. The diagnosis and the management of this rare association are briefly discussed.
Objective: Statistical assessment of the interdependence of CVD indicators on macroeconomic indicators on the example of Azerbaijan. Design: Research design is to test statistical hypotheses about the presence of direct and inverse causal relationships between CDV-indicators and macroeconomic indicators. Baseline and estimated data cover the period from 1991 to 2018 and are based on data from the SSCRA (2019) report. We use paired linear regression in which macroeconomic indicators are independent and CDV indicators are dependent variables. The stationarity of the time series was checked using the ADF test. To investigate the causal relationship between time series, the Granger test was used. Main Outcome Measures: p-level < 0.05; time lags are 1, 2 and 3 years. Results: Absence of direct and inverse causal relationship between CVD indicators and macroeconomic indicators GDP per capita, average annual income households per capita and average annual income households per capita. Conclusions: In the period from 1991 to 2018, the number of CDV deaths in Azerbaijan increased by 1.54. There is a steady increase in CDV diseases by 2.23 times. Despite GDP growth, there is no direct and inverse causal relationship between CVD indicators and macroeconomic indicators in the sense of the Granger test.
As there is paucity of data about thrombosis of inferior vena cava (IVC) in adult patients with uncorrected cyanotic heart defects, including those with tetralogy of Fallot, revealing and reporting of such cases is necessary for development of their proper clinical management. Because cardiac surgery is relatively new in Azerbaijan late uncorrected cyanotic cases with subsequent complications are still an issue in our country. Here we describe a case of IVC thrombosis after placement of systemic-pulmonary bypass (Davidson's shunt) in a 26-year-old patient diagnosed with Fallot's tetralogy. As there were signs of pulmonary embolism in early postoperative period, the patient has undergone vena cava filter placement.
Aim: To compare the rate of neurologic complications in infants with aortic coarctation and aortic arch hypoplasia undergoing aortic arch repair under deep hypothermic circulatory arrest or full-flow perfusion with double arterial cannulation.
Material and Methods: This pilot single-center simple blinded prospective study assessed the early postoperative outcomes in infants with aortic arch obstruction. Patients underwent on-pump repair under deep hypothermic circulatory arrest (I group, 20 patients) or full-flow perfusion with double arterial cannulation (II group, 20 patients).
Results: In-hospital mortality was 5% (1 patient) in each group (p>0.05). Neurologic complications occurred in 14 (70%) patients of the 1st group and 6 patients (30%) of the 2nd group (p=0.025). The only significant risk factor was head tissue saturation according to near-infrared spectroscopy. Each percent decreased the risk of neurologic event by 6%.
Conclusion: Aortic arch repair under full-flow perfusion reduces the rate of neurologic events in infants compared to deep hypo- thermic circulatory arrest. Head tissue saturation was the risk factor of neurologic complications. Each percent decreased the risk of neurologic event by 6%.
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