Introduction: The iron deficiency anemia (IDA) is the most common micronutrient malnutrition in the world. This condition has been shown to increase morbidity in adults and to exert negative impact on the psycho-motor development in children. The IDA in children with congenital heart disease (CHD) with its negative consequence has been recognized for a long time but in clinical practice the issue does not gain sufficient attention in developing countries.Objectives: We conducted this study to investigate the prevalence of IDA in children with CHD and to assess the diagnostic values of hemogram, especially the erythrocyte indexes as a simple tool for early recognition of IDA. Materials and methods: Children under 15 years old with confirmed CHD admitted to were recr uited. The total blood cell count, serum iron, ferritin and transferrin were measured preoperatively.Results: There were 69 pediatric patients were recruited in which 36 children with cyanotic CHD and 33 children with acyanotic CHD. There were 11.1% of children with cyanotic CHD and 3% of children with acyanotic CHD who showed true IDA. The prevalence of depletion or reduction of body iron store was very high. Up to 77.8% of children with cyanotic CHD and 87.2% children with acyanotic CHD were at risk of iron deficiency. The erythrocyte indexes proved to be useful as simple tool for detecting IDA in children with cyanotic CHD.Conclusion: IN the present investigation, the prevalence of IDA was found high in the children with CHD. The total blood cell count and erythrocyte indexes were of suggestive value for diagnosis of IDA. Iron supplement treatment should be recommended in this group of patients. AbstractIron deficiency anemia in children with congenital heart disease and the usefulness of erythrocyte indexes as a screening tool.
Introduction: Thoracic and abdominal aortic disease is a rare, serious disease and one of the major challenges for the surgeon with a high prognosis of complications and mortality. Surgery combined with endovascular intervention is a new, minimally invasive method with good early results and good mid-term results. Methods: We report a case diagnosed with thoracoabdominal aortic aneurysm underwent hybrid intervention at Dong Nai General Hospital Results: A 68-year-old female patient was diagnosed with Crawford Type V thoracoabdominal aortic aneurysm, underwent debranching surgery of the superior mesenteric artery and celiac trunk followed by stent graft deployment of the diseased aorta, the postoperative course was uneventful. Conclusions: Hybrid surgery to treat thoracoabdominal aortic aneurysms can initially be performed at Dong Nai General Hospital. The implementation of this technique at provincial hospitals helps to improve prognosis, reduce mortality and complications, and contribute to improving the professional quality of the hospital.
Introduction: Implementation of open-heart surgery in local hospitals might be necessary to help economize the treatment, improve the quality of the local medical staff and unload central hospitals. Since 2018, Dong Nai General Hospital, such a program with the assistance from Cho Ray Hospital. After 4 years, a research was conducted to assess the efficacy of this program Methods: We retrospectively evaluated the efficacy of the cardiac surgery program in Dong Nai general hospital. Demographic characteristics, the preoperative cardiac lesions, comorbidities, early postoperative results, mid-term outcome were collected and analyzed. Results: From May 2018 to May 2022, a total of 62 patients underwent cardiac surgery at Dong Nai General Hospital. 33.9% were male, mean age was 45.6 ± 15.5. 47 cases were operated in the first phase and 15 underwent surgery in the second phase. The overall short-term mortality was 1.6% (1 patient), early complications rate was 9.7%. These complications did not lead to prolonged sequelae. Conclusion: Implementing cardiac surgery program in Dong Nai General Hospital under the assistance of Cho Ray hospital was proved safe and efficient in terms of short-term result. The success of this program should encourage other regional hospitals to start a new field and ameliorate the capacity of local healthcare system.
Hồi cứu mô tả loạt ca các bệnh nhân được phẫu thuật van hai lá ít xâm lấn qua đường mở ngực phải nhỏ có nội soi lồng ngực hỗ trợ tại bệnh viện Đại học Y Dược Thành phố Hồ Chí Minh từ tháng 8/2014 đến tháng 8/2018. Có 183 trường hợp phẫu thuật van hai lá, trong đó có 86trường hợp sửa van, tuổi trung bình 50.1 ±12.6 tuổi. Tỷ lệ nam/nữ là 1.2:1. Trong đó có 76 trường hợp van thoái hóa, 1 trường hợp van hậu thấp, 2 trường hợp viêm nội tâm mạc nhiễm trùng, 3 trường hợp tổn thương mép van và 4 trường hợp tim bẩm sinh. Cơ chế tổn thương chính là sa lá sau (59 trường hợp), đứng thứ hai là sa lá trước với 17 trường hợp, sa cả lá trước và lá sau có 5 trường hợp và chẻ lá van chiếm 4 trường hợp phẫu thuật, 1 trường hợp có giới hạn lá van. 15 trường hợp có biến chứngtrong đó, tràn máu màng ngoài phổi cần dẫn lưu có 4 trường hợp, 1 trường hợp vỡ vòng van, 1 trường hợp mổ lại do hở tồn lưu và 9 trường hợp mổ lại do chảy máu, 1 trường hợp hẹp động mạch đùi phải cần mổ lại. Không có tử vong. Tỉ lệ sửa van hai lá thành công (không hở hoặc hở độ 1 trên siêu âm sau mổ) cao (93%).
Introduction: Aortic disease is a serious disease with sudden onset and high mortality. Endovascular intervention is a novel, minimally invasive method with good early and mid-term results. Subjects: We report 03 patients diagnosed with aortic disease undergoing endovascular intervention at Dong Nai general hospital. Results: 1 case of high-risk type B aortic dissection, 1 case of descending thoracic aortic aneurysm ruptured into the left lung causing hemoptysis and 1 case of symptomatic aortic arch aneurysm. 2 partial debranching of the aortic arch were performed. The recovery time of all 3 cases was 1 day. In the postoperative period, the patients quickly recovered and received physical therapy very soon. After the surgery, all patients recovered well and were able to integrate into daily life. Conclusion: Aortic endovascular intervention was successfully implemented at Dong Nai General Hospital in the initial phase. The availability of this technique at provincial hospitals improves prognosis, reduces mortality and complications, and contributes to the improvement of the hospital's professional quality.
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