Biomedical subjects
B Idbeis
Publications and source records attributed to B Idbeis.
Vascular rings: management and a proposed nomenclature.
Over 18 years, 33 patients with congenital vascular rings underwent surgical treatment. All patients had full recovery except 1 who died late. At the one-month follow-up, 66.7% had complete relief of the presenting symptoms. Important aspects of the clinical picture, diagnostic methods, and treatment are presented. A coded nomenclature is proposed; we believe it to be accurate, inclusive, easy to remember, and readily referable to the embryological origin.
Intracardiac surgery in children of Jehovah's Witnesses.
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Tubular hypoplasia of the descending thoracic aorta. Surgical treatment with a PTFE bypass graft under moderate total body hypothermia.
An 8 1/2-year-old child presenting with hypertension was noted to have tubular hypoplasia of the descending thoracic aorta without collateral circulation on angiography. Surgical management consisted of bypassing the hypoplastic segment (10 cm) using a 10 mm PTFE graft under total body hypothermia to minimize spinal complications. The patient had an uneventful recovery with normalization of blood pressures postoperatively.
A special probe for the coronary anastomosis.
The author has designed a probe which facilitates coronary artery anastomosis, especially at the heel and toe, by fulfilling all 3 criteria necessary for an optimal execution of the small vessel anastomosis.
Anomalous origin of the left coronary artery from the pulmonary trunk: its clinical spectrum and current surgical management.
An anomalous left coronary artery arising from the pulmonary artery is a rare congenital anomaly which carries a serious prognosis with a high mortality in infants. Our experience in the surgical treatment of 9 patients with this condition during the last 5 years is discussed. The majority of patients were under the age of 2 years and presented with left ventricular failure. Surgical procedures included simple ligation of the left coronary artery, left subclavian to left coronary artery anastomosis, interposition vein graft, and direct reimplantation of the left coronary artery into the aorta. Patients treated by simple ligation survived the procedure but did not show improvement. Results with the subclavian artery to left coronary artery anastomosis were disappointing. Direct reimplantation or interposition of a saphenous vein graft appears to be the method of choice.