Title Primary PCI for ST Elevation Myocardial Infarction with Heavy Thrombus Burden
1. Case Study demonstrating the successful utilization of Mechanical thrombectomy device as a bailout in a case of Primary Percutaneous Coronary Intervention (PPCI) for ST Elevation Myocardial Infarction (STEMI) with Heavy Thrombus Burden
2. Review of the Evidence for the role of Manual Aspiration in PPCI for STEMI
3. Review of the Evidence for the role of mechanical thrombectomy in PPCI for STEMI
Title Childhood obesity and Overweight in Sudan: Time to act.
Abstract Obesity and overweight are established risk factors for adult cardiovascular disease (1). Worldwide the snowballing epidemic of childhood and adolescent obesity is being reported and is expected to have an adverse future effect on adult morbidity and mortality not to mention the negative impact on adult cardiology services (2,3). Even in underdeveloped countries obesity is currently the most common nutritional problem among children (4). Sudan is not an exception and many reports confirm increasing obesity in Sudanese children and adolescents (5). In the face of an approaching epidemic of childhood obesity, the medical and health professionals, and indeed the whole community, face the grave challenge of how to prevent today's normal weight children becoming tomorrow's obese adults. The purpose of this review is to discuss childhood and adolescent obesity, its complex relation to adult obesity and the broad lines of obesity prevention in the young. The review is also meant to serve as a wakeup call for all to give the problem of pre-adulthood obesity its due importance.
Author/s Niema Mohamed Hamid Aalim, Abdelmoneim Adam Abbaker Abdellah, Sulafa KM Ali
Title Echocardiographic Anatomy of Ventricular Septal Defects in Sudanese Patients
Abstract Ventricular septal defect (VSD) is one of the most frequently encountered congenital heart defects (CHD). Anatomical locations of VSD have important implications on management. A retrospective descriptive echocardiographic study for the anatomical patterns of VSD and associated defects and anatomical complications in Sudanese patients was conducted in two pediatric cardiology centres in Khartoum during the period from January 2008 to January 2013. All patients with VSD as the primary diagnosis (including minor associated defects) were included. In the 543 cases studied, the most common type of VSD was the perimembranous (PM) type in (68%) followed by muscular (13%), malaligned (8%), subarterial infundibular (7%) and multiple VSD (5%). The most common associations were patent ductus arteriosus (PDA) in 9.6% and mitral valve cleft (MVC) in 4% of the PM type and right ventricle outflow tract muscle bundles (RVOTMB) seen in 2.5%. The most common anatomical complication was aortic valve prolapse in 6.2%.The anatomical patterns in Sudanese patients are generally comparable to the literature but the frequencies of MVC is higher than reported.
Title Transformation of Portal vein associated with Left Atrial Myxoma
Abstract Primary cardiac tumors are rare and they are mostly benign . Myxoma is the commonest and mainly seen at left atrium. When symptoms develop; they are mostly related to obstruction of mitral valve, followed by embolic and systemic manifestation . Surgical removal is the definitive treatment. Left atrial myxoma, have been rarely reported in association with venous thrombosis, or it is complications [8,10]. Cavernous Transformation of Portal vein (CTPV) is the end result of acute portal vein thrombosis evolution. In adult mainly it is due to hepatocellular carcinoma, cirrhosis, pancreatitis and liver transplant . CTPV lead to portal vein hypertension and port-systemic shunt mainly through left gastric vein leading to gastric varices, But may be asymptomatic.In this case report, we describe a patient with large Left atrial Myxoma who developed portal vein thrombosis.
Author/s Ali Raza Rajani, Anas Mahmoud Abbas,.Akram Jehad Al Rishani
Title A big blob in the right atrium representing a tumour thrombus extending from uterine fibroids
Abstract A 33-year-old woman presented with a history of lower abdominal pain, poly-menorrhagia, nausea and some weight loss in the last 2 months. Her blood investigations were unremarkable. However, the computed tomography of abdomen and pelvis showed a large mass arising from uterus highly suggestive of a large uterine fibroid. The tumor has invaded the iliac veins and the tumor thrombus has propagated all along inferior vena cava and extended to right atrium. The echocardiography showed a large multilobulated free floating mass in right atrium and prolapsing into right ventricle. The stalk of the mass was attached with tumor thrombus in inferior vena cava. The patient was started on anticoagulation and advised to do tissue biopsy and surgical resection of the tumor.
Title Images of right atrial mass with Inferior vena cava extension
Abstract A 65 year old male with biopsy proven renal cell carcinoma (RCC) of the right kidney was referred for echocardiogram for pre-operative assessment. An incidental right atrial mass was found on echocardiogram. The mass appears rounded with smooth surface and homogenous echogenicity with no attachment to the interatrial septum. The mass (M) measured 4.7 cm x 3.5 cm and clearly extended into the inferior vena cava (IVC) distal to the hepatic veins (Images 1-4)