Fahmi H. Kakamad, Rezheen J. Rashid, Shvan H. Mohammed, Nasren Sharef Sabr, Ali H. Hasan, Ayoob A. Mohammed, Farman J. Ahmed, Dana H. Mohammed-Saeed and 2 more
Introduction The saphenofemoral junction (SFJ) serves as a proximal link joining the superficial and deep veins in the lower limbs. Its anatomical position is typically 2.5 cm inferior and 4 cm lateral to the pubic tubercle. This study reports an exceptional case wherein the SFJ was found in the lower thigh. Case…
A Unique Positioning of Saphenofemoral Junction: A Case Report and Literature Review
Fahmi H. Kakamad, Rezheen J. Rashid, Shvan H. Mohammed, Nasren Sharef Sabr, Ali H. Hasan, Ayoob A. Mohammed, Farman J. Ahmed, Dana H. Mohammed-Saeed and 2 more
IntroductionThe saphenofemoral junction (SFJ) serves as a proximal link joining the superficial and deep veins in the lower limbs. Its anatomical position is typically 2.5 cm inferior and 4 cm lateral to the pubic tubercle. This study reports an exceptional case wherein the SFJ was found in the lower thigh.
Case presentationA 24-year-old male presented with left leg pain and swelling for five years duration. Clinically, the left lower limb showed noticeable varicose veins. The duplex ultrasound showed several enlarged varicose veins, primarily around the knee. However, the SFJ was observed roughly 15 cm below the pubic tubercle, with a reflux lasting more than four seconds. The patient declined all therapy modalities, and regrettably, he was lost to further follow-up.
Literature reviewNo prior reports were found in the literature describing such an abnormal positioning of the SFJ approximately 15 cm below the pubic tubercle.
ConclusionIn conclusion, while the lower limb veins have various anatomical variations, locating the SFJ in the mid-third of the thigh is rare and has not been documented in the literature.
Saif S. Almodhaffer, Okba F. Ahmed, Zaid A. Zaid, Fahmi H. Kakamad, Dana H. Mohammed-Saeed, Berun A. Abdalla, Marwan N. Hassan, Shvan H. Mohammed
Introduction A variety of procedures for enlarging the aortic root have been described. The aim of the current study is to report a case of Redo aortic valve replacement that underwent Aortic root enlargement using a novel method. Case presentation A 32-year-old female with a history of severely stenotic aortic valve…
Aortic Root Enlargement During Redo Aortic Valve Replacement for Prosthetic Aortic Valve Dysfunction: A Case Report
Saif S. Almodhaffer, Okba F. Ahmed, Zaid A. Zaid, Fahmi H. Kakamad, Dana H. Mohammed-Saeed, Berun A. Abdalla, Marwan N. Hassan, Shvan H. Mohammed
IntroductionA variety of procedures for enlarging the aortic root have been described. The aim of the current study is to report a case of Redo aortic valve replacement that underwent Aortic root enlargement using a novel method.
Case presentationA 32-year-old female with a history of severely stenotic aortic valve prothesis developed recurrent attacks of syncope and dyspnea on minimal effort. She had a past surgical history of AVR. Under general anesthesia in supine position re-sternotomy was done. The newly developed technique was done for the aortic root enlargement. There were no significant intra-operative complications. The patient remained two days in the Cardiac intensive care unit (ICU) and 15 days in the ward.
ConclusionThe technique previously described by Yang et al. can be used safely and efficiently to enlarge the aortic root in patients who have had redo aortic valve replacement.
Hiwa O. Abdullah, Berun A. Abdalla, Dana H. Mohammed-Saeed, Soran H. Tahir, Fattah H. Fattah, Sabah J. Hassan, Hussein M. Hamasalih, Bnar J. Hama Amin and 4 more
Introduction Pericardial hydatid cysts constitute 7% of all cases of cardiac hydatidosis, yet their occurrence is often associated with several life-threatening complications. This study presents a systematic review of reported cases of pericardial hydatid cysts. Methods A systematic review of published studies on…
A Comprehensive Study of Pericardial Hydatid Cyst: Systematic Review and Meta-Data Presentation
Hiwa O. Abdullah, Berun A. Abdalla, Dana H. Mohammed-Saeed, Soran H. Tahir, Fattah H. Fattah, Sabah J. Hassan, Hussein M. Hamasalih, Bnar J. Hama Amin and 4 more
IntroductionPericardial hydatid cysts constitute 7% of all cases of cardiac hydatidosis, yet their occurrence is often associated with several life-threatening complications. This study presents a systematic review of reported cases of pericardial hydatid cysts.
MethodsA systematic review of published studies on pericardial hydatid cysts was conducted. The included studies meeting the following criteria: (1) Confirmation of pericardium infection through diagnostic modalities, surgical findings, or histopathology; (2) Presentation of case details within the study; (3) Presence of cyst(s) originally located or adhered to the pericardium without rupture from adjacent cardiac structures or organs.
ResultsIn total, 106 studies met the inclusion criteria. The majority of cases (29.72%) were reported in Turkey, followed by India (18.24%). No gender predilection was observed, and patients' ages ranged from 5 to 80 years. The most common symptoms reported were chest pain (43%) and dyspnea (36%). Hydatid cysts were exclusively located in the pericardium in 56% of cases, while 44% involved multiple locations. Surgery was the preferred treatment choice (87.8%), with cystectomy (72.3%) being the primary technique for cyst removal. Only three cases (2%) experienced recurrences, with a significant correlation between recurrence and a history of hydatidosis. The mortality rate was 2.7%.
ConclusionPericardial hydatid disease is more prevalent in subtropical regions. The definitive treatment for pericardial hydatid cysts is primarily surgical, typically performed through a median sternotomy. A history of hydatidosis increases the likelihood of recurrence.
