Direct anterior approach to the cervicothoracic spine (C7-T4) poses a technical challenge in neurosurgery, due to the presence of important neurovascular structures anterior to the cervicothoracic junction (CTJ). Median Sternotomy approach is a surgical option that allows for direct anterior exposure of the lower cervical and upper thoracic vertebrae. We report the first case from Ghana, West A...

BACKGROUND Endarterectomy of the pulmonary artery (PEA) is a potential curative treatment method for selected patients with chronic thromboembolic pulmonary hypertension (CTEPH). The postoperative course after PEA is associated with high rate of early postoperative mortality, which ranges from 5 to 23%. The aim of this prospective clinical study was to assess the time course of procalcitonin (P...

BACKGROUND Secondary refractory hyperparathyroidism (SHPT) is usually resolved with total parathyroidectomy. On the other hand, SHPT associated persistent as a result of inadequate resection parathyroid tissue or by fifth gland not previously detected. The objective this work to present case patient and surgical strategy used for hyperfunctional ectopic in thorax. CLINICAL CASE 48-year-old fema...

Background: The prognosis is not good for those who have severe aortic stenosis with symptoms. In adults significant symptoms caused by stenosis, surgical replacement of the valve has been treatment choice up until quite recently. Objective: to accurately compare process and initial results more invasive standard sternotomy less TAVI approach in elderly patients isolated disease needed surgery ...