PURPOSE To report the outcomes of acquired lower eyelid epiblepharon after various surgeries in thyroid associated ophthalmopathy (TAO) patients. METHODS A retrospective review of the medical records of 53 TAO patients with acquired lower eyelid epiblepharon between October 1999 and June 2011 was performed. Data were collected on demographics, type of lower eyelid epiblepharon, the detailed s...

atrial septal defect (asd) is a common congenital anomaly that has low surgical mortality and morbidity. we report a very rare case of a low-lying asd, combined with the drainage of the inferior vena cava and the left superior vena cava into the left atrium. this combination was associated with an unroofed coronary sinus. we also describe an iatrogenic surgical diversion of the inferior vena ca...

Acute type A aortic dissection is a potentially lethal condition which requires immediate diagnostic and therapeutic intervention. Open surgical repair remains the standard of care as survival rates continue to improve in the modern surgical era. Unfortunately, up to twenty percent of patients are denied surgical therapy because they are deemed medically unfit to undergo open repair. The applic...

Hepatic artery aneurysms are a rare cause of upper gastrointestinal hemorrhage and may represent significant problems in both diagnosis and management. We report a 70 year old patient with gastrointestinal bleeding from a fistula between a 7 cm hepatic artery aneurysm and the duodenum. He underwent successful surgical management with endoaneurysmorrhaphy and duodenal wall repair.

Patients with congenitally corrected transposition of the greater arteries (cc-TGA) are at risk for developing both atrial and ventricular tachyarrhythmia. However, data on impact treatment pathway (non-surgical management, anatomic repair, or physiologic repair) is limited. To describe arrhythmia types freedom from early (≤30 days post-op) late (>30 sustained tachyarrhythmia requiring interven...

introduction: neonatal nasal airway obstruction induces various degrees of respiratory distress. the management of this disease, including surgical repair, will depend on the severity and location of the obstruction. we describe here a case of congenital nasal nostril stenosis that required surgical repair for stenting of both nares after coanal atresia repair.   case report: a 2 days old femal...

IMPORTANCE This study provides clinicians with relevant information regarding the surgical outcomes of patients with laryngotracheal cleft in the context of additional airway anomalies. OBJECTIVES To determine the rates of surgical success in patients who underwent laryngotracheal cleft repair in the context of additional airway anomalies, determine the revision rate for cleft repair, charact...

Objective: To compare Sublay and Onlay mesh repair in terms of post-operative complications among patients undergoing hernioplasty.
 Study Design: Prospective comparative study.
 Place Duration Study: Surgical Department, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2020 to Jun 2021.
 Methodology: This study was conducted on 300 who underwent hernioplasty for anterio...

repair of the mitral valve is the treatment of choice for mitral valve regurgitation when the anatomy is favorable. it is well known that mitral valve repair enjoys better clinical and functional results than any other type of valve substitute. this fact is beyond doubt regardless of the etiology of the valve lesion and is of particular importance in degenerative diseases. this review analyzes ...