Myocardial revascularisation in patients with carotid artery disease.

Annals of the Academy of Medicine Singapore202228-23

Ectopic thymoma: a case for median sternotomy for complete thymectomy.

Singapore Medical Journal334407-40

Age-related changes in normal Chinese hearts.

Chinese Medical Journal107288-9

Combined resection of hepatoblastoma and intracaval right atrial extension with profound hypothermia and circulatory arrest

European Journal of Cardio-Thoracic Surgery512657-659EJCS

Early experiences of intra-operative trans-oesophageal echocardiography (TEE) in mitral valve repair.

Medical Journal of Malaysia47177-8

PRESENTATION OF PRIMARY MEDIASTINAL MASSES IN IBADAN

ABSTRACTObjective: To determine clinical features, anatomic location and histological types of primarymediastinal masses diagnosed and treated in a black African population.Design: A retrospective study of clinical data collected from patients case notes, thecardiothoracic unit’s and pathology records between June 1975 and May 1999.Setting: University College Hospital, Ibadan, Nigeria which hosts a major cancer center inthe West African sub-region, and serves community clinics.Patients: All patients with primary mediastinal masses referred for evaluation and treatment.Main outcome measures: Excluded metastatic, oesophageal and vascular- lesions. All patientshad radiological evalulation and tissue biopsies. The anatomic subdivision of the mediastinuminto anterosuperior, middle and posterior section was used.Results: One hundred and five consecutive patients were evaluated and treated. The meanage was 34.0 ± 20.4 years. There were 75 males and 30 females. Eighty one (77.1%) weresymptomatic, 24 (22.9%) were asymptomatic. Thirty seven (45.7%) of the symptomaticpatients had malignant disease while 44 (54.3%) had benign disease. Forty five patients(43%) and 60 patients (57%) had malignant and benign diseases respectively. Incidence ofsymptoms, was 82.2% for malignant and 73.3% for benign diseases. This difference inincidences is statistically insignificant (p=0.283). Majority of asymptomatic patients (70.8%)had benign disease while 29.2% of patients with malignancy were asymptomatic. Thisdifference in incidence was statistically significant (p=0.0039). The frequency of mediastinalmasses were anterosuperior, in 67 patients (63.8%), posterior mediastinal, 24 patients(22.9%) and middle mediastinal in 14 patients (13.3%). Lymphoma 23 (21.9%), thymusglands tumours 19 (18.1%) and endocrine tumours (goiters) 18 (17.1%) were the commonesttypes of primary mediastinal masses treated.Conclusion: Majority of our patients with mediastinal masses (whether benign or malignant)are symptomatic and the absence of symptoms is more associated with benign disease.Majority of lesions are situated in the anterosuperior mediastinum. Lymphoma is the mostfrequent primary mediastinal mass

Intravascular hemolysis after mitral valve repair: a word of caution

European Journal of Cardio-Thoracic Surgery62103-104,105EJCS

Coronary artery bypass surgery in young patients

Australian and New Zealand Journal of Surgery628618-621ANZJ