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132 results on '"Shaikhrezai, Kasra"'

3. Coarctation of aorta : a surgical journey

Author

Shaikhrezai, Kasra

Subjects
617.4, RD Surgery
Abstract

Since my placement as a trainee at Royal Hospital for Children, I became interested in pathophysiology of coarctation of aorta. It may seem a simple pathology which narrow the aortic lumen in distal arch but the story behind this simple pathology is more complex. In fact I was fascinated by the surgical repair techniques and it did not take long after expressing interest to find out “which technique is the best?”, I realised that this has been a historical question at least for the past 50 years. The review of coarctation repair in Scotland and evaluation of outcomes soon became operational while there was no previous such a regional study. Retrieving and reviewing of echocardiography images followed by measuring aortic parameters despite challenges soon became an exciting investigation. The systematic review of the literature was also a fascinating journey through the history where finding an answer for many questions on coarctation of aorta was challenged by a high degree of heterogeneity not only in the study design itself but also in the practice of the individual reporting institution. Apprising historical papers and studies from different part of the world was a rewarding experience; although the result of the search for the best technique was inconclusive. The “Future” Chapter is basically the conclusion of my journey with coarctation of aorta in this thesis. By observing current breakthroughs in technology and evolving computational modelling, the future of coarctation surgery has already been shaped. Maybe we have been looking for an answer for a historical question which probably should been made differently: “which technique is the best for which patient?”

Published
2020
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15. Hazards of tube thoracostomy in patients on a ventilator

Author

Zamvar Vipin and Shaikhrezai Kasra

Subjects
Surgery, RD1-811, Anesthesiology, RD78.3-87.3
Abstract

Abstract A patient with post-pneumonia empyema complicated by type-2 respiratory failure required mechanical ventilation as part of his therapy. A pneumothorax was noted on his chest radiograph. This was treated with an intercostal chest drain (ICD). Unfortunately, he was still hypoxic, his subcutaneous emphysema was worsening and the ICD was bubbling. A computed tomography (CT) scan of chest demonstrated that the ICD has penetrated the right upper lobe parenchyma. A new ICD was inserted and the previous one was removed. Although both hypoxia and subcutaneous emphysema improved, the patient chronically remained on mechanical ventilation.

Published
2011
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16. Redo-redo aortic root replacement with a mechanical valved conduit in a patient with von Willebrand's disease: Case report

Author

Shaikhrezai Kasra, Bashir Usman, Millar Sheena, Anderson Julia, and Brackenbury Edward T

Subjects
Surgery, RD1-811, Anesthesiology, RD78.3-87.3
Abstract

Abstract A 40 year-old female, with a history of cardiac surgery for congenital aortic valve stenosis and von Willebrand's disease (VWD) presented with increasing shortness of breath due to mixed aortic valve dysfunction. With a paucity of such cases in the literature, we describe the successful outcome of a patient with VWD who underwent elective redo-redo aortic root replacement with a mechanical valved conduit. She was given a three-month trial of warfarin pre-operatively to evaluate the extent of bleeding risk. Her post-operative course was uneventful and she was discharged home after six days.

Published
2010
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41. Box Lesion with Single Radiofrequency Clamp.

Author

Shaikhrezai, Kasra, Spadaccio, Cristiano, and Hunter, Steven

Subjects
*RADIO frequency
Abstract

We introduce a maneuver to perform the box lesion as a part of Cox maze IV procedure with single radiofrequency clamp. The maneuver entails engaging the right pulmonary veins with the clamp, then advancing the clamp jaws underneath the superior vena cava through the transverse sinus to include the roof and the left pulmonary veins in the clamp. We regularly use this technique for box lesion with desirable transmurality. [ABSTRACT FROM AUTHOR]

Published
2019
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50. Coarctation of aorta : A surgical journey

Author

Shaikhrezai, Kasra and Shaikhrezai, Kasra

Abstract

Since my placement as a trainee at Royal Hospital for Children, I became interested in pathophysiology of coarctation of aorta. It may seem a simple pathology which narrow the aortic lumen in distal arch but the story behind this simple pathology is more complex. In fact I was fascinated by the surgical repair techniques and it did not take long after expressing interest to find out “which technique is the best?”, I realised that this has been a historical question at least for the past 50 years. The review of coarctation repair in Scotland and evaluation of outcomes soon became operational while there was no previous such a regional study. Retrieving and reviewing of echocardiography images followed by measuring aortic parameters despite challenges soon became an exciting investigation. The systematic review of the literature was also a fascinating journey through the history where finding an answer for many questions on coarctation of aorta was challenged by a high degree of heterogeneity not only in the study design itself but also in the practice of the individual reporting institution. Apprising historical papers and studies from different part of the world was a rewarding experience; although the result of the search for the best technique was inconclusive. The “Future” Chapter is basically the conclusion of my journey with coarctation of aorta in this thesis. By observing current breakthroughs in technology and evolving computational modelling, the future of coarctation surgery has already been shaped. Maybe we have been looking for an answer for a historical question which probably should been made differently: “which technique is the best for which patient?”

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