Abstract book 6th RMS 16.indd

in 148 patients, double outlet of the
right ventricle with small left ventricle
in 23 patients, unbalanced complete
atrioventricular septal defect in 18 patients
and pulmonary atresia with intact septum
in 16 patients. . Their mean right atrial
pressure 9± 4 mmHg, PAP was 14± 3
mmHg, PVR 1.8 ± 3mmHg , VEDP 13± 3.1
mmHg, aortic saturation 85± 2 %, CPB
time 121± 9 minutes, ischemic time 47±
3 minutes. There were 25 (6.8%) early
deaths ( < 30 days postoperatively), and no
late deaths were occured after 10 years of
follow up.
Conclusion: Proper selection of patients
for the lateral tunnel Fontan procedure
results in excellent early , mid and late term
survival and functional outcome with low
incidence of arrhythmias, protein loosing
enteropathy , cerebral insults and mortality.
84
Management of Patent Ductus
Arteriosus at Queen Alia Heart institute:
3 Years Experience
Abdel-Fattah Abu-Haweleh MD, M Jaaefrea
MD, I Hijazi MD, R .Hadadin MD, M Obiedat
MD, R .Eamleh RN, A Madani MD
* Queen Alia Heart Institute, King Hussein
Medical Center, Royal Medical Services (Jordan)
amadani33@hotmail.com
Objectives: Patent ductus arteriosus
(PDA) is a common form of congenital
heart disease and forms about 5-10% of
congenital heart diseases. The aim of the
study was to analyze different modalities
of the management including surgical and
interventional closure.
Methods: All cases of PDA over 3 years from
2009 to 2011 were studied. Diagnosis was
made by 2D echocardiogram and cardiac
catheterization. 204 patients were studied
(128 female, 76 male), mean age 4.5 year
(range7 months to 37 years).The patients
were divided into two groups, surgical and
non surgical PDA.
Results: 74(36%) patients under
went surgical closure, 130(64%) were
nonsurgical including, 100(49%) under
went successful transcatheter closure
using Amplatzer duct occluder device in
90 patients (90%) and 10patints (10%
had coil closure). 30(15%) cases were left
without any intervention.
Conclusion: Although surgery is still
is safe and effective; however, certain
patients may experience some morbidity
with patent ductus arteriosus (PDA),
transcatheter techniques have largely
supplanted surgery for closure of PDA in
children and adults.
85
Flexible Bronchoscopy Experience
in Children with Upper Airway
Obstruction
Muna Mokbel Dahabreh MD, MRCPCH*, Fadi
A Mahadeen, Nisreen Huimdeen, Abdelhamid
Najada FRCPH
* Pediatric Pulmonology Fellow, Pediatric
Department, Queen Rania Al-Abdullah
Hospital for Children, king Hussein Medical
Center, Royal Medical Services (Jordan)
munamd@gmail.com
Objectives: to describe the bronchoscopic
findings and treatment decision in children
with chronic or recurrent stridor.
Methods: a retrospective study was
conducted on all children who underwent
flexible bronchoscopy for chronic stridor
from January 2009 to January 2010.
Stridor was divided in three group;
inspiratory, expiratory or Biphasic. Patients
were between day 1 till 14 years of age.
Specially formulated data sheet was used.
Radiological investigation results were
included also. Procedure was done under
conscious sedation and topical anesthesia
Results: A total of 128 children with stridor
(70 (55%) males and 58(45%) females)
were included. 48 children had inspiratory
stridor (40 had laryngomalacia and 4 had
laryngeal papillomas ,2 with laryngeal
cysts and 2 with mucocele at the base of
the tongue). There were 66 patients with
biphasic stridor (subglottic stenosis in18, 12
paradoxical vocal cord movement(PVM), 10
vascular ring in, 6 subglottic hemangioma,
8 vocal cord paralyses, foreign body in 4,
laryngeal web in 4, absent vocal cord and
tracheal bronchus, 2 in each). 14 children
had expiratory stridor (pulmonary sling
in 4 and tracheomalacia in 10). 50% of
laryngomalacia patients had associated
tracheomalacia. 70% of those with
laryngomalacia and all with tracheomalacia
had associated gastroeosogeal reflux. Two
with PVM found to have Arnold-Chiari
malformation that required shunting.
All those with vascular ring underwent
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