Background: Ventricular septal defect (VSD) is the most commonly recognized congenital heart defect. Isolated VSDs represent about 20-30% of all congenital cardiac malformations and have a prevalence of 1- 2 % per 1,000 live births.
Objective: This study is planned to review the outcome of surgical closure of VSD at Ibn Al-Nafees Teaching Hospital (Department Cardiac Surgery) Baghdad/Iraq.
Patients and methods: This study includes 50 cases of VSD both isolated and VSD associated with other congenital malformations admitted and underwent surgical repair of age range between 3 to 28 years and weight range between 9 to 80 kg. Different type of VSD, were found and repaired whether isolated or with other associated congenital anomalies which dealt with at the same time.
Results: The following VSD types were found: 40 peri- membranous 80%, 3 outlet 6%, 5 inlet 10% and 2 muscular 4%. Additional surgery were 3 pulmonary valvotomy 6%, 3 right ventricular outflow patch 6%, 7 closure of atrial septal defect 14%, 2 excision of subaortic ridge 4% and 2 aortic valve replacement 4%. One patient required reoperation for bleeding. Four patients had complete heart block that required temporary pacemaker. Over all operative mortality were two cases (4%), median postoperative hospital length stay was 7 days (range 5-18 days).
Conclusions: Surgical closure of VSD is a safe and effective therapy in isolated VSD or VSD with other malformations and reoperation is minimal. Other cardiac malformations can be repaired at the same time with the closure of VSD with good results and very minimal complications.
This study examines the remaining architectural features in Kirkuk Castle,which does not include the heritage buildings outside it. The castle's fortifications are limited about military samples of the city during the Ottoman era ,concentrating on the importance remains of the walls that held on the edge of the hill leads to the interior, As well as some religious buildings such as mosques, shrines and churches, and the service buildings with most important caesarean dating back to the Seljuk era and a range of housing The importance of the subject lies in the study of these buildings , documentation, and knowledge of the designs and models of building to make it a link in the series of the late Islamic architecture
نشط مسمىّ ( آية السيف ) مع الآية الخامسة من سورة براءة ( التوبة ) آخر السور نزولاً , وهو مسمّى شديد الصولة أفضى إلى إشكالية في فهم فلسفة الجهاد من منظور الشرع الإسلامي , إذ شكّلت الآية منطلقاً وركيزة لمقولات العنف التي تبنّتها الجماعات المتشدّدة بتوثيقات منبتها من التراث تلتقط صور الأحداث بإبتار وتقطيع , تقابلها توثيقات تربأ عمّا يقع في أوّل الخاطر، وتلك عرضتها في محورين , السياق المقامي الذي أظهر انضباط أحكام ال
... Show MoreFrom the above can be placed in a summary of the Iraqi personal to the subject in the context of urban family Integration: As personal so hard and durable organization to some extent on the nature of the individual temperament, his mind and his body structure Vhoalve determines the unique environment compatibility.
Valchksah not inherited However, the inherited components, building of the body of the individual and the way they complement each other and members of Trivhalta functions performed by temperament and preparations all in compliance with Vchksath become a product of the interaction between the possibility of nature and the environment.
From here we can say that the family a big role in the personal configuration,
المنظمات الدولية دراسة في منهجها وطبيعة فهمها
الفيدرالية : نظرة في منطلقاتها الفكرية وآفاقها المستقبلية
يتكون العالم ، أنذاك ، من دارين - دار الإسلام حيث الأقاليم الإسلامية ودار الحربوهي بلاد المشركين الذين لا صلح بينهم وبين المسلمين (1) ، أي ما خضع للعدو ضمن حدود سيادته ، ولكن عندما يحتفظ أهالي البلاد المفتوحة صلحاً بحقوق ملكية الأرض فأنه ،على رأي الماوردي ، يصبح خراجهم جزية ولا جزية على رؤوسهم(2) ولهم حرية تبايع أرضهم فيما بينهم أو بيعها للمسلمين أو لأهل الذمة (3) . ولا يمكن أن تعد أرضهم
... Show MoreThere is no doubt that this topic has received more study and research than other analytical studies of contemporary poetry models, but many scholars did not stop at the limits of crystallizing the features of feminist poetic production, given its active role in building the features of the modern Arab literary entity.
Studying and considering the text of the holy Quran is a task of necessity which needs a valuable as well as reliable contribution from all the concerned parties because of the greatness of this holy and scared text. The text of the holy Quran
يعد العقد من اهم مصادر الالتزام كونه الوسيلة الفاعلة التي يمكن من خلالها المتعاقد التحقق من مصالحه واهدافه مادامت لا تتعارض مع النظام العام ، ومتى مانشأ صحيحاً وفقاً للاركان والشروط التي يتطلبها القانون اصبح ملزماً لكلا طرفيه ، بحيث يخضعان بموجبه لقوة العقد ، وقد لا ينعقد وفقاً للسياق السابق بسبب عدم استكماله لشروط صحته فينعدم اثره بين المتعاقدين او الغير ، وتلك هي فكرة البحث .