Saudi Med J
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Randomized Controlled Trial Comparative Study
Selective spinal anesthesia for inguinal herniorrhaphy.
To determine the characteristic profiles of 2 hypobaric spinal anesthetic solutions for selective spinal anesthesia in inguinal herniorrhaphy. ⋯ Ropivacaine plus fentanyl provided similar sensory anesthesia, but with a shorter duration of motor block than bupivacaine plus fentanyl when used for selective spinal anesthesia in herniorrhaphy surgery. Furthermore, we suggest that hemodynamic should be carefully monitored during surgery.
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Case Reports
Spontaneous left main coronary artery dissection. A rare cause of acute coronary syndrome.
Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. Involvement of the left main coronary artery is uncommon accounting for 9% of all cases. ⋯ The diagnosis may occasionally be overlooked as the patients are often young and have no risk factors for coronary artery disease. The clinical presentation and interesting angiographic findings of a 42-year-old female patient with left main coronary artery dissection are described along with a brief discussion of the pathogenesis and management of the condition.