Jamal H Khan

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BACKGROUND Using a Java-based intranet program (applet), we collected postoperative process data after coronary artery bypass grafting. METHODS A Java-based applet was developed and deployed on a hospital intranet. Briefly, the nurse entered patient process data using a point and click interface. The applet generated a nursing note, and process data were(More)
BACKGROUND There has been a trend in recent years towards less invasive therapy for many congenital cardiac malformations. For the past 5 years, we have employed a technique of limited surgical exposure when repairing atrial defects within the oval fossa. METHODS Over the 5-year period from July 1992 to August 1997, 115 consecutive patients underwent(More)
PURPOSE To determine the clinical course and outcome of patients undergoing pulmonary resection for metastatic endocrine tumors. METHODS Retrospective review of 47 patients with known endocrine tumors and pulmonary metastases who were evaluated for surgical resection between 1975 and 1996. RESULTS Tumors evaluated included the following: carcinoid (16),(More)
PURPOSE A shortage of suitable donors is the major impediment to clinical lung transplantation. The rate of lung recovery from potential donors is lower than that for other organs. The purpose of this study was to evaluate what factors could be modified to improve the rate of cadaver lung recovery. METHODS We performed a retrospective review of records(More)
BACKGROUND The purpose of this study is to examine the long-term survival and quality of life, including the influence of comorbidities, in patients 70 years of age and over after open heart surgery. METHODS This was a retrospective study of 401 consecutive patients, who were 70 years of age or older at the time of surgery. Survival and quality of life of(More)
PURPOSE Several studies have reported that carotid endarterectomy (CEA) with patch angioplasty has results that are superior to primary closure. Polytetrafluoroethylene (PTFE) patching has been shown to have results comparable with autogenous vein patching; however, it requires a prolonged hemostasis time. Therefore, many surgeons are using(More)
BACKGROUND Atrial fibrillation occurs in 20% to 40% of patients post cardiac surgery. Prophylactic amiodarone decreases the incidence of atrial fibrillation, especially in those not taking β-blockers. Studies, however, vary in dosage, duration of treatment, and route of administration. Limited studies evaluating short duration use of oral amiodarone show(More)
A simple and effective technique for repair of secundum atrial septal defect is described. The heart is exposed through a limited midline skin incision and partial sternotomy, and the atrial septal defect is closed through a right atriotomy with ascending aortic and dual venous cannulation. This approach achieves a cosmetically superior result with standard(More)
BACKGROUND Up to 3% of patients undergoing heart surgery suffer from an intraabdominal complication (IAC). These complications carry a high mortality besides adding to the morbidity and cost. This review was undertaken to see if a subset of patients with increased risk of IAC could be identified. METHODS Medical records of 7,731 consecutive patients(More)
We present a patient with a descending aortic dissection and contained rupture of a large abdominal aortic aneurysm with a history of inferior myocardial infarction and right coronary occlusion. The technique of combined repair of the descending thoracic aortic dissection with replacement of the ruptured infrarenal abdominal aorta and coronary artery bypass(More)