Iraqi Board Thoracic & Cardiovascular Surgery case studies
Iraqi Board Thoracic & Cardiovascular Surgery · Put your knowledge to work in context.
The Iraqi Board in Thoracic and Cardiovascular Surgery (Al-Majlis al-Iraqi lil-Ikhtisasat al-Tibbiya – Jarahat al-Sadr wal-Aw'iya al-Damawiya) is a national specialty certification for physicians who have completed structured postgraduate training in cardiac, thoracic and vascular surgery and wish to be recognised as specialists. It is aimed at residents finishing an accredited training programme and at surgeons preparing for consultant-level appointment within Iraq. The Iraqi Board Thoracic & Cardiovascular Surgery case studies are 5 cases and about 3,382 words.
1Severe Aortic Stenosis, Porcelain Aorta, and a Proximal LAD Lesion: SAVR plus CABG or TAVR plus PCI?
A 79-year-old woman is referred with NYHA class III dyspnea. Echocardiography shows severe aortic stenosis: valve area 0.68 cm², mean gradient 48 mmHg, peak velocity 4.3 m/s, left ventricular ejection fraction 55%, and moderate mitral regurgitation.
749 words, about 4 min2A 2.4 cm Lung Nodule with a Suspicious Hilar Node and Borderline Pulmonary Reserve
A 61-year-old man with a 45 pack-year smoking history has a 2.4 cm right upper lobe adenocarcinoma diagnosed by CT-guided core biopsy. PET-CT shows SUVmax 6.8 in the nodule and a 1.2 cm right hilar node with SUVmax 3.4; mediastinal nodes are not enlarged.
675 words, about 3 min3Late-Presenting d-Transposition with a Restrictive Atrial Septum and Metabolic Acidosis
A 9-day-old boy, born at 38 weeks weighing 3.1 kg, is admitted with profound cyanosis. Oxygen saturation is 66% on 100% oxygen, lactate 6.4 mmol/L, pH 7.18, and he is receiving prostaglandin E1.
637 words, about 3 min4A 6.1 cm AAA with a Short Angulated Neck, Calcified Iliac Access, and Recent Coronary Stenting
A 73-year-old man is evaluated for a 6.1 cm infrarenal abdominal aortic aneurysm. CT angiography shows an 8 mm non-aneurysmal proximal neck, 75° angulation, circumferential mural thrombus, and bilateral common iliac arteries of 5 mm with dense calcification.
701 words, about 4 min5A 12 cm Anterior Mediastinal Mass with Markedly Elevated Germ Cell Tumor Markers
A 26-year-old man presents with a 3-week history of dyspnea, facial swelling, and cough. CT shows a 12 cm anterior mediastinal mass compressing the superior vena cava and trachea.
620 words, about 3 min