Publications by authors named "S Ayad"

Ebstein's anomaly is a rare congenital displacement of the tricuspid valve resulting in atrialization of the right ventricle. About half of the patients with Ebstein's anomaly also have atrial septal defects, which may lead to chronic shunting and development of Eisenmenger syndrome. We describe a case of a sexagenarian male patient with a history of Ebstein's anomaly complicated with Eisenmenger syndrome undergoing robotic laparoscopic adrenalectomy who presented hemodynamic instability, hypoxemia, and likely right-to-left shunting intraoperatively, as well as the actions taken to correct it and have a successful outcome.

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Background: Given the public's tendency to overestimate the capability of artificial intelligence (AI) in surgical outcomes for plastic surgery, this study assesses the accuracy of AI-generated images for breast augmentation and reduction, aiming to determine if AI technology can deliver realistic expectations and can be useful in a surgical context.

Methods: We used AI platforms GetIMG, Leonardo, and Perchance to create pre- and postsurgery images of breast augmentation and reduction. Board-certified plastic surgeons and plastic surgery residents evaluated these images using 11 metrics and divided them into 2 categories: realism and clinical value.

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Article Synopsis
  • Placenta previa is a serious condition where the placenta partially or completely covers the cervix, increasing the risk of postpartum hemorrhage (PPH) and complications for both mother and baby.* -
  • A 36-year-old woman with a complicated medical history, including chronic hypertension and prior cesarean sections, experienced massive PPH during a scheduled cesarean due to complete placenta previa.* -
  • Due to the patient's refusal of blood transfusions as a Jehovah's Witness, her treatment for PPH involved urgent interventions, including uterine artery embolization and ultimately a hysterectomy after other methods failed.*
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  • Cold agglutinin disease (CAD) is a rare autoimmune hemolytic anemia where hemolysis occurs due to the activation of the classical complement pathway, with unclear incidence in pregnant women.
  • A case study of a 37-year-old woman undergoing a repeat Cesarean section revealed her anemia (hemoglobin 7.9 g/dL) was linked to CAD and required 20 blood transfusions throughout her pregnancy.
  • The management included preventing hypothermia to reduce hemolysis, utilizing spinal anesthesia and bilateral TAP blocks for effective pain control during the surgery.
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