Garuda - Garba Rujukan Digital

p-Index From 2020 - 2025

2.859

P-Index

This Author published in this journals

All Journal Folia Medica Indonesiana Sari Pediatri Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Jurnal Respirasi (JR) JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Majalah Biomorfologi (Biomorphology Journal) Heart Science Journal CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Indian Journal of Forensic Medicine & Toxicology JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Journal of Indonesia Vascular Access Jurnal Widya Medika

Sembiring, Yan Efrata

Department Of Cardiothoracic And Vascular Surgery, Faculty Of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital, Surabaya

Author-ID : 2409046

Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Other

Published : 18 Documents Claim Missing Document

Claim Missing Document

Articles

1 2

Left Anterior Descendent Coronary Artery Fistula to Main Pulmonary Artery with Triple Vessel Disease:A Report of Two Cases Lyndon Darwin; Yan Efrata Sembiring; Oky Revianto Sediono Pribadi
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15837

Coronary artery fistula is a rare anomaly of coronary artery. It represents connection between one or more ofcoronary arteries and cardiac chamber or great vessel. It can also cause significant hemodynamic changes. Toreport cases of left anterior descending coronary artery (LAD) fistula to main pulmonary artery (MPA) withconcomitant triple vessel disease.Case 1 was 59-year old male presented with intermittent chest discomfortfor a year. Echocardiogram showed severe MR with cleft at A1 and A2 and coronary angiogram resultshowed LAD fistulation to MPA. Case 2 was 57-year old male presented with chest discomfort and at the leftshoulder. Echocardiogram showed trivial MR and coronary angiogram showed triple vessel disease alongwith tortuous fistulation of LAD to MPA. Both patients underwent teflonpledget-reinforced direct suturingof fistula origin and 3-grafts coronary artery bypass graft. Patient no 1 also underwent mitral annuloplastyand valvuloplasty.Post-operative period was uneventful and both patients were discharged after 17 days and5 days respectively. Short term follow-up showed improvement of symptoms and no residual fistulation.Inshort term follow-up teflonpledget-reinforced direct suturing of coronary fistula origin result satisfactory.Larger study and further follow up is necessary.

Multiple Large Atrial Thrombus Due To Rheumatic Heart Disease And Present Of Atrial Fibrillation With No Sign Of Stroke: How Is It Possible? Ricky Indra Alfaray; Deisha Laksmitha Ayomi; Yan Efrata Sembiring
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 3, No 2 (2019)
Publisher : Universitas Muhammadiyah Surabaya

ABSTRACT Atrial fibrillation is the most common arrhythmia associated with stroke and in the rheumatic heart disease patient’s atrial fibrillation can easily cause thromboembolism. Thromboembolism is the major complication also in patients of mitral stenosis with atrial fibrillation. A 54-year-old woman with uncontrollable movements in the right arm, stomach, right leg and painful swelling at right ankle joint was admitted to the emergency department. Transesophageal echocardiogram revealed rheumatic heart disease affecting two valves and thrombus in left atrial extending towards left atrial appendage. Heart rate was 120 beats per minute. ECG showed atrial fibrillation. A patient has undergone mitral and aortic valves replacement surgery and left atrial thrombus evacuation. Despite the involvement of two heart valves and the presence of large thrombus, the patient did not show any sign of brain infarction. This is a contradiction with a theory which implies that atrial fibrillation is the most common arrhythmia associated with stroke and in the rheumatic heart disease patient’s atrial fibrillation can easily cause thromboembolism and become stroke. This study evaluates many factors founded in the patient that make this anomaly may happen.Keywords : atrial fibrillation, rheumatic heart disease, thromboembolism strokeCorrespondence to : rickyindraalfaray@gmail.comABSTRAK Atrial fibrilasi merupakan jenis aritmia yang berkaitan erat dengan stroke dan cenderung menyebabkan thromboembolism. Thromboembolism merupakan komplikasi mayor dari mitral stenosis dengan atrial fibrilasi. Seorang wanita berusia 54 tahun masuk ke unit gawat darurat dengan keluhan utama gerakan tak terkendali pada lengan kanan, perut, kaki kanan, serta bengkak yang menyakitkan di sendi pergelangan kaki kanan. Echocardiogram transesophageal menunjukan gambaran penyakit jantung rematik pada dua katup dan trombus di atrium kiri meluas menuju valve atrium kiri. Detak jantung 120 kali per menit. EKG menunjukkan fibrilasi atrium. Pasien menjalani operasi penggantian katup mitral dan aorta serta evakuasi trombus pada atrium. Meskipun terdapat abnormalitas pada dua katup jantung ditambah dengan ditemukan adanya trombus besar pada atrium, pasien tidak menunjukkan tanda-tanda infark otak. Ini bertentangan dengan teori yang mengimplikasikan bahwa atrial fibrilasi adalah aritmia paling umum yang berhubungan dengan stroke dan pada penyakit jantung reumatik. Pasien dengan fibrilasi atrium dapat dengan mudah terjadi tromboemboli hingga bermanifestasi stroke. Studi ini mengevaluasi berbagai faktor yang memungkinkan anomali kasus seperti ini dapat terjadi.Kata kunci : fibrilasi atrium, penyakit jantung rematik, stroke thromboemboliKorespondensi : rickyindraalfaray@gmail.com

Faktor Risiko Pneumonia pada Anak dengan Penyakit Jantung Bawaan Tia Harelina; Retno Asih Setyoningrum; Yan Efrata Sembiring
Sari Pediatri Vol 21, No 5 (2020)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp21.5.2020.276-81

Latar belakang. Penyakit jantung bawaan (PJB) merupakan faktor risiko utama yang memperparah infeksi saluran pernapasan bawah akut. Infeksi saluran pernapasan bawah akut yang paling umum adalah pneumonia. Beberapa faktor predisposisi untuk pneumonia telah diidentifikasi, seperti pada malnutrisi berat.Tujuan. Untuk mengetahui faktor risiko kejadian pneumonia anak dengan penyakit jantung bawaan di RSUD Dr.Soetomo Surabaya.Metode. Jenis penelitian ini adalah analitik observasional dengan desain kasus kontrol berdasarkan data rekam medik pasien yang dirawat di Ruang Rawat Inap SMF Ilmu Kesehatan Anak RSUD Dr. Soetomo Surabaya selama periode Januari 2016 sampai dengan Desember 2016. Analisis data dilakukan dengan uji chi-square dan regresi logistik. Kriteria inklusi untuk kelompok kasus adalah pasien PJB dengan pneumonia, sedangkan kelompok kontrol pasien PJB tanpa pneumonia dengan umur 1 bulan sampai 60 bulan. Kriteria eksklusi adalah rekam medik yang tidak lengkap.Hasil. Diperoleh subjek sebesar 66 pasien, dengan perbandingan kasus-kontrol 1:1. Hasil analisis multivariat ditemukan adanya hubungan yang signifikan antara anemia dengan kejadian pneumonia pada anak dengan PJB (p=0,002) dan terdapat hubungan yang signifikan antara neuromuscular disease dengan kejadian pneumonia pada anak dengan PJB (p=0,015).Kesimpulan. Adanya hubungan antara anemia dan neuromuscular disease dengan pneumonia pada anak dengan penyakit jantung bawaaan.

Mortality Risk Factors in Tetralogy of Fallot Patients Undergoing Total Correction Juliana Juliana; Yan Efrata Sembiring; Mahrus Abdur Rahman; Heroe Soebroto
Folia Medica Indonesiana Vol. 57 No. 2 (2021): June
Publisher : Universitas Airlangga

A total correction is a preferred treatment for Tetralogy of Fallot patients in every part of the world. However, the mortality in developing countries was as high as 6.9% to 15.3%. This was a retrospective analytic study that analyzed pre and post-operative risk factors that affected mortality on TOF patients that were performed total correction in Indonesia. A total of 47 TOF patients that were performed total correction from January 2016 to September 2019 were enrolled in this study based on the inclusion criteria. Preoperative and post-operative data were obtained from medical records. In this research, the majority of mortality was found in male patients (39.3%), while the female’s rate was lower (36.8%). Overall mortality was 38.3% and one operative death was found. The average age of patients was 84.12 months (12-210 months), whereas the average height (85.56 ± 36.17cm vs. 112.93 ± 21.73) and weight (17.22kg vs. 28.21kg) were lower for mortality patients. Some significant preoperative variables were identified as mortality risk factors such as: age below 60 months (p=0.047), smaller weight and height (p=0.008; p=0.002), abnormal hematocrit (p=0.002), and oxygen saturation below 75% (p=0.018). Significant post-operative risk factors included: temperature above 38.5⁰C (p=0.000), and ventilator time of more than 48 hours (p=0.033). In conclusion, the mortality of TOF patients undergoing a total correction in developing countries was quite high. It was associated with some risk factors, such as younger age, lower weight and height, low oxygen saturation, post-operative fever, and prolonged ventilator time.

Percutaneous retrieval of intracardiac fragmented hemodialysis catheter using a snare-loop catheter: A case report Adhitya Ginting; Ketut Putu Yasa; Yan Efrata Sembiring
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 2, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss2.art14

We presented a 60-year-old woman with an history of end-stage renal disease on regular hemodialysis, twice a week, came with a tunneled dialysis catheter (TDC) that was attached to the right internal jugular vein. TDC has been dysfunction since one week ago that was suspected as a result of thrombosis in the lumen of TDC. TDC was cut in the insertion of the jugular vein. And then a wire was inserted into TDC that has been cut off. From Chest x-ray imaging, migration of fragmented TDC was found inside the heart chamber with wire inside the lumen. Fluoroscopy showed a picture of a fragmented TDC in the heart chamber with a wire inside the lumen. Retrieval of fragmented TDC used percutaneus snare loop method with wire guiding that was inserted through the left femoral vein. Fragmented TDC was removed successfully. Retrieval of the fragmented TDC through endovascular techniques is classified as a simple. Simple snare loop method is quite effective and very cheap compared to the commercial snare, open surgery or laparoscopic surgery that can be avoided.

Lung Cancer: A Literature Review Yan Efrata Sembiring; Wiwin Is Effendi; Jeffrey Jeswant Dillon; Heroe Soebroto; Dhihintia Jiwangga Suta Winarno; Puruhito Puruhito; I Gusti Agung Made Adnyanya Putra; Abed Nego Okthara Sebayang; Sri Pramesthi Wisnu Bowo Negoro
Jurnal Respirasi Vol. 9 No. 3 (2023): September 2023
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v9-I.3.2023.246-251

Lung cancer is a cancer whose onset starts in the lungs where there is an abnormal cell growth that is very fast and uncontrolled. The abnormal cell growth is triggered by deoxyribonucleic acid (DNA) damage, including deletions in the DNA section, inactivation of tumor suppressor genes, activation of proto-oncogenes to oncogenes, the absence of apoptosis, and the activity of the telomerase enzyme. Lung cancer is initiated by oncogeneous activity and inactivation of tumor suppressor genes. Oncogenes are genes that help cells grow and divide and are believed to cause a person to develop lung cancer. In general, lung cancer is divided into two types, namely non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). World Health Organization (WHO) classifies lung cancer based on histopathology into 4 major cell types, namely SCLC, NSCLC which includes adenocarcinoma, squamous cell carcinoma (SCC), and large cell carcinoma (LCC). The difference between the two is that SCLC has a higher aggressiveness than NSCLC. Cancer treatment is based on the type, size, location and stage of the cancer, as well as the patient's overall condition.

Efficacy, Safety, and Clinical Outcomes of Splenorenal Shunt Surgery as a Therapeutic Intervention for Portal Hypertension Patients Yan Efrata Sembiring; Heroe Soebroto; Ito Puruhito; Dhihintia Jiwangga Suta Winarno; I Gusti Agung Made Adnyanya Putra2; Sri Pramesthi Wisnu Bowo Negoro; Ketut Putu Yasa; Jeffrey Jeswant Dillon
Folia Medica Indonesiana Vol. 59 No. 3 (2023): September
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v59i3.48843

Highlights: 1. This study systematically reviewed the efficacy, clinical outcomes, and safety of the splenorenal shunt procedure with a comprehensive and meticulous approach.2. The splenorenal shunt procedure is an innovative surgical intervention that offers a viable option for the management of portal hypertension. Abstract Portal hypertension is the second most common gastrointestinal bleeding in cirrhosis and non-cirrhosis patients. The splenorenal shunt surgery is a potential intervention that may be considered for portal hypertension patients with clinical symptoms such as upper gastrointestinal bleeding caused by the rupture of gastro-esophageal varices. In this study, the researchers aimed to analyze the efficacy, clinical outcomes, and safety of splenorenal shunt surgery in portal hypertension patients. The sources were obtained from electronic search databases, including PubMed, Google Scholar, and ScienceDirect, using the keywords "Efficacy," "Safety," and "Clinical Outcomes." in relation to splenorenal shunt surgery in portal hypertension patients. The researchers set specific criteria for inclusion and exclusion to select the articles. This systematic review revealed the efficacy of the splenorenal shunt procedure with favorable outcomes. The success rate of splenorenal shunt surgery in reducing the clinical symptoms of portal hypertension varied between 66% and 100%. The prevailing complications observed in this study were shunt thrombosis, rebleeding, and thrombocytopenia. However, notable improvements could be achieved with general treatment. In terms of short- and long-term clinical outcomes, the splenorenal shunt procedure demonstrated favorable results. It can be concluded that splenorenal shunt surgery provides excellent clinical outcomes and should be considered a viable treatment option for patients with both cirrhotic and non-cirrhotic portal hypertension.

THE HDL LEVEL IN DIABETIC FOOT ULCER PATIENTS WITH AND WITHOUT AMPUTATION AT DR. SEOTOMO GENERAL ACADEMIC HOSPITAL SURABAYA Ahmed Eliaan Shaker Abuajwa; Hermina Novida; Heroe Soebroto; Yan Efrata Sembiring
Majalah Biomorfologi Vol. 33 No. 1 (2023): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v33i1.2023.30-37

Highlights1. Diabetes mellitus is a category of metabolic disease characterized by uncontrolled hyperglycemia.2. This study revealed no statistically significant differences in total cholesterol, TG, LDL, HDL, or LDL/HDL ratio between amputated and non-amputated DFU patients. AbstractBackground: Diabetic foot ulcers (DFU) are microvascular and macrovascular consequences of diabetes and are associated with neuropathy, vascular disease, and immunosuppression. Increased blood glucose levels may result in the glycosylation of proteins in the nerve cells of the foot, leading to ischemia and cellular disturbances that can damage muscular, sensory, and autonomic neurons. Objective: To compare the lipid profiles of amputated and non-amputated DFU patients. Material and Method: This was a cross-sectional, analytic, retrospective research using total sample approach to analyze the medical records of all diabetes patients admitted to Dr. Soetomo General Academic Hospital between February 2018 and December 2020, with or without amputation. Result: The average age of DFU patients at Dr. Soetomo General Academic Hospital was 55.6 9.4 years, and the majority of patients were female (57%). Diabetic foot ulcers were most prevalent in the age group â‰¥50 years old (74%), amputated DFU patients had larger mean total cholesterol, TG, LDL, and HDL than non-amputated DFU patients, although the difference was not statistically significant. While the mean LDL/HDL ratio was greater in non-amputated DFU patients, the difference was statistically insignificant. The HDL level was low in 84% of amputated DFU patients, whereas in non-amputated DFU patients it was 81%. Conclusion: This research showed no significant variation in total cholesterol, TG, LDL, HDL, or the LDL/HDL ratio between amputated and non-amputated DFU patients. Most DFU patients with and without amputations had low HDL values.

Success Rate of Coronary Artery Bypass Grafting on Elderly Patients in Dr. Soetomo General Academic Hospital, Surabaya Tombokan, Amelia Mathilda; Sembiring, Yan Efrata; Dharmadjati, Budi Baktijasa; Pribadi, Oky Revianto Sediono
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 15 No. 1 (2024): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V15I12024.1-7

Highlights: CABG is the most performed cardiac surgery in Indonesia, and most patients undergoing this surgery are above 60 years old. CABG success rate is not significantly influenced solely by the patient's age but also by several perioperative characteristics such as gender, comorbidities, and other variables included in the calculation of EuroSCORE II. Abstract Introduction: Coronary artery disease (CAD) has caused more than a quarter of deaths in Indonesia and is found to be more prevalent in elderlies (â‰¥60 years old). Treatment options include coronary artery bypass grafting (CABG), the most-performed cardiac surgery in Indonesia. This study aimed to determine the short-term and one-year postoperative success, morbidity, and mortality rates with their causes in Dr. Soetomo General Academic Hospital, Surabaya. Methods: This was a cross-sectional retrospective study using secondary data obtained from 85 medical records of CABG patients aged â‰¥60 years old in the Department of Thoracic, Cardiac, and Vascular Surgery Dr. Soetomo General Academic Hospital, Surabaya, from January 2018 to December 2020. Aside from descriptive statistics, logistic regression was conducted to assess the relationship between EuroSCORE II and the success of CABG in elderly patients. A probability (p) value < 0.05 was considered significant. Results: Patients were mostly male in their sixties with a mean of 65.5 ± 4.9 years old, had three-vessel disease, and predicted mortality of 1.6%. The average number of grafts used was 3.3 ± 0.7, and the average length of hospital stay was 7.4 ± 2.4 days. The morbidity rate was 71.8%, with bleeding as the most common complication, a 17.6% mortality rate, and a success rate of 82.4% (short-term) and 80% (one-year postoperative). Higher EuroSCORE II was found to significantly decrease the probability of both short-term (prevalence ratio [PR], 0.766; 95% CI, 0.604-0.971; p = .028) and one-year postoperative success (PR, 0.787; 95% CI, 0.624-0.993; p = .044). Conclusion: Surgical success in elderly patients is influenced by many factors, and old age should not deter physicians from referring patients for CABG. Despite the ability of EuroSCORE II to predict surgical success, both short-term and one-year survival, on elderly patients, there is a need for holistic and locally validated scoring systems to both evaluate and predict surgical success due to the unique healthcare context of Indonesia.

Navigating Complex Cardiovascular Pathologies: A Case Report on Aortic Arch Replacement in a Middle-Aged Male with Stanford A DeBakey I Aortic Dissection Handari, Saskia Dyah; Firdaus, Muhammad; Sembiring, Yan Efrata
Heart Science Journal Vol. 5 No. 2 (2024): Challenges in the Management of Congenital Heart and Structural Heart Diseases
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub/hsj.2024.005.02.14

Background: Aorta dissection is characterized by the presence of an intimal tear, which permits the passage of blood through the tear and into the aorta media. This process leads to the separation of the intimal and the formation of a dissection flap, representing the true lumen and a newly formed false lumens. The incidence of aortic dissection varies between 0.2% and 0.8%. Management of acute aortic standford A aortic dissection primarily involves invasive surgical procedures.Case presentation: A middle-aged male patient, aged 40, who possesses risk factors including uncontrolled hypertension and obesity, arrived to the emergency room with symptoms of chest pain. He described the pain as tearing in nature and said that it radiated towards the abdominal. The examination findings included a blood pressure reading of 255/143, a widened mediastinum and cardiomegaly observed on the chest X-ray, a slight elevation in Hs-Troponin levels, and the presence of sinus rhythm with left ventricular hypertrophy. He underwent CT scan, which demonstrated the presence of an aortic dissection extending from the ascending to descending aorta, with no associated damage to the aortic valve from echocardiography. He was diagnosed with Standford A DeBakey I Aortic dissection and underwent preference replacement of the aortic arch and elephant trunk implantation instead of Bentall procedure.Conclusion: The surgical and perioperative methods employed may differ based on the specific clinical presentation and the nature of the aortic disease. Because there was no involvement of the aortic valve, we performed total aortic arch replacement and elephant trunk procedure over the Bentall procedure.

Co-Authors Abed Nego Okthara Sebayang Adhitya Ginting Agung Dwi Wahyu Widodo Ahmed Eliaan Shaker Abuajwa ALVERINA, CLARA Danang Himawan Limanto Deisha Laksmitha Ayomi Dharmadjati, Budi Baktijasa Dhihintia Jiwangga Suta Dhihintia Jiwangga Suta Dhihintia Jiwangga Suta Winarno Dhihintia Jiwangga Suta Winarno Hakim, Arief Rakhman Hermina Novida, Hermina I Gusti Agung Made Adnyanya Putra I Gusti Agung Made Adnyanya Putra2 Indra Alfaray, Ricky Ito Puruhito Jeffrey Jeswant Dillon Jeffrey Jeswant Dillon Juliana Juliana Ketut Putu Yasa Ketut Putu Yasa Lyndon Darwin Mahrus A Rahman, Mahrus A Merlinda Dwintasari Merlinda Dwintasari Muhammad Firdaus Oky Revianto Sediono Pribadi Paul L Tahalele Pribadi, Oky Revianto Sediono Puruhito Puruhito Puruhito Putra, I Gusti Agung Made Adnyana Retno Asih Setyoningrum Reviano, Moses Orvin Rizki, Mohamad Saskia Dyah Handari Soebroto, Heroe Soebroto, Heroe Sri Pramesthi Wisnu Bowo Negoro Sri Pramesthi Wisnu Bowo Negoro Tia Harelina Tombokan, Amelia Mathilda Utamayasa, I Ketut Alit Widodo Widodo William, Andrew Wiwin Is Effendi Y Motulo Y Motulo

Title

Found 18 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 18 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 18 Documents
Search