SUMMARY: Situs ambiguous is the placement of vessels and organs in the thoracoabdominal space that are anatomically located outside its normal position in a certain order. This condition is a broad definition that includes many variations. In this case report, we reported a patient with Situs ambiguus with an abnormal hepatic vein who was diagnosed incidentally during medical imaging (computed tomography, sonography and MRI study).

RESUMEN: El Situs ambiguous es la colocación de vasos y órganos en el espacio toracoabdominal que anatómicamente se encuentran fuera de su posición normal en un cierto orden. Esta condición es una definición amplia que incluye muchas variaciones. En este reporte de caso, reportamos un paciente con Situs ambiguous con una vena hepática anormal que fue diagnosticado incidentalmente durante un estudio de imagen médica (tomografía computarizada, ecografía y resonancia magnética).

Abstract Introduction: This quasi-experimental study aimed to evaluate the impact of early and regular mobilization on vital signs and oxygen saturation in open-heart surgery patients. Methods: The study universe comprised patients undergoing open-heart surgery in the cardiovascular intensive care unit of a heart center. The study sample consisted of patients who underwent open-heart surgery from November 2016 to April 2017, met the inclusion criteria, and voluntarily agreed to participate in the study. The study included 75 patients. Of these, 67 completed the mobilization program in two days, starting on the first postoperative day. Each patient was mobilized three times: twice on the first postoperative day and once on the second postoperative day. Vital signs and oxygen saturation for each patient were measured 10 minutes before and 20 minutes after each mobilization. Results: The difference between pulse and systolic blood pressure values measured before and after the first mobilization was statistically significant (P<0.05). In addition, the difference between the mean systolic blood pressure values before the first mobilization and after the third mobilization (123.43±14.09 mmHg and 117.94±14.05 mmHg, respectively) was statistically significant (P<0.05). The other parameters measured in relation to the mobilizations were in the normal range. Conclusion: Early and frequent mobilization did not cause vital signs and oxygen saturation to deviate from normal limits in open-heart surgery patients. Introduction quasiexperimental quasi experimental openheart open Methods center 201 2017 criteria 7 these 6 days times 1 2 Results P<0.05. P005 P P<0.05 . 0 05 (P<0.05) addition 123.43±14.09 123431409 123 43 14 09 (123.43±14.0 117941405 117 94 117.94±14.0 respectively range Conclusion P00 P<0.0 (P<0.05 123.43±14.0 12343140 12 4 (123.43±14. 11794140 11 9 117.94±14. P0 P<0. (P<0.0 123.43±14. 1234314 (123.43±14 1179414 117.94±14 P<0 (P<0. 123.43±14 123431 (123.43±1 117941 117.94±1 P< (P<0 123.43±1 12343 (123.43± 11794 117.94± (P< 123.43± 1234 (123.43 1179 117.94 (P 123.43 (123.4 117.9 123.4 (123. 117. 123. (123 (12 (1 (