Acute kidney injury (AKI) is a frequent event after cardiac surgery with increased mortality and morbidity. We explored frequency, risk factors, associated morbidity of AKI isolated coronary artery bypass grafting (CABG) at single institution.All consecutive adults undergoing CABG from March 2013 to October 2016 were assessed for development severity based on Kidney Injury Network (AKIN) criteria. The patients also investigated regarding their need renal replacement therapy (RRT), predictive...

Background: Pediatric heart failure (HF) poses diagnostic challenges, especially in emergency settings, where misdiagnoses are common. Aim: This study aimed to investigate the causes of HF children with congenital disease (CHD) and provide insights into age-related disparities clinical classifications. Methods: A prospective observational cohort was conducted on 402 pediatric patients CHD during years 2019-2020. Ultimately, 45 diagnosed by two cardiologists based symptoms radiographic...

Cardiac calcified amorphous tumors (CATs) are an extremely rare nonneoplastic intracardiac masses. They have been reported in the literature only a few cases. Thus, incidence, pathogenesis, and best approach to treatment not certain. We report case of CATs on atrial surface anterior mitral valve leaflet 37-year-old female who was diagnosed by histopathological examination after surgical removal.

Central venous catheter placement is a routine procedure for the management of critically ill patients; however, it important to ensure its proper placement. A central malposition may cause various complications, some which can be fatal.We report an unexpected in left internal jugular vein, where entered into mammary vein.We think one influential factors leading guidewire and nominated vein sided bevel needle at time insertion. We were required continue going towards subclavian accidentally...

Anomalous origin of the left coronary artery from pulmonary ( ALCAPA ) is a rare congenital heart defect in adults. We report 38‐year‐old male presenting with exertional syncope. He was referred for evaluation multiple muscular ventricular septal defects diagnosed on an outpatient echocardiogram. Echocardiography revealed mild enlargement, abnormal flow‐pattern septum and dilatation right artery. Pulsed‐wave Doppler sample volume placed ostium showed systolic flow predominancy. This unique...

Non-healing wound in the sternal region after coronary arteries bypass graft surgery is a serious complication. For healing chronic wound, several novel approaches have been proposed recently such as using bone marrow stem cells, platelets and fibrin glue (PFG); but non-invasive method highly desirable first approach for treatment. The current study was undertaken to evaluate effect of combination PFG one treatment.We report on treatment six patients with life-threatening sternum wounds,...

Introduction: The European System for Cardiac Operative RiskEvaluation II (EuroSCORE II) is a prediction model which maps 18 predictors to 30-day post-operative risk of death concentrating on accurate stratification candidate patients cardiac surgery.Objective: objective this study was determine the performance EuroSCORE risk-analysis predictions among who underwent heart surgeries in one area Iran.Methods: A retrospective cohort conducted collect required variables all consecutive at Emam...

Introduction: Harvesting of the greater saphenous vein is almost an inevitable part coronary artery bypass grafting (CABG) operations, and it done by two main techniques, i.e., conventional or open harvesting (OVH) minimally-invasive endoscopic (EVH).This study aimed to compare these techniques in off-pump CABG procedures with respect clinical pathological outcomes.Methods: This cohort was conducted on candidates during a one-year period from October 2013 through September 2014 Department...

Steroid administration during cardiopulmonary bypass is considered to improve function by modulating inflammations caused bypass.This study was performed compare effectiveness of preoperative and intraoperative methylprednisolone (MP) alone in post inflammatory (IL-6) anti-inflammatory (IL-10) factors.Fifty pediatric patients undergoing surgery from August 2011 2012 the cardiac department Imam Reza Hospital, major center for CPB, Mashhad, Iran were randomly assigned receive MP (30 mg/kg, 4...

Abstract Introduction: Aortic surgery hasmademuch progress recently. Yet the combination of aortic and coronary artery bypass grafting has remained amajor issue for surgeons. Patient Observation: Herein, we present a case severe insufficiency with aneurysm concomitant single disease on right artery. The patient underwent Bentall procedure correction AI aneurysm. Subsequently, due to lack proper site proximal anastomosis saphenous veingraft ascending aorta, decided performcoronary-coronary...

Background: Cardiac surgery under Cardiopulmonary bypass causes a systemic inflammatory response with multifactorial etiology including direct tissue damage, ischemia and stimulation of immune system induced by cardiopulmonary bypass.This study was designed due to the high prevalence complications this stimulated in mortality, morbidity, length ICU stay, mechanical ventilation.Objectives: This aimed compare preoperative intraoperative methylprednisolone (MP) MP alone respect postbypass...

Although a few patients will survive after penetrating cardiac injuries, some of them may have unnoticeable intracardiac injuries. The combination aorto-right ventricular fistula with aortic valve injury is rare.A 19 year-old man referred an accompanied regurgitation and delayed tamponade following stab in the chest. patient was scheduled for repair, replacement pericardectomy two months trauma.To prevent missing also late complications, all pericordial wounds, serial clinical examinations...

Background: Open heart surgery is one of the most common and valuable treatment methods for cardiovascular diseases, a side effect which atrial fibrillation that occurs due to various reasons.Objective: To determine relationship between incidence (AF) duration cardiopulmonary bypass (CPB) in patients after open surgery.Methods: The present retrospective cohort study was conducted on 330 Farshchian Heart Center through census.The required data were collected from medical records undergoing...

Involvement of the heart is infrequently seen in irritable bowel syndrome (IBD). We present a case severe acute infective endocarditis diagnosed as ulcerative colitis further workup.

Nonsurgical bleeding after complex thoracic aortic procedures (such as dissection and aneurysm) is a great challenge for cardiac surgeons because of severe coagulopathy, exsanguinous bleeding, inevitable death. Temporary mediastinal packing (with sponge) in such cases the only life-saving technique with good result most cases. Herein, we presented three acute intractable that was successfully managed packing.

Cardiac laceration from blunt thoracic trauma is not a common presentation. The rate of mortality due to this injury very high since it diagnosed and treated immediately. In study, we present the case 65-year-old man with cardiac trauma, causing right atrial rupture pericardial tamponade. Successful management patient was firstly done initial pericardiocentesis. Then, immediately transferred operating room for tamponade relief wall repair. We recommend that surgeon have  an important...