BACKGROUND We investigated the impacts of flow demand and native coronary stenosis on graft flow and patency. METHODS We reviewed the angiograms of 549 bypass grafts in 301 patients who underwent off-pump coronary artery bypass grafting since 2007. Grafts consisted of 237 internal thoracic artery to left anterior descending artery; 97 internal thoracic artery and 52 saphenous vein grafts to l...

We experienced a rare case of thoracic outlet syndrome caused by hypertrophic nonunion of the first rib. A diagnosis was made mainly upon provocative tests and imaging studies. Pain and tingling could be reproduced and the radial pulse obliterated by the hyperabduction test. Abundant callus formation on the posterior aspect of the first rib with fracture line was visible on plain radiograph. Tw...

Admas-Oliver syndrome is a rare autosomal dominant disease of congenital development defects association with aplasia cutis. All of 81 reported cases were of 32 group families. These two cases had congenital scalp cutis aplasia with developmental defect and hypoplasia of left foot digits in case 1.Congenital deaf-mute in both can added to the past known findings in this syndrome. Thoracic defor...

Rupture of thoracic aortic aneurysms and/or dissections is not rare, occurring in approximately 0.6% of all medicolegal autopsies. Most forensic pathologists are aware of the association between thoracic aortic aneurysms/dissections and trauma, atherosclerosis, inflammation and Marfan syndrome. In this report, we discuss a familial form of thoracic aortic dilatation and/or dissection that is di...

      Schimke immune-osseous dysplasia (SIOD) is a rare autosomal recessive disorder presented with specific facial features, skeletal dysplasia, steroid resistance nephrotic syndrome (SRNS) and cellular immune insufficiency. This is a SIOD case reported from Iran. He was 5 years old boy when evaluated for proteinuria and short stature. In appearance, we detected hyperpigmented macules, kyphosc...

Panhypopituitarism occurs as a result of the insufficiency all hormones produced in anterior pituitary gland. Pituitary Stalk Interruption Syndrome (PSIS) is rare congenital syndrome leading to hypopituitarism. The should be evaluated patients with signs and symptoms hormone magnetic resonance imaging performed for etiology. Although PSIS cause hypopituitarism, it must treated replacement insuf...

A 32-year-old man, without previous medical history, presented with a 2 month history of severe RP involving his right hand, which was exacerbated when he practised his profession of house painter. On examination, his right hand was normal; the right wrist pulse decreased with Wright’s hyperabduction test. General physical examination was otherwise normal. Autoantibody screening tests (RF, ANA)...

The objective: to assess the level of vitamin D and its relationship with carbohydrate metabolism in women metabolic syndrome I trimester pregnancy. Materials methods. 120 pregnant were examined, which 60 patients diagnosed before pregnancy (main group) without this pathology (control group). All measured for fasting blood glucose, glycated hemoglobin, immunoreactive insulin, HOMA-IR index, ser...

Background. Thoracic outlet syndrome may be due to various reasons and be classified as neurogenic, arterial, and venous thoracic outlet syndrome. The surgical treatment of neurogenic thoracic outlet syndrome can be performed using either a trans-axillary or a supraclavicular approach. The aim of this study is to report on such patients operated in a single institution by a single thoracic surg...