a secundum atrial septal defect is the most common congenital heart defect. transcatheter treatment of secundum atrial septal defects is a popular and less invasive alternative to surgery. procedural complications may occur in a wide spectrum, particularly device embolus as the most emergent one, but luckily they do not commonly occur in the clinical setting. mortality from adverse events relat...

results at follow-up, the nonoperatively treated patients had better functional outcomes than the operatively treated patients. nonoperatively treated patients also scored better on pain intensity and satisfaction. there were no significant differences in cesd, pcs, and sf-36 physical- and mental health summary scores between cohorts. conclusions the results of this study suggest that operative...

a strategy employing moderate hypothermia for the replacement of the aortic arch is proposed to avoid the complications of profound hypothermic circulatory arrest. two patients underwent the complete replacement of the aortic arch using three pumps - for the brain, thoracoabdominal aorta, and heart, respectively. there were no complications and the patients were extubated uneventfully. the meth...

laparoscopically-assisted vaginal hysterectomy (lavh) was performed in fifteen patients without invasive cancer. indications for hysterectomy were myomas, abnormal uterine bleeding unresponsive to hormonal treatment and dilatation and curettage, chronic pelvic pain with first degree uterine prolapse and possible adenomyosis, and dysplasia and ovarian cyst in postmenopausal years. no significant...

we present two patients with a displaced fracture of the small finger metacarpal base, where the shaft of the small finger metacarpal was wedged between the bases of the ring and small finger metacarpals. the striking appearance on radiographs led to initial recommendations for surgery, but both patients preferred non-operative treatment and did well in the short term without surgery

dear editor we read the article by bagheri et al with great interest (1). we found the study interesting and comprehensive as four groups of patients, including operative and nonoperative in either pure dislocation or fracture dislocation, were compared in terms of mayo wrist score, grip strength, range of motion and radiographic parameters. it seems that the results were comparable to studies ...

how to cite this article: karimzadeh p. juvenile type of niemann-pick type c disease and our study in iranian npc patients. iran j child neurol. 201 5 autumn;9:4(suppl.1): 5-6. pls see pdf.

I read with interest the recent letter from Jougon and colleagues [1] on oesophageal perforation after trans-oesophageal echocardiography (TOE) and agree completely with their recommendations but feel they neglected to mention one important group of patients. TOE is also used increasingly both during and after cardiac surgery and, although reported complications are low [2], sepsis may be the o...

background: despite the development of pediatric post-operative pain management and use of analgesic/narcotic drugs, post-operative pain remains as a common problem. some studies suggested, the most effective approach to controlling immediate post-operative pain may include a combination of drug agents and non-drug methods. the aim of this study was to investigate the effect of music therapy on...

a common complication of prosthetic heart valves is thrombosis. although the incidence of prosthetic valve thrombosis (pvt) in the tricuspid position is high, there are not enough data on the management of it, in contrast to left-sided pvt. here, we describe three cases of tricuspid pvt with three different management approaches: thrombolytic therapy; close observation with oral anticoagulants;...