a total of 14 cases of infective endocarditis (ie) in children aged 6 months to 10 years were seen from december 1987 to december 1992 at the pediatric unit of ayatollah taleghani medical center. the majority of patients (12 of 14) were between 5 and 10 years of age. acyanotic congenital heart disease was known to preexist in 78.6% and rheumatic valvular heart disease in 21.4% of cases. organis...

Evaluation of quality of care is a duty of the modern medical practice. A reliable method of quality evaluation able to compare fairly institutions and inform a patient and his family of the potential risk of a procedure is clearly needed. Two articles published in this journal present their conclusions based on a similar method. As stated by D. Boethig et al. in their discussion: “Risk adjustm...

The initial success seen in adult cardiac surgery with the application of available robotic systems has not been realized as broadly in pediatric cardiac surgery. The main obstacles include extended set-up time and complexity of the procedures, as well as the large size of the instruments with respect to the size of the child. Moreover, while the main advantage of robotic systems is the ability...

Background: The intranasal route is a reliable way to administer preanaesthetics and sedatives children. aim of present study was compare the anxiolytic sedative effects dexemedetomidine midazolam as premedication in children with congenital heart disease undergoing cardiac surgery.. Patients Methods: Fifty chidrens 2-12 years age group either sex surgery were randomly allocated into two groups...

Abstract Background We aimed to study the effectiveness of preoperative thyroid hormone levels in predicting intensive care unit (ICU) mortality after cardiopulmonary bypass (CPB) infants with congenital heart disease (CHD). Methods retrospectively reviewed and analyzed data from 133 patients younger than 3 months old who underwent cardiac surgery CPB June 2017 November 2019. ICU prediction was...