coronary artery disease is one of the main causes of mortality in most developed countries. there is also an increasing rate of mortality in developing countries where in addition to coronary artery disease, infection diseases still not have been controlled. although, now a day coronary artery disease is responsible for half of deaths in developed countries, this regrettable event is increasing...

OBJECTIVE To determine the frequency of post-operative pulmonary complications (PPCs) after cardio-pulmonary bypass and association of pre-operative and intraoperative risk factors with incidence of PPCs. METHODS This study was an observational analysis of five hundred and seventeen (517) patients who underwent cardiac surgery using cardiopulmonary bypass. Incidence of PPCs and risk factors o...

A 25 year-old female with a history of Caesarian section ten weeks ago presented with symptoms suggestive of pulmonary embolism. Transthoracic echocardiography revealed a free-floating large thrombus traversing the right atrial cavity. Transesophageal echocardiography confirmed the presence of an unattached thrombus that originated from the most proximal part of the inferior vena cava. Multi-sl...

Polyuria is not an uncommon perioperative complication, following coronary artery bypass surgery. Diabetes insipidus (DI) results from inadequate secretion of antidiuretic hormone (ADH) the pituitary gland (Central DI)or absence normal response by renal tubules to ADH(Nephrogenic DI).Here we present a 55 years old male who underwent Aortic valve replacement. Postoperatively he developed polyuri...

BACKGROUND In our study we compared the Ringer solution, which is the standard prime solution of our department, with the HES (Hydroxyethyl starch) 130-0.4 solution, which can be a potential alternative prime solution with an indispensable material for the cardio-pulmonary bypass applications. METHODS 140 patients undergoing to CABG (Coronary Artery Bypass Graft surgery) were electively enrol...

Method We report a case of 66 years Malay gentleman, diagnosed as large LV aneurysm (7.8 × 4.9 × 8.0 cm) secondary to previous anterior MI, Moderate aortic valve stenosis, Triple vessel coronary disease; underwent LV aneurysmectomy (Ferrazzi procedure) removal of LV thrombus, Sutureless aortic valve replacement (Perceval S), Coronary revascularization and Neo-fenestrated pericardial reconstruct...