introduction: infective endocarditis is well known to produce neurologic complications from septic emboli, which mandates a multidisciplinary approach between neurosurgery and cardiac surgery. however, literature is not clear as to the optimal interval length between neurosurgery and cardiac surgery.presentation of cases: the first case involves a 60-year-old woman with significant past medical...

background: the evaluation of prosthetic valves is very difficult with two-dimensional transthoracic echocardiography alone. doppler and color flow imaging as well as transesophageal echocardiography are more reliable to detect prosthetic valve dysfunction. however, doppler study sometimes tends to be misleading due to the load-depending characteristics of peak and mean pressure gradients. the ...

background: atrial fibrillation is a common arrhythmia in patients with rheumatic mitral and other valve diseases who are candidates for valve repair surgeries. conversion of rhythm to sinus has positive effects on quality of life and lower use of medications. the aim of this clinical study was to evaluate the effectiveness of the radiofrequency ablation maze iii procedure in the treatment of a...

  Multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. The case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. A brief review of surgical reconstruction and the existing literature are presented, i...

in recent socio-economic state it is not possible to have different sets of prosthetic cardiac valves available in the operating room before open-heart surgery for valvular replacement. in this study the diameter of the aortic valve ring measured in 2-d echocardiography was compared with the size of the aortic prosthetic valves implanted for the patients with aortic valvular disease. the purpos...

a computational optimization was performed for a direct-injection diesel engine using three-dimensional modeling. fully transient cfd analyses of different valve profile strategies for the intake and compression strokes were performed to evaluate the effects on both engine performance and in-cylinder flow-field evolution. the turbulence model was used along with the second order linear upwind s...

background: one of the most important post-operation problems encountered with hepaticojejunostomy (kasai operation) in patients with biliary atresia is cholangitis. the aim of this study was to evaluate the efficiency of anti-reflux valve in decreasing the incidence of cholangitis after hepaticojejunostomy.   methods: ten dogs were randomly divided into two groups of equal size. in group a rou...

background: posterior urethral valve presenting in adulthood is uncommon. this can be an unusual cause of primary male infertility as a result of abnormalities in sexual function. case presentation: this report describes a 40 year old man who presented to us on account of inability to impregnate his wife after 2 years of marriage. history revealed poor stream of urine since childhood and passag...

introduction:  in patients who underwent surgery to repair tetralogy of fallot, right ventricular dilation from pulmonary regurgitation may be result in right ventricular failure, arrhythmias and cardiac arrest. hence, pulmonary valve replacement may be necessary to reduce right ventricular volume overload. the aim of present study was to assess the effects of pulmonary valve replacement on rig...