right ventricular failure due to right coronary artery disease, right ventricular hypertrophy, stunning, abnormal septal motion, myocardial infarction, or non-homogeneous distribution of cardioplegia is an uncommon but serious complication of open heart surgery. we report a patient with severe right ventricular hypertrophy secondary to severe mitral valve stenosis and another patient with detac...

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;...

background: brain type natriuretic peptide (bnp) is a cardiac hormone that is secreted mainly by the ventricles in response to volume expansion and pressure load. it can predict post-operative complications after heart surgery in adults. we sought to investigate the prognostic value of bnp in children after heart surgery. methods: we measured the bnp serum levels in 96 children with congenital ...

background: extubation is associated with the risk of complications such as accumulated secretion above the endotracheal tube cuff, eventual atelectasia following a reduction in pulmonary volumes because of a lack of physiological positive end expiratory pressure, and intra-tracheal suction. in order to reduce these complications, and, based on basic physiological principles, a new practical ex...

background: postoperative cognitive dysfunction (pocd) has been an important complication of cardiac surgery over the years. neurocognitive dysfunction can affect quality of life and lead to social, functional, emotional, and financial problems in the patient’s life. to reduce pocd, we sought to identify the association between cognitive dysfunction and perioperative factors in patients undergo...

BACKGROUND The results of a prospective consecutive series of single-incision laparoscopic right hemicolectomy procedures are presented. METHODS Right colonic resections were performed by a single-incision laparoscopic technique between February and December 2009. Surgical outcomes were recorded in a prospective database. RESULTS Twenty-two consecutive procedures were completed by single-in...

The training of surgeons has traditionally been an apprenticeship. Trainees learn to undertake surgical procedures by first observing, next assisting, then performing under supervision and finally performing alone. This is an efficient and safe method provided it is properly supervised, but there may be some skills that are better learnt in the training laboratory rather than in the operating t...

BACKGROUND Most approaches to the medial orbit and lower provide suboptimal access and leave visible scars. The transcaruncular approach is an improvement over previous procedures, but disadvantages remain: there is no defined surgical plane through the caruncle; the caruncular tissue is highly vascular; and the approach may cause considerable postoperative morbidity. For these reasons, cadaver...

Hemodialysis access creation is one of the most commonly performed operations in peripheral vascular surgery. Minimal shunt volume flow rates in adult patients with antilogous shunts range between 300 and 500 ml /min are adequate for dialysis purposes and maintain the patency of the fistula. With an inappropriately high shunt flow, cardiac complications from volume overload and dialysis access-...

conclusions patients’ experiences after cardiac surgery indicated the need for the consideration of holistic care and supportive intervention programs after surgery to promote recovery and a better quality of life following cardiac surgery. results the data analysis revealed three main themes and 11 subthemes, categorized as conceptual and abstract, based on their nature: concern of going out t...