The Coalescent IPAD (Coalescent Surgical, Sunnyvale, CA, USA) is a novel device that enables creation of a compliant proximal vein anastomosis to the aorta during off-pump coronary artery bypass (OPCAB) surgery while reducing the risk of cerebrovascular emboli and early stenosis. We performed IPAD-created anastomoses in 76 patients having standard OPCAB surgery. Following the procedures, no pat...

We read with great interest the article by Gucu et al. that is in concern with surgical treatment of the multiple complex stenoses in left anterior descending coronary artery [1]. We congratulate the authors for their good results in such a challenging problem. The primary aim of every cardiac surgeon in concern with coronary artery bypass grafting is complete revascularization with proven good...

familial hypercholesterolemia (fh) is a hereditary dislipidemia. patients present with extremely high level of low-density lipoprotein cholesterol (ldl-c), which is due to mutation in the gene of ldl receptor. homozygous patients (hofh) whose incidence is 1 in 1.000.000 are at high risk of premature aortic valve stenosis, and coronary artery atherosclerosis. in homozygous individuals cardiovasc...

The use of an automatic aortic connector device for proximal saphenous vein graft anastomoses eliminates the need for aortic clamping during off-pump coronary artery bypass grafting and may reduce the incidence of stroke in the elderly and in patients with severe aortic atherosclerosis. The PAS-Port proximal anastomotic system is a recently developed sutureless automatic saphenous vein graft an...

 Background: Considering the increasing incidence of coronary artery stenosis and its related complications, the importance of its etiology and inconsistent reports we aimed to determine the relationship between oxysterol, serum levels and severity of coronary atherosclerosis and effect of statins on oxysterol.  Methods: A total of 85 patients referred to Taleghani Hospital, Tehran, Iran during...

an 80-year-old diabetic man with severe aortic stenosis was admitted to our hospital for cardiogenic shock complicating non-st-elevation myocardial infarction. echocardiographic evaluation showed also a severe degree of both left ventricular dysfunction and mitral regurgitation. the patient was initially stabilized with inotropes and mechanical ventilation was necessary because of concurrent pu...

The clinical, angiographic, exercise testing, operative, and follow-up data of 26 patients found at angiography to have left main stem coronary artery stenosis, defined as a reduction in the lumen diameter of 50% or more, are reviewed. There was a high incidence of significant proximal stenosis in the branches of the left main stem. No clinical features were found to distinguish patients with l...

introduction takotsubo cardiomyopathy (tcmp) is a rare acute cardiomyopathy characterized by acute chest pain syndrome, similar to myocardial infarction, except that no significant stenosis is observed on coronary angiography in patients with this condition; these findings aid the diagnosis of tcmp. case presentation we discuss an unusual case of tcmp in a 45-year-old woman with complete heart ...