at the final stages of a coronary artery bypass graft operation on a 64-year-old man, an experienced physician attempted to insert an intra-aortic balloon pump into the femoral artery via the seldinger technique. however, while the balloon pump was being passed over the guide wire, the latter was completely lost. the guide wire should be held at the tip at all times to prevent passage into the ...

introduction: heart failure is a major hazard for public health. despite recent advance in medical therapy, there is not enough information on the outcome of off-pump coronary artery bypass (opcab) and medical therapy on the patients with severe ventricular dysfunction and triple-vessel (cad). this study aimed to compare treatment outcomes and mortality rate in patients undergoing off-pump coro...

Coronary aneurysms are typically seen in association with Kawasaki disease and only in rare instances, they are reported to be congenital or idiopathic. Here we report a case of a five year old boy who was found to have an idiopathic right coronary artery aneurysm. He presented with complaints of recurrent respiratory tract infections. His examination and investigations did not reveal any of th...

conclusions the authors describe the second reported case of eptifibatide-induced severe thrombocytopenia associated with cardiac surgery. in this case, discontinuation of eptifibatide and transfusion of apheresis platelets increased the platelet count (137 k/ul) the following day, and the patient subsequently underwent successful coronary artery surgery using cardiopulmonary bypass. introducti...

the effect of regular physical activity at home on patients' physical status after coronary artery bypasses surgery     hemmati maslakpak m [1] *, amirian z [2] , khalkhali hr [3] , salehi sh [4]     received: 5 aug, 2011 accepted: 3 nov, 2011     abstract   background & aims : coronary artery disease causes mortality and disability of large part of a country's productive people. oxyg...

abstract background: open heart surgery can cause high levels of anxiety in patients. nowadays, lavender essential oil is widely used in medical research. this study was conducted with an aim to investigate the effects of lavender essential oil to reduce the anxiety of patients after coronary artery bypass surgery. materials and methods: this research is double-blinded randomized controlled tri...

A 55-year-old male without previous medical history developed chest pain. Coronary catheterization showed left main coronary dissection. Coronary artery bypass grafting was performed using bilateral internal mammary arteries, which were very fragile. The specimens of the internal mammary arteries sent for pathology showed cystic medial necrosis.

The evaluation of a patient with a history suggestive of coronary artery disease is familiar to any internist. After a careful history and physical examination, the internist often turns to exercise testing to provide further diagnostic information. If the patient has an abnormal test result, the physician is faced with deciding whether to refer the patient for more invasive testing and therapy...

patients with coronary artery disease and left ventricular dysfunction have high mortality with non surgical (medical) treatment. coronary artery bypass grafting improves survival and the quality of life. recently, revascularization without cardiopulmonary bypass has been presented as a viable alternative. the aim of this study was to survey the result of coronary artery bypass grafting with of...