Although occurance of sudden and extensive hemorrhage is not a new subject, however due to high morbidity and mortality a high level of experience and expertise is required to control the situation.Single adrenaline injction that is fast and very potent has been used in order to maintain BP and help the use of blood saved in other parts of the body.Durring 1375 to 1381 a total of 8 patients wer...

Inadequate healing of myocardial infarction may contribute to local expansion of the infarct, frequently leading to chamber dilation, heart failure, or myocardial rupture. Experimental evidence in mouse models suggests that Factor XIII might play a key role in wound healing, and low persistent values lead to increased incidence of cardiac rupture following myocardial infarction. Here we would l...

[1] Falk E. Plaque rupture with severe pre-existing stenosis precipitating coronary thrombosis. Characteristics of coronary athersclerotic plaques underlying fatal occlusive thrombi. Br Heart J 1983; 50: 127–34. [2] Davies MJ, Bland JM, Hangartner JR, Angelini A, Thomas AC . Factors influencing the presence or absence of acute coronary thrombi in sudden ischaemic death. Eur Heart J 1989; 10: 20...

CARDIOVASCULAR DISORDERS aortic anomalies aortic aneurism aortic arch, anomalies aortic valvular, anomalies cardiac congenital defects cardiomegaly cardiopathy, congenital heart conduction defects, cardiac arrhythmia, including tachycardia, atrial fibrillation, ventricular fibrillation heart conduction defects, cardiac arrhythmia, including: bradycardia, cardiac dysrhythmias mitral valve, defec...

BACKGROUND Traumatic pericardial rupture is a rare presentation. Pericardial rupture itself is asymptomatic unless complicated by either hemorrhage or herniation of the heart through the defect. Following diagnosis surgical repair of the pericardium is indicated because cardiac herniation may result in vascular collapse and sudden death. OBJECTIVES Here we present a case of traumatic, non-her...

Rupture of the spleen can be classified as spontaneous, traumatic, or pathologic. Pathologic rupture has been reported in infectious diseases such as infectious mononucleosis, and hematologic malignancies such as acute and chronic leukemias. Splenomegaly is considered the most relevant factor that predisposes to splenic rupture. A 66-year-old man with acute myeloid leukemia evolved from an uncl...

hydatid disease, caused by echinococcus granulosus, is a common infectious disease in endemic areas such as southern europe and the middle east. the incidence of this disease, however, is on the increase in northern europe due to the migration of labor and also tourism. we report a case of the hydatid cyst of the mediastinum, the diagnosis of which was established by the hemagglutinin test and ...

Rupture of the false sac in dissecting aortic aneurysm commonly occurs into the pericardial sac with an immediately fatal outcome (Hirst, Johns, and Kime, 1958). It is well known that should re-entry be established the immediate prognosis is not so grave as used to be thought, though death occurs later from heart failure due to aortic incompetence or hypertensive heart disease (Shennan, 1934). ...

Sinus of Valsalva aneurysm (SVA) is defined as a weakness in the aortic valve wall, immediately above the attachments of each of the aortic cusps. This weakness can rupture and create an aortocardiac fistula. There are many congenital heart defects associated with chromosome 22q11 deletion, especially involving the aortic arch and its branches. SVA is not an anomaly usually associated with chro...