We reported the case of a 68-year old male with chest pain. The coronary angiography showed the disease of the left anterior descending coronary artery and, incidentally, an arteriovenous coronary fistula between this coronary branch and the pulmonary artery. The patient underwent off-pump coronary bypass through a left mini thoracotomy. In the present case, after a series of detailed exams, we...

background  : on-pump coronary artery bypass graft (cabg) surgery impairs gas exchange in the early postoperative period. the main object on this study was evaluation of changes in arterial blood gas values in patients underwent on pump cabg surgery receiving different dose of intravenous nitroglycerin (ntg). methods : sixty-seven consecutive patients undergoing elective on-pump cabg randomly e...

abstract background and objectives: patients are oriented towards spirituality after coronary artery bypass grafting (cabg). the aim of this study was to explore the patients’ spiritual experiences after cabg. methods: this qualitative study was conducted using hermeneutic phenomenology. 11 participants (7 males and 4 females) were interviewed in tehran heart center hospital in 2013 using maxim...

background: redo coronary artery bypass grafting surgery (cabg) is associated with a higher risk of mortality than the first operation. however, the impact of percutaneous coronary intervention (pci) on the outcome in such patients is currently unclear. we evaluated the in-hospital and six-month clinical outcomes of post-cabg patients who underwent pci in our center. methods: between april 2008...

background : postoperative neurological injuries, including cognitive dysfunction, sleep disorder, delirium, and anxiety, are the important consequences of coronary artery bypass graft surgery (cabg). evidence has shown that postoperative sleep disturbance is partly due to disturbed melatonin secretion in the perioperative period. the aim of this study was to evaluate the effect of melatonin on...

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 ...

background: lactic acidosis in cardiac surgical patients is a manifestation of systemic inflammation and excess pro-inflammatory cytokine production. this investigation was designed to integrate basic concepts about lactate acidosis with a clinically used of serum lactate in patients under coronary artery bypass surgery (cabg) by on pump method. methods: from august to september 2012, 15 patien...

background: there are some conflicting results with conventional coronary artery bypass grafts (ccabg) with arrested heart in coronary high-risk patients. moreover, performing off-pump cabg in these cases may be associated with serious complications. the objective of this study is to evaluate the efficacy of the on-pump beating cabg (opbcabg) in coronary high-risk patients in comparison with th...

conclusions ptps is a common problem following cabg, and pre-emptive therapy with dex may decrease neuropathic pain. results fifty-four patients were placed in the control group, and 50 patients were assigned to the dex group. the age, sex, and body mass index were not significantly different between the two groups of study (p > 0.05). the incidence of ptps was 11/50 (22%) patients in the dex g...