Two cases of malaria developing immediately after open-heart surgery are reported to illustrate that malaria is one of the rarer causes of postoperative pyrexia. The diagnosis can easily be missed, resulting in unnecessary morbidity and even mortality. It is important for cardiac surgeons to be aware of this possibility in malaria-free as well as malaria-endemic areas as patients or blood donor...

background activation of stress response during cardiac surgeries such as cardiopulmonary bypass (cpb) can increase myocardial oxygen demand and consumption through induced tachycardia and augmented peripheral vascular resistance. these physiologic consequences may lead to increased morbidity and mortality by putting too great a strain on the already compromised organ systems. material and meth...

Fourty-three operations were performed on a total of 41 patients consisting of atrial septal defect, ventricular septal defect, ventricular septal defect with pulmonary stenosis, tetralogy of Fallot, aortic valve stenosis, pulmonary valve stenosis and coarctation of the aorta under hypothermia using intrathoracic rewarming. All patients but 2 cases with tetralogy Fallot have been completely cur...

PERFUSION DURING OPEN-HEART SURGERY Since the description of the Azygos factor by Andreasen and Watson in 1951, perfusion criteria have been much debated. Early investigators fluctuated between a high and low flow rates and the debate continues today. 2 · 3 ' •· 5 '" Hypothermia has been both widely acclaimed and generally repudiated. 7 • 8 Anoxic arrest of the heart' 0 ' n. z, 12 versus corona...

surgery. A study was made into the factors influencing the onset of jaundice in 102 patients undergoing valve replacement during cardiopulmonary bypass. Postoperative jaundice appeared to be correlated with double valve replacement, the co-existence of an uncorrected valvular lesion, length of perfusion and myocardial ischaemia times, and also the age of the patient. Factors appearing not to be...

BACTERIAL ENDOCARDITIS following intracardiac surgery for congenital defects with use of extracorporeal circulation is a new entity, as old only as open intracardiac surgery. The reported experience is therefore meager. Suggestions regarding its pathogenesis, recognition, behavior, management, and prevention are few. Heins and Lindel reported five cases of bacterial endocarditis in a series of ...

to evaluate the quality of services in hospitals can rely on mortality rate and side effects rate. according to performed studies, side effects rate is a better indicator to evaluate the quality of hospital services, therefore decreasing of side effects is one of the main objectives in hospital management. a side effect of open-heart surgery is the skin damage. some of iranian patients who were...