Left ventricular to right atrial (LV-RA) shunt is an unusual type of ventricular septal defect (VSD). This article concentrates on acquired LV-RA shunts, which may be due to complications of cardiac operation, endocarditis, trauma or myocardial infarction. A previous cardiac operation is its most common cause. The diagnosis of LV-RA communication is not easy, and it should be remembered in pati...

Medically refractory heart failure may be present in children with cardiomyopathy (CMP) or complex congenital heart disease (CHD). In adults, the surgical management of this condition is either heart transplantation or the Batista operation. From March 1995 to January 2000, a total of 6 children, aged from 1 to 16 years, with medically refractory heart failure associated with CMP or complex CHD...

PATIENTS undergoing replacement of the mitral valve appear to have somewhat less satisfactory early and late results than do those undergoing replacement of the aortic valve, in our experience." 2 Therefore studies were made of the hemodynamic state preoperatively and early postoperatively in patients in whom the Starr-Edwards prosthesis was inserted into the mitral region. The data indicate th...

A 68-year-old woman was admitted because of a rectal carcinoma with huge paraaortic lymph node metastases. Low anterior resection with regional lymph node dissection was performed, leaving the paraaortic mass. After the operation, cisplatin-5-fluorouracil therapy was used as supplemental chemotherapy. The metastatic lymph nodes shrank remarkably in response to anticancer drugs. We evaluated the...

introduction: along with advances occurring in cardiopulmonary bypass (cpb) including improved anesthesia intubation and early surgical interventions, it has become possible to correct life-threatening congenital heart anatomic abnormalities in patients. our study aimed to collect information from one of the most important centers of pediatric cardiac surgery in iran since there is limited info...

to 60m.m.Hg. and with no ill effects at the end of the anaesthesia and the tremination of the operation the drops of the serum which contains 15mg. Wyamin will be in­creased to rise the blood pressure, now if the anaesthetic drug is Halothane recovery is quick and if Ether is used it is a little pro­longed. If while operating there is need for further injection of Adrenaline solution in the ope...

Background and Objective: The aim of this study was to analyze our indications, surgical procedures, and clinical outcomes of patients undergoing reoperation after surgical correction of tetralogy of Fallot (TOF). Methods: Thirty seven consecutive patients who underwent reoperation late after intra-cardiac repair of TOF within a period of 10 years were assessed. Results: The most co...

Estimation of pulmonary blood flow relative to systemic blood flow is a critical point in selecting patients with ventricular septal defect and severe pulmonary hypertension for operation. A detailed medical history, physical examination, thoracic roentgenograms, careful interpretation of electrocardiograms, cardiac catheterization, and biopsy of the lung provide approaches to the problem. In b...

T HE internist frequently is called upon by his surgical colleagues for an opinion concerning the risk of anesthesia and of a surgical procedure in a patient who has organic heart disease. A request of this kind carries with it a number of implied questions, among the most important of which are: 1. Does the cardiac abnormality increase the risk of the contemplated procedure? 2. Will the anesth...