OBJECTIVES To compare the efficacy and safety of percutaneous coronary intervention using second-generation drug-eluting stents with those of coronary artery bypass grafting among patients with multivessel disease and/or unprotected left main coronary artery disease in terms of mortality, myocardial infarction, repeat revascularization, and angina. BACKGROUND Although coronary artery disease ...

The development of new mechanical stabilizer in the market encouraged a lot of surgeons to practice offpump coronary artery bypass as this procedure avoids all the possible risks of cardio-pulmonary bypass, an essential element in the conventional coronary bypass operations. During a period of 50 months, the cardiac surgery unit in King Khalid University Hospital performed 85 cases of off-pump ...

coronary artery disease is one of the leading causes of morbidity and mortality especially in the indusirialzcd societies. this retrospective study was carried out on 385 patients who were referred to shariati and jamaran hospitals from 1992 till 1997 and who underwent coronaty artery bypass grafting. the objective was to obtain a descriptive analysis of the important factors in this population...

The use of the radial artery as preferred access site for coronary diagnostics and interventions is rapidly increasing worldwide given the extensive evidence demonstrating its benefit on vascular complications and mortality, its costeffectiveness, and the increased patient satisfaction in comparison with the femoral approach. However, this approach could be complicated by radial artery occlusio...

Left main coronary artery stenosis is an important cause of symptomatic coronary artery disease, although relatively infrequent. The current guidelines recommend coronary artery bypass grafting as the first line treatment and standard of care, but percutaneous coronary intervention is likely to lead to faster reperfusion of coronary flow, avoiding the delays of a major surgical intervention. Ou...

A 36-year-old man with classic angina pectoris had marked ST-segment elevation (STE) in the inferior leads on stress-testing in the absence of chest pain. There was no evidence of previous myocardial infarction (MI). Selective coronary arteriography delineated severe obstructions in the right coronary artery (RCA) with additional left circumflex coronary artery (LCx) obstruction. Left ventricul...

This study aims to identify the effectiveness of music therapy in reducing anxiety and pain levels patients with Coronary Artery Bypass Graft (CABG) surgery. The method used this research is a literature review by searching online databases: Ebscohost, Wiley Online, Proquest, Pubmed, & ScienceDirect. results showed that was effective pain. type provided mostly natural music, duration 20-30 ...

Coronary artery fistulae (CAF) are an infrequent coronary abnormality. Herein, we describe the use of intraoperative transesophageal echocardiography (TEE) in the treatment of CAF. A 61 year-old woman presented with chest pain and symptoms consistent with unstable angina. Subsequent coronary angiography revealed the presence of 2 CAF, one extending from the left anterior descending artery to th...

A case of a 66-year-old patient 13 years after coronary artery bypass grafting (CABG) admitted to hospital with typical ischemic chest pain and symptoms of superior vena cava syndrome (SVCS) is described. Non-invasive diagnostics confirmed acute coronary syndrome: non-ST-elevated myocardial infarction (ACS NSTEMI). Trans-thoracic echocardiography (TTE) revealed a gigantic tumor mass modeling th...