INTRODUCTION AND OBJECTIVE The left ventricular pseudoaneurysm (LVP) is rare, the surgical experience is limited and its surgical treatment remains still a challenge with an elevated mortality. Herein, it is presented a retrospective analysis of our experience with acquired post infarct LVP over a10-year period. MATERIALS AND METHODS Between January 2006 through August 2016, a total of 13 pat...

BACKGROUND Hemodilutional anemia during cardiopulmonary bypass (CPB) is associated with increased mortality during coronary artery bypass graft (CABG) surgery. The impact of intraoperative red blood cell (RBC) transfusion to treat anemia during surgery is less understood. We examined the relationship between anemia during CPB, RBC transfusion, and risk of low-output heart failure (LOF). METHO...

The intra-aortic balloon pump (IABP) is a ventricular assist device that is used with a broad range of pre-, intra-, and postoperative patients undergoing cardiac surgery. Although the clinical efficacy of the IABP is well documented, the question of reduced efficacy when patients are nursed in the semi-recumbent position remains outstanding. The aim of the present work is therefore to investig...

Abstract Background Transcatheter aortic valve implantation (TAVI) is an established treatment for patients with severe stenosis (AS). However, the effectiveness of TAVI cardiogenic shock due to bicuspid AS, who require mechanical circulatory support, needs further investigation. Case summary A 64-year-old male patient was admitted hospital congestive heart failure secondary and left ventricula...

BACKGROUND The use of aortic counterpulsation therapy in advanced heart failure is controversial. OBJECTIVES To evaluate the hemodynamic and metabolic effects of intra-aortic balloon pump (IABP) and its impact on 30-day mortality in patients with heart failure. METHODS Historical prospective, unicentric study to evaluate all patients treated with IABP between August/2008 and July/2013, incl...

Effective assistance of the cardiopulmonary system poses a particular technological challenge. In this work we describe an innovative system for temporary heart assistance in critically ill patients, which though minimally invasive – is efficient for recovery of the heart. An Archimedic screw drive that transports the blood out of the left ventricle into the ascending aorta is coupled to a pneu...

myocardial dysfunction is a major complication in cardiac surgery that needs inotropic support. this study evaluates the effect of milrinone on patients with low ventricular ejection fraction undergoing off- pump coronary artery bypass graft (opcab). the present study is designed to evaluate the effect of milrinone on myocardial dysfunction. eighty patients with low ventricular ejection fractio...

background: early extubation is implemented in cardiothoracic units worldwide for its advantages such as decreased mortality, morbidity, and hospitalization costs. we conducted a retrospective study to evaluate potential factors which may affect extubation time. methods: the records of 334 eligible patients who underwent elective coronary artery bypass grafting (cabg) in 2008 in kowsar hospital...

BACKGROUND Left ventricular wall rupture remains a major lethal complication of acute myocardial infarction and hypertension is a well-known predisposing factor of cardiac rupture after myocardial infarction. CASE PRESENTATION An 87-year-old man was admitted to our hospital, diagnosed as acute myocardial infarction (AMI). The echocardiogram showed 0.67-cm(2) aortic valve, consistent with seve...

Patients with porcelain aorta carry a high risk of cerebral as well as systemic embolism during cardiac surgery. Here we describe a case of severe aortic stenosis and coronary artery disease combined with the circumferentially calcified aorta. The patient was a 77-year-old man who successfully received four coronary artery bypass grafts with in situ arterial grafts without clamping the aorta an...