Anomalous origin of the right coronary artery from the left coronary sinus is rare but potentially dangerous if any ischemic signs are present. Multiple therapeutic options were advocated so far. We experienced three different situations and surgical approaches to these anomalies, and reviewed retrospectively. For the first case, we made a neo-ostium on the right sinus of Valsalva and anastomos...

background: liver ischemic insults are important sources of liver injuries leading to production of reactive oxygen species (ros) and mediating liver cell injury. glutathione mediated mechanisms are among the most important defense mechanisms of the liver; n-acetylcysteine (nac) provides cysteine for glutathione defense mechanisms. patients undergoing cardiac surgery are at increased risk of li...

In late years spontaneous coronary artery dissection (SCAD) had emerging as a non-atherosclerotic cause of acute syndrome (ACS).We report an interesting case young male patient presenting to emergency with substernal chest discomfort positive troponin and electrocardiogram changes consistent NSTEMI.Percutaneous Coronary Intervention (PCI) was initiated following ACS PROTOCOL, which found critic...

A 52-year old man presented with exertional angina and shortness of breath and was diagnosed with double-vessel coronary artery disease with a large coronary artery fistula between the left circumflex artery and superior vena cava. He was managed with off-pump coronary artery bypass grafting with closure of the fistula.

BACKGROUND We sought to evaluate the effects of on-pump beating-heart versus conventional coronary artery bypass grafting techniques requiring cardioplegic arrest in patients with coronary artery disease with left ventricular dysfunction. METHODS We report the early outcomes associated with survival, morbidity and improvement of left ventricular function in patients with low ejection fraction...

OBJECTIVE Minimally invasive multiple vessel revascularization has been accomplished using all arterial graft concepts and aortocoronary vein grafts. The aim of the present study was to determine the technical feasibility of minimally invasive axillary artery to coronary artery vein grafting in the human cadaver. METHODS In seven human cadavers the axillary artery was approached bilaterally v...

We report the case of a patient with a huge interatrial septal aneurysm as an intraoperative coincidental finding that led to a fatal outcome. The patient was admitted to our hospital in order to undergo elective coronary artery bypass grafting because he suffered from severe coronary artery disease. We intraoperatively diagnosed by transesophageal echocardiography a huge interatrial septal ane...