the most frequent congenital heart defects in the neonatal period are ventricular septal defects. ventricular septal aneurysms can rarely develop from an interventricular septal (ivs) defect in adults. we describe a 47-year-old man with an aneurysm in the ivs growing towards the right ventricle, which was confirmed by cardiac computed tomographic angiography and was missed by echocardiography.

conclusions the right ventricular outflow tract palliation in children with cyanotic chd leads to long-term favorable outcome regarding improvement in oxygen saturation, increase in z score of both left and right pulmonary arteries and also considerable decrease in spell. also, death and complications are rare following rvot palliation. background the right ventricular outflow tract (rvot) pall...

Michael E. Farkouh, M.D., Michael Domanski, M.D., Lynn A. Sleeper, Sc.D., Flora S. Siami, M.P.H., George Dangas, M.D., Ph.D., Michael Mack, M.D., May Yang, M.P.H., David J. Cohen, M.D., Yves Rosenberg, M.D., M.P.H., Scott D. Solomon, M.D., Akshay S. Desai, M.D., M.P.H., Bernard J. Gersh, M.B., Ch.B., D.Phil., Elizabeth A. Magnuson, Sc.D., Alexandra Lansky, M.D., Robin Boineau, M.D., Jesse Weinb...

anomalous origin of the left coronary artery from the pulmonary artery (alcapa) is a rare congenital cardiac malformation. we report three cases of alcapa who survived to adulthood. the first case was a 51-year-old woman who complained of typical chest pain that was diagnosed with alcapa using cardiac catheterization and coronary computed tomographic angiography (cta). the second case was a 30-...

the purpose of this study was to evaluate the early and late outcome after total correction of tetralogy of fallot (tof) in 101 consecutive patients with a mean age of 8.23 ± 4.90 years underwent repair of surgery at one institution between 1995 and 2006. forty two patients had initial palliative operations. a transannular patch was inserted in 60 (58.5%) patients. risk factors for operative mo...

background: given the dearth of data in the existing literature on the size and morphologic variability of secundum-type atrial-septal defect (asd-ii) in adult patients, we aimed to address this issue in a series of consecutive adult patients evaluated by transesophageal echocardiography (tee). methods: a total of 50 patients (68.0% female) with isolated asd-ii underwent tee for the evaluation ...

estimating fetal weight in utero, for better management of pregnancy and appropriate timing of delivery especially in high-risk pregnancies is necessary. our purpose to evaluate a simple method in estimating fetal weight in iranian pregnant patients and also to compare was with a previous western study. this study was carried out in arash hospital, tehran university of medical sciences in 1996-...

Nowadays, railway transport plays a very important role in the system period of positive growth commerce, economy and industry. In accordance with other modes transport, is most stable mode for transporting, safety, capability carrying, social economic benefits. Sleepers have major roles complex distributed load from rails when train goes through to ballast. This study discussed pre-stressed co...

Abstract This paper presents experimental verification of indirect tests for the determination stress-crack opening curve concrete, based on method described in RILEM TC 187-SOC report and submitted to ACI Committee 446 Fracture Toughness Testing Concrete, which relies standard cohesive model. In such method, a bilinear approximation softening is determined from three-point bending notched spec...

Introduction: Posterior shoulder tightness is the extensibility limitations of soft tissue, due to repetitive tensile loading in overhead athletes such as cricket and other sports. Bowling main cause for tightness. Hence Sleeper stretch with muscle energy technique proposed be effecting improving range, flexibility functional ability. Purpose: To examine effectiveness Muscle on posterior among ...