a total of 14 cases of infective endocarditis (ie) in children aged 6 months to 10 years were seen from december 1987 to december 1992 at the pediatric unit of ayatollah taleghani medical center. the majority of patients (12 of 14) were between 5 and 10 years of age. acyanotic congenital heart disease was known to preexist in 78.6% and rheumatic valvular heart disease in 21.4% of cases. organis...

Classically, ascending aortic dissection (AD) presents as sudden, severe chest pain that is tearing type and radiates to the back. Herein, we present a rare case of severe aortic regurgitation with silent ascending AD, which had no chest pain symptoms. The aortic valve apparatus probably masked this AD; therefore, it was not detected by echocardiography and during the surgery.

mitral valve replacement (mvr) is usually performed in two methods of running and interrupted suturing. in running method, the suturing of the valve is usually with some traction on the annulus and also there is a risk of aortic valve injury. this study was conducted to evaluate a new technique for suturing to avoid these complications and decrease the time of cardiac arrest. one hundred and se...

the brucellosis with multi-organ involvement in a patient with a history of the composite aortic graft ( bentall procedure) and hepatitis b infection is rare. a 35-year-old man presented to us with fever and loss of consciousness. four years ago, he was idu and underwent cardiac surgery because of endocarditis. recently lumbar spondylodiscitis was diagnosed. the wright (1/320) and coombs wright...

introduction although a few patients will survive after penetrating cardiac injuries, some of them may have unnoticeable intracardiac injuries. the combination of aorto-right ventricular fistula with aortic valve injury is rare. case presentation a 19 year-old man referred with an aorto-right ventricular fistula accompanied with aortic regurgitation and delayed tamponade following a stab in the...

Partial muscular inter-ventricular septal defect (VSD) or Pacman heart is a rare congenital or occasionally acquired anomaly. Concurrent Pacman heart and Shone's complex are extremely rare and have never been reported until now. We described a 37-year-old male patient with congenital Pacman heart, flail mitral valve (FMV), and a history of multiple congenital anomalies, including subvalvular ao...

we report a rare case of acute right coronary artery stenosis developing in a patient undergoing aortic valve replacement. we present a case report with a brief overview of the literature relating to coronary artery occlusion associated with cardiac valve surgery – the theories and treatments are discussed. a 85 year-old female was admitted under the care of the  cardiothoracic team with signs ...