at the final stages of a coronary artery bypass graft operation on a 64-year-old man, an experienced physician attempted to insert an intra-aortic balloon pump into the femoral artery via the seldinger technique. however, while the balloon pump was being passed over the guide wire, the latter was completely lost. the guide wire should be held at the tip at all times to prevent passage into the ...

background: lactic acidosis in cardiac surgical patients is a manifestation of systemic inflammation and excess pro-inflammatory cytokine production. this investigation was designed to integrate basic concepts about lactate acidosis with a clinically used of serum lactate in patients under coronary artery bypass surgery (cabg) by on pump method. methods: from august to september 2012, 15 patien...

heparin- induced thrombocytopenia (hit) is an antibody mediated adverse effect of heparin therapy which is classified into two subtypes, hit i which is non-immune, spontaneously reversible thrombocytopenia and; hit ii which is an autoimmune-mediated adverse effect of heparin therapy. in this case report, we described a 65-year old male patient with hit ii after coronary artery bypass grafting. ...

conclusions the findings showed a positive effect of therapeutic relationship based on peplau's model on reducing anxiety of patients undergoing cabg. therefore, health care teams, including nurses, should take advantage of appropriate communication with patients in their care procedures. in that regard, peplau's communication model is recommended as a simple, low-cost, and efficient method. re...

background according to the previous studies, antihypertensive drugs should be withdrawn before surgery. nowadays it is accepted that some drugs effectively control systemic blood pressure (bp) to assure its desirable therapeutic control. objectives in this study, the effects of captopril, an angiotensin converting enzyme inhibitor (acei), on hemodynamic changes before, during and after the cor...

background: the incidence of coronary artery bypass grafting surgery (cabg) in elderly patients has been increasing. there are contradictory reports on the early outcome of elderly coronary artery patients as compared with their young counterparts. we designed this retrospective study to address this issue. methods: w e retrospectively analyzed the results of 1489 on–pump cabg cases performed a...

background: the incidence of stroke after coronary artery bypass grafting (cabg) is between 0.9% and 6.7%, which significantly increases in-hospital and out-hospital costs. this study was designed to evaluate the prevalence of significant carotid stenosis and its risk factors in cabg. methods: in total, 2044 consecutive patients undergoing elective cabg were investigated through a pre-operative...