multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. the case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. a brief review of surgical reconstruction and the existing literature are presented, inc...

background: the adult cardiac surgery databank (acsd) of tehran heart center was established in 2002 with a view to providing clinical prediction rules for outcomes of cardiac procedures, developing risk score systems, and devising clinical guidelines. this is a general analysis of the collected data. methods: all the patients referred to tehran heart center for any kind of heart surgery betwee...

background: left ventricular (lv) twist is due to oppositely directed apical and basal rotation and has been proposed as a sensitive marker of lv function. we sought to assess the impact of chronic pure mitral regurgitation (mr) on the torsional mechanics of the left human ventricle using tissue doppler imaging. methods: nineteen severe mr patients with a normal lv ejection fraction and 16 non-...

the left ventricular aneurysm is one of the most significant complications of myocardial infarction and is defined as the expansion of the ventricular wall. the coronary artery aneurysm is characterized by an abnormal dilation of the localized portion of the coronary artery, and its main cause is atherosclerosis. we herein report an unusual case of coronary artery and left ventricular aneurysms...

background pulmonary arterial hypertension (pah) is a serious complication of unrepaired congenital left-to-right shunts. the final consequence is right ventricular (rv) systolic dysfunction and reversal of shunt. objectives the aim of this study was to evaluate the clinical course and paraclinical findings in a group of patients with pah associated with congenital heart disease (pah-chd). we a...

carcinoid tumor is a slow-growing type of neuroendocrine tumor, originating in the enterochromaffin cells and secreting mainly serotonin. the diagnosis is based on clinical symptoms, hormone levels, radiological and nuclear imaging, and histological confirmation. the clinical symptoms are characterized by flushing, diarrhea, abdominal pain, telangiectasia and/or bronchoconstriction. however, mo...

we report two cases of tetralogy of fallot with pulmonary valve bacterial endocarditis where one extended to the branch of pulmonary artery (pa). this is a rare occurrence. aggressive supportive care plus early and radical surgery can be life saving.