Definition T HE term cor pulmonale is genierally used to define the cardiac complications of certain forms of lung disease. From knowledge gathered in the recent past, it is apparent that a number of disease processes that attack pulmonary funetioni in a variety of ways can produce circulatory embarrassment. The mechanisms by which they do so may be fundamentally different and indeed the lungs ...

BACKGROUND The techniques for the resection of renal tumors with IVC extension are based on the experience of individual units. We attempt to provide a logical approach of the surgical strategies in a stepwise fashion. METHODS Over 6-years 9 patients with renal cell carcinoma invading the IVC, underwent surgery. There were 6 males. The extension was at level IV in 4 and III in 5 cases. CPB us...

Heart failure with preserved ejection fraction (HFpEF) is a syndrome multiple etiologies and varied phenotypic manifestations. Amyloidosis systemic disease that frequently affects the myocardium, it may represent specific etiology of HFpEF. The treatment HFpEF associated amyloidosis not based on evidence, risk hypotension as an adverse effect pharmacological management always concern. In this c...

Background The incidence of chronic diseases increases with age; about 73% of people who are aged ≥60 years suffer from at least 1 chronic disease, and among those older than 70 years, chronic diseases afflict more than >84% of the population. According to epidemiological data, at least 4 chronic disease types coexist in senior citizens, causing their disability. These are mainly cardiovascular...

Heart failure is a major public health problem and its management requires a significant amount of health care resources. Even with administration of the best available medical treatment, the mortality associated with the disease remains high. As therapeutical strategies for heart failure have been refined, the number of patients suffering from the disease has expanded dramatically. Although he...

Congenital heart disease is an important cause of maternal morbidity and mortality during pregnancy. Pregnancy alters the circulatory and respiratory physiology with attendant deleterious effect on the mother with congenital heart disease and the foetus. Additional insult to the circulatory physiology by other factors coexisting together with congenital heart disease can further reduce the card...

Surgical therapy for aortic arch disease involves partial or complete replacement of the aortic arch with reimplantation of the great vessels while the cerebral blood flow is temporarily altered. Patients undergoing this mandatory period of circulatory arrest during arch replacement are at an increased risk for adverse neurologic outcomes, and strategies for cerebral protection must be implemen...

Shock Syndrome in Cholera Circulatory collapse and hsemoconcentration due to great loss of body fluid are the immediate results of profuse vomiting and purging in cholera. This is followed by anuria and other manifestations of dehydration. There is initial fall of blood pressure as a result of loss of circulatory fluid in every patient presenting typical signs and symptoms of this disease. In s...

We describe the case of an 83-year-old patient requiring repair of a large symptomatic abdominal aortic aneurysm (AAA). The patient was known to have coronary artery disease (CAD) with symptoms and signs of significant myocardial dysfunction, left-heart failure, and severe aortic insufficiency. The procedure was performed with the help of both mechanical and pharmacological circulatory support....