Afibrinogenemia or hypofibrinogenemia is a quantitative defect in fibrinogen. It is a rare disease with estimated frequency of 1 in 1,000,000 population. Routine preoperative screening tests of coagulation disorders are insufficient to detect subtle disorders of fibrinogen. Herein, we report a child who was supposed to undergo open cardiac surgery for a large atrial septal defect. Preoperative ...

introduction heart failure is the second most common cause of ascites after cirrhosis. there are cardiac and noncardiac etiologies of ascites, and the multimodality imaging approach is a rich tool to redefine the final diagnosis. case presentation we present a case-series where 3 patients were referred to our hospital for further hepatology assessment due to severe abdominal ascites and liver f...

pure submandibular saliva was collected from anaesthetized vitamin - a - treated and control rats with using of pilocarpine as secretogogue, and then the serum was collected by cardiac puncutre. intraperitoneal injection of a large single dose (100,000 iu/kg) of vitamin a changed total protein, calcium and sodium concentrations of saliva so that sodium level of submandibular saliva was reduced ...

introduction the term hydropneumopericardium describes the simultaneous accumulation of fluid and gas in the pericardial sac. this condition is mostly caused by primary infiltrative lesions from the adjacent organs, pericardial infections, or trauma and is a very rare situation, usually with favorable outcomes. case presentation we describe a female patient with lutembacher’s syndrome complicat...

conclusions ia fluid resuscitation is superior to iv resuscitation in hemorrhagic shock induced cardiac arrest. results while iv rl infusion failed to restore chest motion in mice (n = 5), ia rl infusion restored chest motion in all mice examined (n = 6) (p = 0.0067). in three mice, iv rl infusion after cardiac arrest showed no effect on cc. after failure of venous infusion, ia rl infusion was ...

right ventricular failure due to right coronary artery disease, right ventricular hypertrophy, stunning, abnormal septal motion, myocardial infarction, or non-homogeneous distribution of cardioplegia is an uncommon but serious complication of open heart surgery. we report a patient with severe right ventricular hypertrophy secondary to severe mitral valve stenosis and another patient with detac...

granulocytic sarcomas (chloromas) are rare extramedullary tumors consisting of primitive granulocytic cells. we report here on a case of a 23-year-old man who presented with a generalized swelling. he is known case of acute myelomonocytic leukemia. granulocytic sarcomas are rare, destructive, extramedullary tumor masses that consist of immature granulocytic cells. in this unusual patient's case...

the prospect of surgery can be frightening and more extensive surgery is included more anxious . knowledge of how to surgery reduces anxiety. hence,our goals are as follows :   what conditions can cause heart surgery? the majority of adults who should be considered for cardiac surgery , suffer from the disease of the heart valves or coronary artery disease or both.also, a few of them have conge...