background: surgical site infection is known as a common complication after cardiac surgery, and cefazolin is the best prophylactic antibiotic to prevent this complication. the goal of this study was to evaluate the effect of continuous and intermittent cefazolin for the prevention of superficial surgical site infection following off-pump coronary artery bypass (opcab). methods: this prospectiv...

introduction: as off pump coronary artery bypass grafting surgery (cabg) is a developing method in coronary cardiac surgery, most surgeons are anxious about the danger of emergency crash conversion. in this observational study we tried to show the rate and outcome of conversion . material and methods: in this descriptive study about 477 coronary off-pump cabg patients were operated in ghaem hos...

general concept and major emphasis on off-pump coronary artery bypass surgery (opcab) is maintaining quality of care and patient safety while reducing cost and resource utilization. opcab probably avoids the potential complications of cardiopulmonary bypass. however its acceptance depends on clinical and economic outcome. the aim of this study is to compare clinical and economic outcome of off-...

introduction: heart failure is a major hazard for public health. despite recent advance in medical therapy, there is not enough information on the outcome of off-pump coronary artery bypass (opcab) and medical therapy on the patients with severe ventricular dysfunction and triple-vessel (cad). this study aimed to compare treatment outcomes and mortality rate in patients undergoing off-pump coro...

conclusions given the significant prevalence of postoperative cognitive disorder and significant associatio n between the history of high blood pressure, c-reactive protein and preoperative creatinine and cognitive disorder, detection of patient’s clinical symptoms may improve diagnosis, treatment and prevention of this disorder. patients and methods in total, 171 patients who had undergone off...

there are many treatment modalities available to acutely terminate incessant ventricular tachycardia with variable success rates, but some cases tend to prove refractory to all of them. we report a 59-year-old woman presenting with incessant ventricular tachycardia. echocardiography revealed a large true apical aneurysm and severe left ventricular dysfunction. the arrhythmia was controlled in t...

patients with coronary artery disease and left ventricular dysfunction have high mortality with non surgical (medical) treatment. coronary artery bypass grafting improves survival and the quality of life. recently, revascularization without cardiopulmonary bypass has been presented as a viable alternative. the aim of this study was to survey the result of coronary artery bypass grafting with of...

global myocardial ischemia and ischemia-reperfusion injury are potential adverse events related with cardioplegic arrest. beating heart surgery has avoided such complications and adapted to valve surgery following successful results published on myocardial revascularization. difficulty in weaning from cardiopulmonary bypass may be lessened by using on-pump beating heart surgery for mitral valve...

acute respiratory distress syndrome (ards) is a potential complication of cardiac surgery, given that patients undergoing cabg frequently have hypoxemia and pulmonary dysfunction during initial hours after surgery. thus, ards criteria in these patients are more likely to be positive while these criteria may not match the patient`s clinical picture. we aimed to investigate frequency of rapid ons...

the duration of icu (intensive care unit) stay in cardiac surgery patients has an important role in the rate of complications and costs. the aim of this study was to determine the role of perioperative risk factors in clinical outcome based on the time of icu discharge. in this descriptive study, 219 patients undergoing off-pump coronary artery bypass (opcab) surgery in afshar hospital in yazd,...