Thymic Cavernous Hemangioma: An IncidentalFinding during CABG in ASeventy-Year-Old Woman (A case report)

Thymic Cavernous Hemangioma: An IncidentalFinding during CABG in ASeventy-Year-Old Woman (A case report) Case Report A 70-year-old woman underwent coronary artery bypass grafting (CABG) due to coronary heart disease in our center. Intraoperatively, the thymic gland seemed bulky and appeared to contain blood clots, giving the impression of a hemorrhagic cyst of the gland. The lesion consisted of variously-sized blood-filled channels with flat lining and extensive fresh and old hemorrhage as well as organized thrombus formations. The remnants of the thymus gland in the periphery could also be seen. There being no evidence of malignancy in this vascular tumor, a diagnosis of thymic cavernous hemangioma was made. The operation was uneventful, and the patient was soon discharged from the hospital in good clinical condition. Thymus gland - Cavernous hemangioma 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/362/

Absent Right Superior Vena Cava withAtrial Septal Defect and Unroofed coronarysinus Case Report The absence of the right superior vena cava (SVC) is usually associated with the presence of a left SVC. Here we'll present a case with the absence of the right SVC and a persistent left SVC found in association with an ostium secundum atrial septal defect and unroofed coronary sinus - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/361/

In patients with an enlarged left atrium does left atrial size reduction improve mazesurgery success? Review A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was: In [adults undergoing a maze procedure for atrial fibrillation (AF)], [does left atrial size reduction] compared to [maze surgery alone] improve [maze surgery success]? A total of 58 papers were found using the reported search, of which eight represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Four out of eight papers compared a volume reduction technique as an adjunct to the maze procedure to a maze procedure alone - all four papers reported that atrial volume reduction significantly increased restoration of sinus rhythm: 89.3% vs. 67.2%, P<0.001; 85% vs. 68%, P<0.05; 84% vs. 68%, P<0.05; 90% vs. 69%, P<0.05. Three out of eight papers had no control group but reported good rates of sinus rhythm restoration at last follow-up -90%, 92% and 89%, respectively - despite the study population including atrial enlargement, a risk factor for failure of a maze procedure. One paper reported no benefit of an atrial reduction plastyin patients with a left atrium (LA) >70 mm. An enlarged LA is a risk factor for failure of a maze procedure, and various models of AF suggest that reducing atrial mass and/or diameter may help to abolish the re-entry circuits underlying AF. Furthermore, AF is uncommon when left atrial diameter is <40 mm, so there is at least some physiological basis for atrial reduction surgery in aiding the success of a maze procedure. The evidence suggests that patients with an enlarged ( 55 mm) or giant ( 75 mm) LA who are at risk of failing to obtain sinus conversion after a standard maze procedure may derive benefit from concomitant atrial reduction surgery using either a tissue excision or a tissue plication technique. However, the evidence is not strong since the papers available are not readily comparable owing to substantial variations in the populations and procedures involved. We therefore, emphasise the need for prospective randomised studies in this area. Keywords: Atrial fibrillation; Cox maze; Left atrial size reduction; maze, Minimaze; Recurrence of atrial fibrillation - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/360/

On-pump versus off-pump surgical revascularization in patients with acute coronarysyndromes: Analysis from the Acute Catheterization and Urgent Intervention TriageStrategy trial Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/359/

Should Heart Transplant Recipients With Early Graft Failure Be Considered for Retransplantation? Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/358/

Effect of remote ischemic preconditioning on renal dysfunction after complex valvularheart surgery: A randomized controlled trial Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/357/

Warm-blood cardioplegia with low or high magnesium for coronary bypass surgery:a randomised controlled trial Review Myocardial protection • Cardioplegia • CABGSurgery • Atrial fibrillation • Flutter 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/356/

Bicuspid aortic valve surgery with proactive ascending aorta repair Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/355/

Long-Term Survival and Quality of Life Justify Cardiac Surgery in the Very ElderlyPatient Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/354/

Saddle-shaped mitral valve annuloplasty rings improve leaflet coaptation geometry Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/353/

Influence of patient gender on mortality after aortic valve replacement for aortic stenosis Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/352/

Absence of deterioration of vascular function of the donor limb at late follow-up afterradial artery harvesting Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/351/

Anemia Before Coronary Artery Bypass Surgery as Additional Risk Factor Increasesthe Perioperative Risk Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/350/

Thirty-Year Experience with the Arterial Switch Operation Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/349/

Repair of persistent truncus arteriosus without a conduit: sleeve resection of the pulmonarytrunk from the aorta and direct right ventricle-pulmonary artery anastomosis Review Persistent truncus arteriosus • Repair withoutconduit • Right ventricle–pulmonary artery direct anastomosisSurgical results • Pulmonary hypertension. 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/348/

Single-center 50 years’ experience with surgical management of tetralogy of Fallot Review Congenital heart disease • Tetralogy of FallotPulmonary insufficiency 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/347/

Atrioventricular valve repair in patients with functional single-ventricle physiology: Impactof ventricular and valve function and morphology on survival and reintervention Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/346/

Efficacy and Safety of Aprotinin in Neonatal Congenital Heart Operations Review Aprotinin has been associated with significant morbidity and mortality in adults, leading to its withdrawal from the market and clinical substitution with the lysine analogs, tranexamic acid and -aminocaproic acid. Neonates undergoing cardiopulmonary bypass are especially at risk for perioperative bleeding, yet little data exist comparing lysine analogs with aprotinin. - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/345/

Outcomes and associated risk factors for mitral valve replacement in children Review We aim to report time-related outcomes following mitral valve replacement (MVR) in children and to identify factors affecting outcomes. Mitral valve replacement • Rheumatic feverMitral regurgitation • Congenital heart disease 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/344/

Beneficial effect of exogenous surfactant in infants suffering acute respiratory distresssyndrome after cardiac surgery Review Acute respiratory distress syndrome • Pulmonarysurfactant • Congenital heart defects • Mechanicalventilation 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/343/

Hypoglycemia with intensive insulin therapy after cardiac surgery: Predisposing facfactors and association with mortality Review - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/342/

Cardiac Hemangioma: A Benign Tumorwith Different Morphological Appearances Case Report Hemangiomas are rare primary cardiac neoplasms with a reported incidence of 2.8% of all neoplastic lesions of the heart and pericardium. So far, fewer than a hundred documented cases have been reported. We present two cases treated and diagnosed as having cardiac hemangiomas. Both of the patients had uneventful postoperative courses. Cardiac neoplasm - Cavernous hemangioma- Benign tumor 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/340/

The Arterial Grafts for CoronaryArtery Bypass Grafting: Review of CurrentKnowledge in Regard of the Radial Arteryand the Right Gastroepiploic Artery Review The benefits of using arterial grafts in coronary artery bypass grafting (CABG) have been elucidated in previous investigations. Alternative arterial grafts such as radial artery (RA) and right gastroepiploic artery (RGEA) have been used widely for CABG with increasing importance. Med-Line (1986-2010) was searched using the subsequent keyword arterial graft, CABG, RA and GEA. Overall, a total of 82 observational and comparison studies were considered relevant to this review and were summarized. This review provides a summary of the outcomes of RA and/or GEA arterial grafts regarding morbidity, mortality, patency rates, technical features and certain characteristics of the considered arterial conduits. This review article further supports the utility of the RA when used as either a composite or aortocoronary graft which results in improved results. Although some investigations showed acceptable results justify its use in clinical settings, there is still much concern about using the GEA in CABG. Right GEA, as an arterial graft, can be used as an in situ graft or a free graft. - 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/339/

Pulmonary Artery Banding in the Current Era: Is It Safe and Useful Yet? Original Article The main goal of this study was to assess the results of the pulmonary Artery (PA) banding in patients with congenital heart defects (CHD) and pulmonary Hypertension (PH). Pulmonary artery banding, congenital heart disease, pulmonary hyper-tensionIntroduction 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/338/

Pulmonary Artery Banding in the Current Era: Is It Safe and Useful Yet? Original Article The main goal of this study was to assess the results of the pulmonary Artery (PA) banding in patients with congenital heart defects (CHD) and pulmonary Hypertension (PH) Pulmonary artery banding, congenital heart disease, pulmonary hyper-tensionIntroduction 12 16 http://www.iscs.org.ir/journals/vol.3/no.3/337/

Echocardiographic Assessment of Myocardial Performance Index After CompleteSurgical Correction of Tetralogy of Fallot Original Article Cardiac function may change following complete surgical correction of Tetralogy of Fallot (TOF) and measures that can assess these changes are either invasive or very expensive. Objectives: This study aim was to investigate the use of Doppler echocardiography as a simple, inexpensive and reproducible method for assessment of cardiac function. echocardiography, Tetralogy of Fallot, myocardial performance index,children 0 0 http://www.iscs.org.ir/journals/vol.3/no.3/336/

Surgical Outcomes of EmergencyCardiac Operations Original Article Emergency cardiac operations have more complications and mortality than elective operations. We have evaluated the complications and mortality and the most predicted cause of them in emergency cardiac operations. Emergency operation, cardiac surgery, Post MI –VSD, MOF (multipleorgan failure). 3 3 http://www.iscs.org.ir/journals/vol.3/no.3/335/