<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Journal of Cardio-Thoracic Medicine</title>
			<title_fa></title_fa>
			<short_title></short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://jctm.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2345-2447</journal_id_issn>
			<journal_id_issn_online>2322-5750</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2025</year>
				<month>12</month>
				<day>1</day>
			</pubdate>
			<volume>13</volume>
			<number>4</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Short-Term Perioperative Outcomes of Video-Assisted Thoracoscopic Versus Open Thymectomy in Myasthenia Gravis: A Single-Center Cross-Sectional Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: Thymectomy is a crucial aspect of managing myasthenia gravis (MG). Video-assisted thoracoscopic surgery (VATS) offers a less invasive option compared to traditional open transsternal thymectomy. However, there is limited data on perioperative outcomes in Iran remain limited.Methods: This cross-sectional study included 66 MG patients who underwent thymectomy at Mashhad University of Medical Sciences between 2005 to 2024. Patients underwent either open surgery (n=44) or VATS (n=22). Perioperative outcomes, such as operative time, blood loss, postoperative drainage, ICU and hospital stay, transfusion requirements, cardiovascular complications, and conversion to open surgery, were compared using Mann–Whitney U and chi-square tests.Results: VATS thymectomy had longer operative times (124.9±9.6 vs. 88.2±6.5 min, P&lt;0.001) but was associated with lower blood loss (252±52 vs. 323±55 mL, P&lt;0.001), reduced postoperative drainage (273±61 vs. 308±53 mL, P=0.006), shorter ICU stay (1.0±0.0 vs. 1.7±0.5 days, P&lt;0.001), shorter total hospital stay (3.0±0.8 vs. 5.9±0.8 days, P&lt;0.001), and fewer patients requiring transfusion (13.6% vs. 20.0%, P=0.23). Cardiovascular complications were rare and comparable (9.1% vs. 8.9%, P&gt;0.999). Two patients (9.1%) in the VATS group required conversion to open surgery.Conclusions: VATS thymectomy is a safe and effective minimally invasive alternative to open surgery for MG, providing superior short-term perioperative outcomes without increasing complications. These findings support the adoption of VATS in centers with adequate surgical expertise. Multicenter prospective studies are needed to confirm long-term outcomes and cost-effectiveness.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Myasthenia gravis thymectomy, Open surgery, Perioperative outcomes, Video-assisted thoracoscopic surgery</keyword>
				<start_page>1599</start_page>
				<end_page>1603</end_page>
				<web_url>https://jctm.mums.ac.ir/article_26915.html</web_url>
			<author_list><author>
				<first_name>Ghasem</first_name>
				<middle_name></middle_name>
				<last_name>Amini</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>aminigh4011@mums.ac.ir</email>
				<code>118168</code>
				<coreauthor>No</coreauthor>
				<affiliation>Endoscopic and Minimally Invasive Research Center, Department of Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Fatemeh</first_name>
				<middle_name></middle_name>
				<last_name>Sajedi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>fatemehsajjadi.official@gmail.com</email>
				<code>118169</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hasan</first_name>
				<middle_name></middle_name>
				<last_name>Mehrad Majd</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mehradmajdh@mums.ac.ir</email>
				<code>118170</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Boostani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>boostanir@mums.ac.ir</email>
				<code>118171</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Neurology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Azra</first_name>
				<middle_name></middle_name>
				<last_name>Rashidnezhad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email></email>
				<code>119671</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Neurology, Torbat Heydarieh University of Medical Sciences, Torbat Heydarieh, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Bagheri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>bagherir@mums.ac.ir</email>
				<code>118172</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Lymphocytes TregFoxP3 as an Immunological Response Associated with Secondary Inflammation by Cardiopulmonary Bypass in Cardiac Surgery</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: Cardiopulmonary Bypass (CPB) triggers a robust systemic inflammatory response, marked by elevated serum levels of inflammatory interleukins, which negatively affect endothelial function and target organs. In response to this inflammatory insult, the body activates TregFoxP3 lymphocytes, which regulate inflammation by inhibiting pro-inflammatory interleukins and promoting restorative macrophage activity. Despite this regulatory mechanism, CPB-related inflammation in cardiac surgery is often associated with hemodynamic disturbances. The impact of TregFoxP3 cell levels—whether increased or depleted—on this relationship remains unclear and was therefore evaluated.Method: This study aimed to assess the effect of CPB on the relationship between TregFoxP3 cells and inflammatory interleukins in patients undergoing cardiac surgery. Blood samples were collected before and after the CPB procedure to measure levels of IL-2, IL-6, IL-8, and TNF-α using chemiluminescence, and TregFoxP3 lymphocytes were quantified via flow cytometry.Results: A total of 32 patients (mean age 65 ± 5 years), primarily undergoing cardiac valve replacement (80%), were included in the analysis. The average CPB duration was 80 ± 20 minutes, with aortic clamping lasting 60 ± 15 minutes. Following CPB, serum levels of IL-6, IL-8, TNF-α, and TregFoxP3 significantly increased, while IL-2 levels significantly decreased (p = 0.001). Baseline TregFoxP3 levels showed no correlation with inflammatory interleukins; however, post-CPB levels demonstrated a strong and significant positive correlation (r &gt; 0.50, p = 0.001), except for IL-2, which showed a negative association.Conclusion: The TregFoxP3 lymphocyte response is strongly and significantly correlated with inflammatory interleukin levels following cardiac surgery involving Cardiopulmonary Bypass, highlighting its potential role in modulating postoperative inflammation.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Cardiopulmonary Bypass, Cardiac Surgery, Inflammatory Interleukins, Lymphocytes TregFoxP3</keyword>
				<start_page>1604</start_page>
				<end_page>1607</end_page>
				<web_url>https://jctm.mums.ac.ir/article_26918.html</web_url>
			<author_list><author>
				<first_name>Maximiliano</first_name>
				<middle_name>Rodríguez</middle_name>
				<last_name>Morales</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>maxi_rguez@hotmail.com</email>
				<code>118181</code>
				<coreauthor>No</coreauthor>
				<affiliation>Cardiovascular Surgery Department, CMN 20 de Noviembre, ISSSTE , México City.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Guillermo</first_name>
				<middle_name>Díaz</middle_name>
				<last_name>Quiroz</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>gdiazquiroz@yahoo.com.mx</email>
				<code>118182</code>
				<coreauthor>No</coreauthor>
				<affiliation>Cardiovascular Surgery Department, CMN 20 de Noviembre, ISSSTE , México City.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Guillermo</first_name>
				<middle_name>García</middle_name>
				<last_name>Castillo</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>garciacastillog@yahoo.com.mx</email>
				<code>118183</code>
				<coreauthor>No</coreauthor>
				<affiliation>Histocompatibility Laboratory, CMN 20 de Noviembre, ISSSTE, México City.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Silvia</first_name>
				<middle_name>Cortez</middle_name>
				<last_name>Martínez</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>silvia1830@hotmail.com</email>
				<code>118184</code>
				<coreauthor>No</coreauthor>
				<affiliation>Histocompatibility Laboratory, CMN 20 de Noviembre, ISSSTE, México City.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>José</first_name>
				<middle_name>Luis</middle_name>
				<last_name>Aceves Chimal</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>aceves996@hotmail.com</email>
				<code>118180</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Cardiovascular Surgery Department, CMN 20 de Noviembre, ISSSTE , México City.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Prevalence of Coronary Artery Ectasia and its Association with Cardiovascular Risk Factors among Patients Undergoing Angiography at Shahid Mostafa Khomeini Hospital in Ilam, Iran</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: Coronary artery ectasia (CAE) is an abnormal dilation of coronary arteries that can contribute to ischemia and adverse cardiac outcomes. Reported prevalence varies widely, and there is limited data available from western Iran. This study aimed to determine the prevalence of CAE and assess its association with conventional cardiovascular risk factors.Methods: In this cross-sectional study, 170 patients aged ≥18 years undergoing coronary angiography at Shahid Mostafa Khomeini Hospital, Ilam (May 2024–May 2025), were evaluated. CAE was defined as a coronary segment ≥1.5 times the diameter of an adjacent normal segment. Demographic characteristics, clinical risk factors, and lipid profiles were compared between patients with and without CAE using t-tests, Chi-square tests, and logistic regression.Results: The mean age was 60.6 ± 11.6 years, and 62.4% were male. CAE was observed in 21.8% of patients. The left anterior descending artery was most frequently affected (62.2%), followed by the circumflex (54.1%), right coronary (40.5%), and left main arteries (10.8%). No significant associations were found between CAE and diabetes, hypertension, smoking, dyslipidemia, or opium use.Conclusion: The prevalence of CAE in this population was higher than that reported internationally. The absence of significant links with traditional cardiovascular risk factors suggests distinct mechanisms, possibly inflammatory or genetic. Larger multicenter studies are needed to clarify the etiology and guide management strategies.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Coronary Aneurysm, Coronary Angiography, Iran, Prevalence, Risk factors</keyword>
				<start_page>1608</start_page>
				<end_page>1613</end_page>
				<web_url>https://jctm.mums.ac.ir/article_27033.html</web_url>
			<author_list><author>
				<first_name>Elham</first_name>
				<middle_name></middle_name>
				<last_name>MohamadYari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>elham8862@yahoo.com</email>
				<code>118681</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Cardiology, Mostafa Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>MohamadYari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>maryam.myari78@gmail.com</email>
				<code>118682</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Pakzad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>rezapakzad2010@yahoo.com</email>
				<code>118683</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Epidemiology, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Milad</first_name>
				<middle_name></middle_name>
				<last_name>MohamadYari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>milad695@gmail.com</email>
				<code>118680</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.|Neuroscience Research Center, Health Institute, Kermanshah University of Medical Sciences.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Comparison of Hematological Factors between Employees of S.G.P.C Gas Company and a General Population of Employees</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: The aim of our study was to compare complete blood count (CBC) parameters between two populations to determine if there is a need for intervention to improve the health status of workers in the work place.Methods: This study utilized a comparative cross-sectional studydesign. A total of 654 male workers aged 20-69 years at the Shahid Hasheminejad Gas Processing Company (S.G.P.C) were included.  Additionally, a control group of employees in Mashhad city (N=681), matched for age and sex, were enrolled in the study. Fasting blood samples were collected from both groups and blood parameters for all participants were analyzed.Results: Employees exposed to gas in S.G.P.C had higher white blood cell (WBC) and red blood cell (RBC) counts compared to the control group (P-value&lt;0.05). Furthermore, mean corpuscular hemoglobin concentration (MCHC) and mean corpuscular hemoglobin (MCH) were significantly higher in the control group (P-value&lt;0.01). However, there was no significant difference in hemoglobin (Hb) levels between the two groups (P-value&gt;0. 05).Conclusion: Occupational status and working environment may contribute to higher RBC and WBC counts in exposed workers.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Complete blood count, Gas exposure, Life style, Job status, Occupational Disease</keyword>
				<start_page>1614</start_page>
				<end_page>1620</end_page>
				<web_url>https://jctm.mums.ac.ir/article_26945.html</web_url>
			<author_list><author>
				<first_name>Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Mohaddes Ardabili</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mohaddesh891@muums.ac.ir</email>
				<code>118286</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.|Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad Sobhan</first_name>
				<middle_name></middle_name>
				<last_name>Sheikh Andalibi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hamidreza.milani96@gmail.com</email>
				<code>119672</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.|Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sara</first_name>
				<middle_name></middle_name>
				<last_name>Raji</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>rajis921@mums.ac.ir</email>
				<code>118288</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.|Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sanaz</first_name>
				<middle_name></middle_name>
				<last_name>Sheykhian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sanaz.sheykhian@gmail.com</email>
				<code>118289</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.|Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Shirin</first_name>
				<middle_name></middle_name>
				<last_name>Lahooti</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>lahoutish931@mums.ac.ir</email>
				<code>118290</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.|Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Saberi-Karimian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>saberikm@mums.ac.ir</email>
				<code>118291</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad Reza</first_name>
				<middle_name></middle_name>
				<last_name>Baghshani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>dr.mrezab@gmail.com</email>
				<code>118292</code>
				<coreauthor>No</coreauthor>
				<affiliation>Petroleum Industry Health Organization, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Tayefi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>tayefim@mums.ac.ir</email>
				<code>118293</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Gordon A.</first_name>
				<middle_name></middle_name>
				<last_name>Ferns</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>g.ferns@bsms.ac.uk</email>
				<code>118294</code>
				<coreauthor>No</coreauthor>
				<affiliation>Brighton &amp; Sussex Medical School, Division of Medical Education, Falmer, Brighton, Sussex BN1 9PH, UK.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Majid</first_name>
				<middle_name></middle_name>
				<last_name>Ghayour-Mobarhan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ghayourm@mums.ac.ir</email>
				<code>118295</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.|International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>A Hidden Scar, A Visible Cure: Minimally Invasive Repair of ASD and Pulmonary Stenosis Without Femoral Bypass</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Case Report</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: Atrial septal defect (ASD) with concurrent pulmonary stenosis (PS) is a rare congenital cardiac anomaly that presents functional and cosmetic challenges, especially in young female patients. Traditional surgical approaches via median sternotomy, while effective, may result in significant scarring and longer recovery times. Minimally invasive techniques have emerged as a preferred alternative, offering reduced morbidity and improved aesthetic outcomes.Case Presentation: A 20-year-old female presented with a large secundum ASD and severe valvular pulmonary stenosis. Due to her age and cosmetic concerns, she underwent surgical repair via a right anterolateral mini-thoracotomy using a 3-inch submammary incision. Cardiopulmonary bypass was established through conventional central aorto-caval cannulation, avoiding femoral access. The ASD was closed with a Dacron patch, and pulmonary valvotomy was performed through the right ventricular outflow tract and pulmonary artery. The procedure was completed without complications, and the patient had an uneventful recovery with excellent cosmetic and functional outcomes.Conclusion: This case highlights the feasibility, safety, and advantages of combining central cannulation with a minimally invasive mini-thoracotomy approach in the surgical correction of complex congenital heart defects. It offers a resource-efficient, cosmetically superior alternative to sternotomy, especially suited for young female patients and low-resource settings.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Atrial Septal Defect, Cardiopulmonary Bypass, Minimally Invasive Surgical Procedures Pulmonary Valve Stenosis, Thoracotomy</keyword>
				<start_page>1621</start_page>
				<end_page>1625</end_page>
				<web_url>https://jctm.mums.ac.ir/article_27238.html</web_url>
			<author_list><author>
				<first_name>Parth</first_name>
				<middle_name></middle_name>
				<last_name>Vaghela</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>parth_vaghela911@yahoo.com</email>
				<code>119604</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Cardiothoracic and Vascular Surgery, GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maya</first_name>
				<middle_name></middle_name>
				<last_name>Damor</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>drmayadamor25@yahoo.com</email>
				<code>119605</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Anesthesia , GCS Medical College, Hospital and Research Centre, Ahmedabad, Gujarat, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jishna</first_name>
				<middle_name></middle_name>
				<last_name>Vaghela</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>jisnavaghela@gmail.com</email>
				<code>119606</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthodontics and Dentofacial Orthopaedics, College of Dental Sciences, Amargarh, Bhavnagar, Gujarat, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Weight No Barrier: Anaortic Off-Pump Total Arterial CABG in a 107-kg Patient</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Case Report</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Total arterial, anaortic off-pump coronary artery bypass grafting (OPCABG) is a refined surgical approach that minimizes the risks of cardiopulmonary bypass and aortic manipulation. This case report describes a 44-year-old male with triple vessel coronary artery disease who underwent successful total arterial anaortic OPCABG using in-situ bilateral internal mammary arteries. The left internal mammary artery (LIMA) was used for sequential grafting to obtuse marginal branches (OM1 and OM2), and the right internal mammary artery (RIMA) was grafted to the distal right coronary artery (DRCA). The postoperative course was uneventful, and the patient was discharged on postoperative day 3. This case highlights the safety and efficacy of total arterial anaortic OPCABG in high-risk individuals.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Anaortic OPCABG, LIMA-RIMA, Sequential grafting, Total arterial grafts, Triple Vessel Disease</keyword>
				<start_page>1626</start_page>
				<end_page>1628</end_page>
				<web_url>https://jctm.mums.ac.ir/article_26917.html</web_url>
			<author_list><author>
				<first_name>Chirag</first_name>
				<middle_name></middle_name>
				<last_name>Doshi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email></email>
				<code>119673</code>
				<coreauthor>No</coreauthor>
				<affiliation>Departments of Cardiothoracic and Vascular Surgery, UN Mehta Institute of Cardiology and Research, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Aakash</first_name>
				<middle_name>Dinesh</middle_name>
				<last_name>Joshi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>draakashjoshi@gmail.com</email>
				<code>118176</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Departments of Cardiothoracic and Vascular Surgery, UN Mehta Institute of Cardiology and Research, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sumit</first_name>
				<middle_name></middle_name>
				<last_name>Modi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>drsumitmodi@yahoo.co.in</email>
				<code>118177</code>
				<coreauthor>No</coreauthor>
				<affiliation>Departments of Cardiothoracic and Vascular Surgery, UN Mehta Institute of Cardiology and Research, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Gowtham</first_name>
				<middle_name></middle_name>
				<last_name>Thakut</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>dr.thakutgowtham@gmail.com</email>
				<code>118178</code>
				<coreauthor>No</coreauthor>
				<affiliation>Departments of Cardiothoracic and Vascular Surgery, UN Mehta Institute of Cardiology and Research, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Milan</first_name>
				<middle_name></middle_name>
				<last_name>Dangariya</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>drmilandangariya@gmail.com</email>
				<code>118179</code>
				<coreauthor>No</coreauthor>
				<affiliation>Departments of Cardiothoracic and Vascular Surgery, UN Mehta Institute of Cardiology and Research, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>