Postoperative paraplegia after transapical transcatheter aortic valve implantation.

An 84-year-old man with severe aortic valve stenosis underwent transcatheter aortic valve implantation (TAVI). We selected a transapical approach TAVI because he had a 48-mm abdominal aortic aneurysm and his descending aorta was covered with severe atherosclerosis, a so-called "shaggy aorta". A 26-mm Sapien XT prosthesis (Edwards Lifesciences, Irvine, CA, USA) was successfully implanted, and TAVI was performed using cardiopulmonary bypass.

[Partial Rupture of an Anterior Papillary Muscle without Preoperative Diagnosis of Acute Myocardial Infarction;Report of a Case].

We report a case of partial rupture of an anterior papillary muscle without diagnosis of acute myocardial infarction before operation. A 70-year-old woman who had been in the psychiatry department for schizophrenia was admitted to our hospital by emergency for shock and dyspnea. Echocardiography demonstrated severe mitral regurgitation with prolapse of the anterior leaflet, and coronary angiography revealed significant stenosis of the 1st diagonal branch but no total occlusion of the coronary artery.