Complex interventional procedures for the management of early postoperative left main coronary artery embolism after bioprosthetic aortic valve insertion.

The incidence of calcified debris coronary embolism after aortic valve replacement (AVR) with a bioprosthesis is a rare but potentially life-threatening condition. We sought to describe a case of immediate postoperative left main coronary artery embolism, resulting to severe acute coronary syndrome and cardiogenic shock, after aortic valve surgery due to severe aortic valve stenosis, with the use of bioprosthesis. Complex interventional procedures and possible diagnostic challenges are being described.

Fatal pulmonary failure attributable to viral pneumonia with human herpes virus 6 (HHV6) in a young immunocompetent woman.

Adult respiratory distress syndrome (ARDS) attributable to viral pneumonia is described mainly in immunodeficient persons. ARDS caused by human herpes virus 6 (HHV6) is extremely rare, and to our knowledge only 1 case has been reported in the literature. We present the case of a young woman who developed fatal pulmonary failure most probably attributable to HHV6 pneumonia.