Impella-Supported Surgical Repair for Acute Phase Posterior Ventricular Septal Rupture.

A 72-year-old man was diagnosed with posterior ventricular septal rupture after acute myocardial infarction with dissection in the posterior wall of the ventricular septum. On admission, cardiogenic shock was identified, and an Impella CP was inserted to improve his hemodynamics. Extended sandwich patch repair through the right ventricle with a Dacron patch was successfully performed, achieving an excellent postoperative course with stable hemodynamics.

Clusters of COVID-19 in long-term care hospitals and facilities in Japan from 16 January to 9 May 2020.

Aim: To clarify the association of cluster number and size of coronavirus disease 2019 (COVID-19) in long-term care (LTC) hospitals/facilities, general medical/welfare facilities and non-medical/welfare facilities with morbidity and mortality in 47 prefectures during 16 January to 9 May 2020 in Japan.

Methods: Information on COVID-19 clusters (n ≥2), and morbidity and mortality of COVID-19 was collected.

Results: A total of 381 clusters with 3786 infected cases were collected, accounting for 23.