Surgical Repair of a Coronary Sinus Atrial Septal Defect in an Elderly Patient.

This report describes the case of a 75-year-old man with atrial fibrillation and mitral regurgitation who was diagnosed as having a coronary sinus atrial septal defect, also known as an unroofed coronary sinus, the rarest type of interatrial communication. Elderly patients with this anomaly are sometimes overlooked. However, with the advent of modern imaging techniques, an increasing number of patients with this condition are being diagnosed preoperatively.

Alternative Proximal Protection Method during Carotid Artery Stenting Using Combined Transbrachial and Transradial Artery Approaches.

Herein, we report a case of carotid artery stenting with proximal flow protection for severe stenosis of the left internal carotid artery using transbrachial and transradial artery approaches. Because an abdominal aortic aneurysm was present, we avoided the transfemoral approach. The procedure was successfully performed with a combination of an 8-Fr balloon guide catheter and microballoon catheter on separate axes.

Posterior Tibial Artery Aneurysm Caused by Trauma: A Case Report.

In this study, we present a case of 59-year-old man with a posterior tibial artery (PTA) aneurysm. Mostly, PTA aneurysm is caused by trauma, infection, and iatrogenic injury. The patient had a history of ankle trauma that occurred 2 years ago.

Hyperacute ischemic stroke treated with carotid-carotid artery bypass surgery "case report".

Thrombolytic therapy using heparin, urokinase, and tissue plasminogen activator (tPA) has been the standard treatment for hyperacute ischemic stroke (HIS) with worsening carotid artery stenosis. In recent years, endovascular treatments (thrombectomy and carotid artery stenting) have attracted attention, and neurosurgeons are increasingly participating in these treatments. A 70-year-old Japanese male presented to our hospital with aphasia and right hemiparesis.