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.

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.

All-Arterial In Situ Bypass for Coronary Artery Stenosis in a Patient With Syphilis.

A 61-year-old man with syphilis was diagnosed with 3-vessel coronary artery disease. Syphilis causes aortitis, which progresses over time, even with appropriate treatment of the syphilis infection itself. Aortitis leads to coronary ostial stenosis and failure of the bypass graft to the ascending aorta.

Is central repair with coronary artery bypass grafting enough for multi-organ malperfusion in acute type A aortic dissection with coronary malperfusion?

Objectives: Acute type A aortic dissection with coronary malperfusion syndrome is rare but associated with high mortality. Multi-organ malperfusion is an independent predictor of acute type A aortic dissection. Coronary malperfusion requires treatment, but it is not feasible to treat all malperfusions.

Rare case of ruptured muscular ventricular septal aneurysm due to silent myocardial ischemia in adult.

Interventricular septal aneurysm of muscular type is uncommon in adult, to say nothing of membranous type. Acute or subacute left-to-right shunt (LR shunt) in a ventricular septum is mostly critical and usually shows severe symptoms. Therefore, ruptured muscular ventricular septal aneurysm (VSA) with LR shunt of unknown onset in adult is highly rare.

Late onset of coronary ostial stenosis following surgical aortic valve replacement in a patient with anomalous origin of the right coronary artery.

Surgical aortic valve replacement (SAVR) in patients with anomalous origination of a coronary artery from the opposite sinus is associated with risk for myocardial ischemia during the perioperative period. [1] However, iatrogenic coronary ostial stenosis (ICOS) generally occurs within the first 6 months after SAVR. We present an unusual case of a 74-year-old man with anomalous origination of the right coronary artery from the left coronary sinus, who developed effort angina due to ICOS 19 months following SAVR and ascending aorta replacement.

Surgical treatment for secondary aortoesophageal fistula after prosthetic aortic replacement: A report of four cases.

Introduction: With the increase of thoracic aortic aneurysm surgery and thoracic endovascular aortic repair, secondary aortoesophageal fistula (AEF) has been reported. However, the treatment strategy for AEF remains controversial.

Presentation Of Cases: Four patients who had undergone prosthetic aortic replacement for thoracic aortic aneurysm 4-36 months previously, were hospitalized with sepsis-like symptoms.

[Pulmonary Artery Catheter-induced Massive Tracheal Hemorrhage during Aortic Valve Surgery;Report of a Case].

We report a case of pulmonary artery catheter (PAC)-induced massive intratracheal hemorrhage during aortic valve surgery. An 81-year-old woman underwent aortic valve replacement and pulmonary vein isolation. Operative procedures were uneventful, but active and massive intratracheal hemorrhage started just after cardiopulmonary bypass was discontinued.

Respiratory Failure after Open Descending Aortic Aneurysm Repair: Risk Factors and Outcomes.

Purpose: This study was conducted to identify predictors of respiratory failure after open repair of descending thoracic aortic aneurysm (DTAA), and to identify any relationship between respiratory failure and long-term survival.

Methods: A total of 75 patients undergoing elective open DTAA repair at the Shiga University of Medical Science Hospital were included in the study. Univariate and multivariate logistic regression analyses were performed to assess the odds ratios for incident postoperative respiratory failure after open DTAA repair.

[Stent Graft-induced New Entry after Total Arch Replacement with Open Stent Graft Technique for Aneurysmal Chronic Stanford Type B Aortic Dissection].

A 68-year-old woman after total arch replacement with open stent graft(OSG) technique for aneurysmal chronic Stanford type B aortic dissection was found to have expanding proximal descending aortic aneurysm. Contrast-enhanced computed tomography(CT) showed distal stent graft-induced new entry (distal SINE). We successfully performed additional thoracic endovascular aortic repair (TEVAR).

Tricuspid valve relocation with endomyocardial fibrosis removal for Löeffler's endocarditis.

Löffler endocarditis with hypereosinophilic syndrome is rare but can cause critical ventricular obliteration by endomyocardial fibrosis. A 52-year-old woman experienced severe right heart failure with extreme shrinkage of her right ventricle, severe tricuspid regurgitation and marked right atrial enlargement. Preoperative tests showed identical pressures in the right atrium and pulmonary artery.