Effect of Surgeons' Years of Experience on Outcomes of Acute Type A Aortic Dissection.

Background The effect of surgeons' years of experience on the outcomes of acute type A aortic dissection (ATAAD) repair has not yet been studied. This study aimed to evaluate the association between the surgeon's years in practice and the outcomes of ATAAD repair. Methods Surgical records of ATAAD repairs performed at Saga University Hospital between 2004 and 2020 were reviewed.

Rapidly Worsening Infective Endocarditis With Severe Mitral Stenosis.

Infective endocarditis (IE) rarely results in mitral stenosis (MS), but MS in patients with IE can be life-threatening. We present a case of prosthetic MS secondary to IE. A 69-year-old Japanese man underwent mitral valve replacement with a bioprosthetic valve 2 years previously.

[Rupture without Bleeding Secondary to Endotension After Thoracic Endovasular Aneurysm Repair:Report of a Case].

We report a rare case of rupture without bleeding secondary to endotension after thoracic endovascular aneurysm repair. An 82-year-old woman had undergone multiple thoracic endovascular aortic repairs for a distal arch aneurysm. Due to the aneurysm enlargement, stent graft was eventually placed from the ascending aorta to just above the celiac artery after axillo-axillo-common carotid artery bypass.

[Thoracoabdominal Aneurysm in a Patient with an Axillo-bifemoral Bypass].

We report an extremely rare case of thoracoabdominal replacement after left axillo-bifemoral artery bypass surgery. The patient was a 33-year-old man who had undergone left axillo-bifemoral artery bypass surgery after total arch replacement due to lower extremity ischemia by stenosis of the elephant trunk graft 10 years previously. He was admitted to the emergency department with back pain.

Posterior cardiac drain for atrial fibrillation after aortic valve replacement.

Background: Postoperative atrial fibrillation occurs in 27% to 40% of patients after cardiac surgery. One cause of postoperative atrial fibrillation is pericardial effusion, which can be a significant source of inflammation. In this study, we investigated the effect of a drain placed in a posterior site to the heart to reduce pericardial effusion in the early postoperative period to prevent postoperative atrial fibrillation.