[Combined coronary artery bypass-graft surgery and valve surgery. Cardiothoracic surgery department of a high specialty medical unit experience].

Background: the combined heart valve surgery and coronary artery bypass graft surgery has increased in frequency. The combined procedures have an increased risk of perioperative complications and mortality and usually is realized in older patients. We present our experience with this combined procedure.

[Adjunct use of NovoSeven (recombinant factor VIIa) for penetrating cardiac trauma].

Background: Uncontrolled bleeding leads to 40-86% of preventable deaths due to trauma. Use of NovoSeven (rFVIIa) in trauma is promising, although data supporting its utilization are limited.

Case Report: We report the case of a patient who sustained a penetrating grade V cardiac injury (AAST-OIS) and presented postoperative massive coagulopathic bleeding arrested by the administration of platelet pools and NovoSeven.