Hemostatic Proximal Anastomosis for Type A Acute Aortic Dissection: Reversed Turn-Up Technique (Akita Method).

In surgery for acute type A aortic dissection, controlling bleeding from the posterior wall of the proximal anastomosis is particularly challenging. To address this, we use the "reversed turn-up technique." For the reinforcement of the proximal aortic stump, Teflon felt strips were placed inside and outside the suture line with 4-0 polypropylene continuous transverse mattress sutures, and BioGlue was applied to the false lumen.

Late post-endovascular abdominal aortic repair rupture due solely to type II endoleak without other types of endoleak.

Rupture of abdominal aortic aneurysm (AAA) due to an isolated type II endoleak (TIIEL) is rarely reported, accounting for less than 1% of all TIIELs; typically, rupture associated with TIIEL is accompanied by type I or type III endoleaks. We report a case of ruptured AAA secondary to TIIEL without any other types of endoleaks, occurring late after endovascular abdominal aortic repair (EVAR). A 77-year-old man with a history of EVAR 11 years earlier presented with abdominal pain.

Cardiac rupture caused by penetration of the heart by fractured costal cartilage following blunt chest trauma: A case report.

Background: Cardiac rupture is rare but has a high mortality rate. Cardiac rupture due to blunt trauma is generally caused by the heart being pinched into the bony thorax.

Case Presentation: A 90-year-old man in shock was transported to the hospital after his precordium was stepped on by a cow.

Effectiveness of ultra-/very-high-frequency oscillations combined with helium-oxygen gas mixture in a rabbit model.

High-frequency oscillatory ventilation (HFOV) at frequencies of approximately 15 Hz is associated with optimal CO excretion. Higher frequencies using a nitrogen-oxygen gas mixture worsen CO excretion. An in vitro experiment using HFOV and a helium-oxygen gas mixture showed a significant increase in CO transport, which increased with increases in ventilation frequency.