Delayed Right Ventricular Pacemaker Lead Perforation 9 Years After Implantation.

BACKGROUND Cardiac perforation is a rare complication of cardiac implantable electronic devices, with a reported incidence ranging from 0.1% to 5.2%.

[Refractory Hypertension and Intermittent Claudication Caused by Distal Elephant Trunk Stenosis 10 Years After Total Arch Replacement for Stanford Type A Aortic Dissection;Report of a Case].

A 49-year-old man was admitted to our hospital because of intermittent claudication and refractory hypertension 10 years after surgery to Stanford type A acute aortic dissection. He underwent total arch replacement with an elephant trunk of 22 mm in diameter. Transesophageal echocardiography revealed that distal end of the elephant trunk was stenosed.

Results of Graft Removal and Negative Pressure Wound Therapy in Management of Graft Infection.

Graft infections are a challenging complication in lower extremity bypass surgery with poor outcome, even when treated with graft removal (Gr-R) as a gold standard therapy. The efficacy of negative pressure wound therapy (NPWT) for graft infections has been reported recently, but it is still controversial. The purpose of this study was to assess the efficacy of NPWT and Gr-R for treating graft infections.

Incidence and risk factors for aspiration pneumonia after cardiovascular surgery in elderly patients.

Objective: Pneumonia after cardiovascular surgery is the leading cause of mortality. Postoperative aspiration pneumonia becomes a critical issue in the management of cardiovascular surgery in the aging society. The aim of this study was to investigate the incidence and risk factors of aspiration pneumonia after cardiovascular surgery for elderly patients.

Right atrial approach for repairing a posterior ventricular septal rupture: a case report.

Background: Ventricular septal rupture (VSR) is a life-threatening complication following acute transmural myocardial infarction. Posteriorly located ruptures are one of the main predictors of poor prognoses because of the surgical difficulties associated with this location.

Case Presentation: A 72-year-old man with a posterior VSR underwent surgical repair via the right atrial approach.

Transverse rupture of ring-supported Dacron graft 10 years after axillobifemoral artery bypass: induced by graft deterioration and Fogarty thrombectomy.

A 70-year-old woman underwent an axillobifemoral artery bypass using a bifurcated ring-supported Dacron graft in 2004 and then noticed a pulsatile mass in the left flank 10 years later. A Fogarty thrombectomy was performed for acute graft occlusion. Eight months later, computed tomography revealed pseudoaneurysm formation in the graft body and surgical graft interposition was performed.

Mitral valve repair, tricuspid valve annuloplasty, and ligation of coronary artery-pulmonary trunk fistula in a patient with arrhythmogenic right ventricular cardiomyopathy.

Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a rare cardiac disorder characterized by replacement of myocytes with adipose and fibrous tissue and often presents with ventricular arrhythmia, heart failure, and sudden death. This report describes a 67-year-old man with ARVC complicated with severe mitral regurgitation, dilated annulus of the tricuspid valve, and coronary artery-pulmonary artery fistula. Mitral valve repair, tricuspid valve annuloplasty, and ligation of the coronary artery-pulmonary artery fistula were performed.

Fulminant apical ballooning syndrome after replacement of a prosthetic aortic valve.

A 70-year-old woman was readmitted to our hospital with a fever of 39 degrees C on the 30th day after replacement of a prosthetic aortic valve. She required percutaneous cardiopulmonary support for her heart failure and was weaned after 7 days. Echocardiography revealed an akinetic and aneurysmally dilated left ventricular apex and hyperdynamic basal segments.

Off-pump coronary artery bypass combined with abdominal aortic aneurysm repair in an 88-year-old male.

We present the case of an 88-year-old patient who underwent off-pump coronary artery bypass using an aortic connector followed by repair of an abdominal aortic aneurysm to reduce surgical invasiveness. This approach merits consideration for high-risk patients.

A technique to protect an axillo-coronary bypass graft.

We describe a simple technique to protect an axillo-coronary bypass graft with a stretch, thin-walled 6-mm polytetrafluoroethylene graft with removable rings.