Stab wound of the heart with unusual sequelae.

A 31-year-old woman was admitted to the emergency department with a stab wound to the heart. She was initially stable but rapidly developed hypotension. While the operating room and staff were in preparation, she underwent pericardiocentesis.

Off-pump plication of left ventricular aneurysm.

With a small left ventricular aneurysm, the surgeon finds it difficult to decide whether to repair the aneurysm or leave it alone; there are risks and benefits to consider. Our choice is plication rather than resection. The procedure may be performed on-pump or off-pump, and the results are easy to demonstrate with the help of transesophageal echocardiogram.