Impaired consciousness and unilateral limb movement due to acute limb ischemia complicated by acute cerebral infarction: A case report.

Rationale: The symptoms of impaired consciousness and unilateral motor impairments are a perfect scenario for cerebral infarction, and a physician can easily miss the findings of limb ischemia on the patient paralyzed side even if acute limb ischemia (ALI) occurs on that side. The purpose of this case report is to reiterate the need to suspect ALI in patients with impaired consciousness who cannot complain of symptoms such as abnormal limb paresthesia or pain.

Patient Concerns: An 89-year-old woman with impaired consciousness and motor impairment of the left upper and lower extremities was transported to our hospital.

Suturing Fenestration of the Left Subclavian Artery Orifice in Frozen Elephant Trunk Procedure.

The frozen elephant trunk (FET) procedure enables easier replacement of the entire aortic arch because it does not require reaching the distal part of the left subclavian artery (LSCA). However, it requires additional management for reconstruction of the LSCA, which is associated with bleeding events. However, the fenestrated FET technique confers a risk of endoleakage from the fenestration site.

Ruptured Valsalva Sinus Aneurysm with Ventricular Septal Defect and Double-Chambered Right Ventricle without Heart Failure: A Case Report.

Valsalva sinus aneurysm and double-chambered right ventricle are both rare congenital cardiac anomalies. Ventricular septal defect may be present in approximately 50%-60% of patients with Valsalva sinus aneurysm or approximately 70%-80% of patients with double-chambered right ventricle. However, Valsalva sinus aneurysm, double-chambered right ventricle, and ventricular septal defect rarely coexist in the same patient.

Efficacy of a newly modified technique for distal limited open stenting in octogenarians with aortic arch aneurysm.

Objective: We assessed the efficacy of distal limited open stenting procedure in octogenarians with distal aortic arch aneurysm.

Methods: During the last 5 years, 24 patients underwent distal limited open stenting. Mean patient age was 81.

Efficacy of limited proximal arch replacement for type A acute aortic dissection with critical complications.

Objective: We assessed the efficacy of limited proximal arch replacement for type A acute aortic dissection (AAD) with critical complications.

Methods: Sixty-four patients with average age of 64.5 ± 13.