Successful surgical management of ventricular septal perforation following left ventricular free wall rupture due to acute myocardial infarction: a case report.

Background: The mechanical complications associated with acute myocardial infarction can be fatal. We report a life-saving case of a very elderly patient with consecutive mechanical complications of acute myocardial infarction.

Case Presentation: A 90-year-old woman was transferred to our hospital for emergency care due to chest pain.

Three cases of diagnostic delay of type A acute aortic dissection.

Background: Diagnostic delay (DD) can be lethal when patients with type A acute aortic dissection (TAAAD). We report 3 cases of DD associated with TAAAD.

Case Presentation: Case 1 is a female in her sixties presenting with severe back pain.

Fluttering cord-like thrombus in the aortic arch.

Background: The optimal treatment for aortic thrombus remains to be determined, but surgical treatment is indicated when there is a risk for thromboembolism.

Case Presentation: A 47-year-old male presented with weakness in his left arm upon awakening. Contrast-enhanced computed tomography and transesophageal echocardiography revealed a mobile pedunculated object suggestive of a thrombus arising from the ascending aorta and extending to the left common carotid artery.

Long-term outcomes following surgical repair of coronary artery fistula in adults.

Background And Aim Of The Study: Coronary artery fistula (CAF) is a relatively rare cardiac anomaly. We investigated long-term outcomes following surgical repair of CAF in adults.

Methods: We retrospectively investigated 13 consecutive patients undergoing surgical repair of CAF in our institution between 2008 and 2019 (67.