Impact of valvuloarterial impedance on left ventricular reverse remodeling after aortic valve neocuspidization.

Background: Aortic valve neocuspidization (AVNeo) has emerged as a promising aortic valve procedure, and is expected to have a larger effective orifice area (EOA) than commercially available bioprostheses. It is, however, unclear which indices could facilitate left ventricular (LV) reverse remodeling after AVNeo. The aim of this study is to verify the impact of global left ventricular afterload on the LV reverse remodeling following AVNeo.

Clinical Results 5 Years after Great Saphenous Vein Stripping.

As a standard treatment for the varicose vein of the great saphenous vein (GSV) type, endovenous ablation (EVA) is the main approach. However, as a background to this, in Europe and the United States, neovascularization (Neo) following high ligation (HL) of the saphenofemoral junction (SFJ) at the time of GSV stripping has been emphasized as one of the reasons for the high rate of recurrence. However, in Japan, almost no similar mid- or long-term results of GSV stripping have been reported.

[Lung cancer occurring in a left upper division which is mirror imaged to a right upper lobe].

A 55-year-old man was admitted to our hospital because of an abnormal shadow in the left upper division on chest computed tomography(CT). Virtual bronchoscopy revealed a displaced anomalous bronchus. Thin sliced CT revealed complete lobulation between the upper division and the lingula.

Successful treatment for infected aortic aneurysm using endovascular aneurysm repairs as a bridge to delayed open surgery.

Management of infected aortic aneurysms, which can be life-threatening, remains challenging. Open surgical treatments, including debridement of the infected aorta and the surrounding tissue and either in situ reconstruction or extra-anatomic bypass covering with omentum or muscle flap, are the mainstay of therapy. However, increasing advances in technology have made endovascular treatment of infected aneurysms feasible.

[Coronary artery bypass grafting in a patient with systemic lupus erythematosus, scleroderma and secondary antiphospholipid syndrome].

A 71-year-old patient with systemic lupus erythematosus, scleroderma and secondary antiphospholipid syndrome underwent coronary artery bypass grafting using cardiopulmonary bypass for angina pectoris. Postoperatively, new onset of thrombotic complications including neurological deficits was not recognized. She was discharged without any complications.

[Successful surgical treatment for Stanford type A acute aortic dissection complicating a loss of consciousness; report of a case].

An 88-year-old man was transfered to our hospital due to loss of consciousness. Intravenous dopamine was initiated for a shock status and endotracheal intubation was performed. Computed tomography with contrast medium showed Stanford type A acute aortic dissection complicating cardiac tamponade.

Mitral valve replacement via right thoracotomy approach for prevention of mediastinitis in a female patient with long-term uncontrolled diabetes mellitus: a case report.

A 76-year-old woman with a history of percutaneous transvenous mitral commissurotomy and repeated hospital admissions due to heart failure was referred for an operation for severe mitral valve stenosis. She presented with hypertension, hyperlipidemia and cerebral infarction with stenosis of right internal carotid artery, retinopathy, neuropathy and nephropathy caused by long-term uncontrolled diabetes mellitus, hemoglobin A1c of 9.4%, and New York Heart Association (NYHA) functional classification of 3/4.