Cardiac surgery-associated acute kidney injury.

Cardiac surgery-associated acute kidney injury (CSA-AKI) is a well-recognized complication resulting with the higher morbid-mortality after cardiac surgery. In its most severe form, it increases the odds ratio of operative mortality 3-8-fold, length of stay in the Intensive Care Unit and hospital, and costs of care. Early diagnosis is critical for an optimal treatment of this complication.

[Subaortic stenosis more than twenty years after surgical repair of a partial atrial septal defect in an adult].

Subaortic stenosis after surgical correction of a partial atrioventricular septal defect is uncommon. When it occurs, it is usually diagnosed 6-8 years after early surgical repair in childhood. We present a female patient who underwent mitral valve cleft repair and closure of a partial atrial septal defect with a Teflon patch at the age of 48 years.

Spontaneous coronary dissection during postpartum: etiology and controversies in management.

A 31-year-old female with a history of toxic oil syndrome in childhood, presented with spontaneous left main coronary dissection 4 weeks after an uncomplicated delivery. She had an extensive myocardial infarction, severe left ventricular dysfunction and cardiogenic shock which did not resolve following urgent surgical revascularization. Temporary left ventricular support and heart transplantation were necessary.

[Myocardial infarction and severe mitral insufficiency. Presentation of an aortic fibroelastoma].

We report the case of a 75-year-old female with atypical chest pain followed by non-Q wave myocardial infarction. At coronary angiography and ventriculography severe left main stenosis and severe mitral regurgitation were evidenced. Transesophageal echocardiography, performed in order to evaluate a possible mitral repair, showed an aortic tumor (11 x 14 mm in diameter) attached to the commissure between the left and non-coronary cusp, without mitral regurgitation.