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Fibromuscular Dysplasia (FMD) is a nonatherosclerotic, noninflammatory vascular disorder predominantly affecting women aged 18 to 65 years. This case report highlights a 74-year-old female diagnosed with FMD incidentally during evaluation for deep vein thrombosis (DVT). Imaging revealed significant vascular anomalies, including a giant intracranial carotid aneurysm and a hypoplastic iliac vein with extensive collateral formation.

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Preoperative Computed Tomography Virtual Simulation for HeartMate 3 Implantation in Small Children.

Ann Thorac Surg Short Rep

September 2024

Department of Cardiovascular Surgery, Tokyo Women's Medical University, The Heart Institute of Japan, Tokyo, Japan.

An implantable ventricular assist device became smaller and has been used for small body size patients. However, it is still challenging to determine whether it is implantable for pediatric patients. The preoperative computed tomography virtual simulation provided spatial information among the pump, intracardiac structures, and extracardiac structures, which was very useful to assess the implantability for borderline children.

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We present the case of a 72-year-old man diagnosed with an aortic root aneurysm who was then diagnosed with Marfan syndrome. The patient suffered an intraoperative type B dissection with lower extremity malperfusion managed with an axillary-bifemoral extra-anatomic bypass.

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A 24-year-old man with Marfan syndrome and heart failure from hypertrophic cardiomyopathy was referred to our institution in cardiogenic shock for advanced therapies. He was supported by a femoral intra-aortic balloon pump, then bridged to orthotopic heart transplantation. This is a report of an orthotopic heart transplantation in a patient with both Marfan syndrome and heart failure from hypertrophic cardiomyopathy.

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Article Synopsis
  • Marfan syndrome (MFS) is a genetic disorder that affects connective tissue and often results in serious heart issues like aortic dilation and aneurysms.
  • A 35-year-old woman from Bangladesh with MFS experienced severe chest pain and had a significant aortic root aneurysm, leading to a dangerously low ejection fraction of 20%-25%.
  • An urgent Bentall procedure was performed to address the aortic dilation, which improved her condition, as her ejection fraction increased to 25% by the time she was discharged.
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