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Balloon-assisted bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction with en face view for patients exhibiting severe calcified leaflet: a case report.
Eur Heart J Case Rep
December 2024
Department of Cardiology, Sendai Kousei Hospital, 1-20, Tsutsumidori Amamiya-cho, Aoba-ku, Sendai, Miyagi 981-0914, Japan.
Background: Balloon-assisted bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction (BA-BASILICA) enables valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) in patients at risk of coronary artery obstruction. However, its efficacy in patients with severely calcified leaflets remains unclear.
Case Summary: We report a 78-year-old woman with a deteriorated 21 mm Carpentier-Edwards PERIMOUNT Magna valve.
A case of small intestinal fixation failure.
BJR Case Rep
November 2024
Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata 951-8510, Japan.
A 77-year-old woman underwent CT to evaluate haematemesis. The images showed that the third part of the duodenum flexed steeply on the right side of the aorta and ran caudally, without crossing anterior to the aorta. The duodenal-jejunal junction and jejunum were located on the patient's right side.
View Article and Find Full Text PDFCardiac tamponade due to coronary artery injury after left upper lobectomy.
Gen Thorac Cardiovasc Surg Cases
March 2024
Department of Thoracic Surgery, Fukujuji Hospital, Kiyose-shi Tokyo, Matsuyama, 204-8522 3-1-24, Japan.
Article Synopsis
- A case of cardiac tamponade caused by coronary artery injury is presented, highlighting its rarity as a complication following lobectomy for lung cancer.
- An 82-year-old man underwent left upper lobectomy, experienced a postoperative shock due to cardiac tamponade, and was found to have a lacerated coronary artery; he ultimately died from complications.
- The study suggests that while intraoperative injury to the heart is a possibility, the injury may have been caused by staples used during surgery, which could have penetrated the pericardium as the lung expanded post-surgery.
Complete aortic rupture following wakeboarding accident.
Leg Med (Tokyo)
November 2024
Institute of Legal Medicine and Forensic Sciences, Charité-Universitätsmedizin Berlin, Turmstrasse 21, 10559 Berlin, Germany.
Wakeboarding is a sport associated with various types of injuries, primarily affecting the upper and lower limbs. In this case, a 44-year-old man fell from a ramp while wakeboarding and barely managed to reach the shore before dying shortly afterward. An autopsy revealed a complete rupture of the thoracic aorta along with a fracture of the fourth thoracic vertebra.
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