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.

A Case of Spontaneous Acute Subdural Hemorrhage Caused by a Dural Arteriovenous Fistula on the Convexity without Cortical Venous Reflux.

Bleeding from a dural arteriovenous fistula (DAVF) typically occurs in the form of an intracerebral or subarachnoid hemorrhage. Here, we report a rare case of a DAVF with an acute subdural hematoma (ASDH). A 29-year-old male presented to the emergency department with a complaint of progressing headache and nausea, with no reported episode of head trauma.

Cinacalcet hydrochloride relieves hypercalcemia in Japanese patients with parathyroid cancer and intractable primary hyperparathyroidism.

Pharmacological treatment of hypercalcemia is essential for patients with parathyroid carcinoma and intractable primary hyperparathyroidism (PHPT). Use of the calcimimetic cinacalcet hydrochloride (cinacalcet) is an option to treat such patients. We investigated the efficacy and safety of cinacalcet in Japanese patients with parathyroid carcinoma and intractable PHPT.

Nafamostat mesilate, as a treatment for heparin resistance, is not associated with perioperative ischemic stroke in patients undergoing cardiac surgery with cardiopulmonary bypass.

Objective: Nafamostat mesilate, a short-acting protease inhibitor, treats heparin resistance during cardiopulmonary bypass. This study tested whether nafamostat mesilate is associated with perioperative ischemic stroke.

Design: A retrospective observational study.

[A case of yellow nail syndrome associated with eosinophilic bronchial disease successfully treated with clarithromycin and budesonide].

A 78-year-old man was referred to our hospital complaining of chronic productive cough. Physical examination revealed yellowish, thin nails and pretibial edema. A chest computed tomograph showed bilateral bronchiectasis.

[Hashimoto's encephalopathy--case report and diagnostic issues in Japan].

We report a patient with Hashimoto's encephalopathy who showed remission and exacerbation 2 times, with a review of previously reported patients in Japan. A 54-year-old woman was admitted to our hospital for various symptoms, such as tremors of the bilateral upper limbs, psychiatric symptoms, consciousness disorder, and convulsion. Steroid pulse therapy and the subsequent oral maintenance therapy resulted in remission.

[Mycoplasma pneumonia complicated by acute renal failure].

A 17-year-old woman presented with cough and fever. Treatment with cefteram pivoxil and fosfomycin calcium was not effective. Chest radiography showed infiltration with an air bronchogram in the left upper lung field.

[Papillary adenocarcinoma of the prostate: report of 3 cases].

We report here 3 cases of papillary adenocarcinoma of the prostate. In all 3 cases, the tumors were discernible on cystourethroscopy and transurethral biopsy established the diagnosis, whereas no significant finding was found on digital rectal examination. Although androgen deprivation therapy was administered in all cases, different surgical procedures were employed according to the stage in each case.

[A case report of successful mitral valve replacement for infective endocarditis during pregnancy].

Infective endocarditis is an important but uncommon complication in obstetric or gynecologic practice. A 32 weeks' pregnant woman exhibited endocarditis due to Streptococcus oralis. The present case was successfully managed by means of aggressive antibiotic and diuretic treatments appropriate for endocarditis.

[Cystic vein: as a perfusion vein of hepatic portion-angiographical study].

In order to determine the hepatic portions by cystic vein, we carried out abdominal angiography in 153 patients. The cystic vein was recognized in eleven patients, but only in nine cystic venous flow could be measured. In this group of patients, in which the cystic venous flow was detected, hepatic angiography was performed through the right hepatic artery (RHA) in six patients, the anterior branch of RHA in one patient, and the cystic artery in two patients.

[An aged case of successful repair for the ruptured distal aortic arch aneurysm associated with aortic regurgitation: a case report].

Ruptured thoracic aortic aneurysm had severely high mortality. A 83-year-old female, who had suddenly complained back pain and been diagnosed as the ruptured distal aortic arch aneurysm with aortic regurgitation by computer tomography and echo cardiogram, was admitted for an emergent surgery. Aortic arch replacement and aortic valve replacement were performed through median sternotomy under deep hypothermic circulatory arrest with the retrograde cerebral perfusion.

[Anesthesia in a patient with epidermolysis bullosa].

A 6-year-old-boy with epidermolysis bullosa underwent plastic surgeries for the scar contraction of hands. Anesthesia was induced with inhalation of sevoflurane in combination with nitrous oxide and oxygen. The tracheal was not intubated.

[Surgical treatment of dissecting aortic aneurysm using GRF glue].

A 62-year-old woman underwent primary anastomosis for dissecting aortic aneurysm (DeBakey IIIb) using GRF glue. GRF glue consists of mixture of gelatin and resorcin. The mixture is hardened by the addition of medical formaldehyde.

[Significance of inferior ST segment changes in acute anterior myocardial infarction--relationship between the distribution of left anterior descending artery and concomitant ischemia of the inferior wall].

The significance of inferior ST segment changes was studied in 23 patients with acute anterior myocardial infarction by the distribution of the left anterior descending artery (LAD) after percutaneous transluminal coronary recanalization. In 9 patients (Group A) LAD supplied the anterior wall of the left ventricle up to or including the apex but did not reach the inferior wall; in 8 patients (Group B) it continued beyond the apex onto the inferior wall of the left ventricle with well developed collateral circulation; in 6 patients (Group C) it continued beyond the apex onto the inferior wall of the left ventricle with less-developed or no collateral circulation. Thallium-201 scintigraphy and contrast left ventriculography showed that inferior myocardial ischemia was significantly more prominent in Group C than Group A.