[Acute pulmonary thromboembolism in polysplenia syndrome].

We present a case of azygos continuation of the inferior vena cava, combined with polysplenia syndrome in a 72-year-old woman who presented with circulatory collapse due to acute pulmonary thromboembolism. Patients with polysplenia have multiple spleens, and their splenic function is usually normal, but this case was not. In this case, defective splenic function was associated with a high risk of fulminant bacterial infections, especially with encapsulated bacteria.

Revascularization using satellite vein after radial artery harvested for coronary artery bypass grafting.

The radial artery has been increasingly used for coronary artery bypass grafting and has excellent long-term patency rates. Hand claudication is one of the adverse effects after radial artery harvest. We reconstructed a radial artery using the satellite vein to prevent hand claudication.

[A critical pneumonia by multidrug-resistant Enterococcus faecium in a chronic hemodialysis patient. A case report].

Enterococcus faecium is usually known as a pathogen of nosocomial infections in compromised patients. Recently it is a problem that some of the E. faecium become resistant to many antibiotics.

[Pulmonary pseudosequestration receiving arterial supply from the right coronary artery: a case report].

A 66-year-old female had been treated by hemodialysis since 1996. She was admitted to our hospital with acute pneumonia in January 2001. During admission, ischemic heart disease was identified.