Abstract Background Despite continuous developments and advances in the perioperative management of patients suffering from acute aortic dissection type A (AADA), associated postoperative morbidity mortality remain high strongly depend on preoperative clinical status. The is still hard to predict prior surgical procedure. so-called German Registry Acute Aortic Dissection Type (GERAADA) score uses very basic easily retrievable parameters was specifically designed for predicting 30-day rate...

Pulmonary endarterectomy (PEA) is the treatment of choice for chronic thromboembolic pulmonary hypertension (CTEPH) but can result in respiratory and cardiac complications that may require extracorporeal membrane oxygenation (ECMO). We reviewed our experience with ECMO patients undergoing PEA.Between January 2012 August 2015, 35 underwent PEA CTEPH. In all, four (11%) required veno-arterial (V-A) support due to severe failure, including reperfusion edema persistent hypertension. No...

Abstract Background Aortoesophageal fistula (AEF) is a relatively rare condition that often life-threatening. Secondary AEF complication of previous surgery, which can be more critical and challenging than primary AEF. The number secondary increasing due to increase in the thoracic endovascular aortic repair (TEVAR). Although TEVAR has become successful alternative surgical strategy for aneurysms, after might other because severe adhesion between esophagus residual wall. Methods This study...

Background and Aim Mesenteric malperfusion is a complication with higher risk of in-hospital mortality because diagnosing mesenteric ischemia before necrotic change difficult, when it occurs, the patient's condition has worsened. Although contradicts previous consensus on central repair-first strategy, revascularization-first strategy was found to be significantly associated lower rates. This study aimed present our postoperative results for acute aortic dissection involving malperfusion....

Background: Localized aortic dissection on the left coronary cusp with critical malperfusion of main trunk (LMT) is rare and carries a high risk death.

Temporary epicardial pacing wires (TEPWs) have been used routinely in cardiovascular surgery. Most TEPWs are associated with low morbidity, and serious complications rarely occur. Migration of is rare typically involves the right side heart. into left heart extremely rare, most patients this complication treated open We describe 2 migration who were using a catheter intervention technique.

Abstract A 46‐year‐old woman who presented with severe stenosis endothelial damage caused by recurrent spasm in the left main coronary artery received medical therapy. However, she developed spasm, resulting circulatory collapse, which was successfully treated bypass grafting.

Extrinsic compression of the left main coronary artery (LMCA) can occur in patients with an enlarged pulmonary trunk secondary to severe hypertension (PH). This phenomenon rarely occurs PH; moreover, few reports have shown that chronic thromboembolic PH be a triggering factor for this syndrome. Herein, we describe patient extrinsic LMCA who underwent endarterectomy and bypass grafting successfully. Intravenous ultrasonography (IVUS) was effective detecting assessing compression.

Left ventricular (LV) pseudo-false aneurysm is a rare complication secondary to myocardial infarction and caused by intramyocardial dissecting hematoma due fragile myocardium. Very occasionally, appears as neocavitation entirely contained within the wall (so called "pseudo-false LV") an unusual form of subacute cardiac rupture. A 38-year-old male experienced chest discomfort 3 weeks ago, which improved few days. However, after that episode, he presented at our hospital with rapidly...

An 87-year-old woman previously diagnosed with severe combined stenosis and regurgitant aortic valve disease (ASR) was rushed to our hospital dyspnea. Electrocardiography revealed new negative T-waves. Her cardiac troponin-I brain natriuretic peptide (BNP) levels were 3461 pg/mL (normal <26 pg/mL) 4678 <18 pg/mL), respectively. Echocardiography ASR (Figure 1A, Supplemental Video 1) as well left ventricular dysfunction apical hypokinesia basal hyperkinesia 1B, 2). Considering the absence of...

Unlike loop diuretics, tolvaptan is reported to have a renal protective effect. The purpose of this study was retrospectively assess the efficacy administration in chronic kidney disease (CKD) patients following open-heart surgery.From February 2017 August 2020, 75 with preoperative CKD stages IIIb-V were enrolled and divided into two groups: control group (n = 30) 45). All routinely received conventional diuretics starting from postoperative day (POD) 1. Tolvaptan at 7.5-15 mg/day...

Abstract Background The treatment of patients with infective endocarditis (IE) who have preoperative cerebral complications remains less understood. Therefore, this study aimed to retrospectively evaluate the clinical outcomes acute IE based on intracranial findings. Methods Of 32 treated at our hospital between August 2015 and March 2022, 31 whom imaging evaluation was available were included in analysis compared those without We controlled mean arterial blood pressure activated clotting...

Objective: No appropriate guidelines concerning perioperative management of transcatheter aortic valve implantation (TAVI) exist for patients with stenosis (AS) and concomitant pulmonary hypertension. Peak tricuspid regurgitation velocity (PTRV) has been estimated to be a non-invasive representation artery pressure. We aimed determine whether the preoperative background clinical course differed in who had undergone TAVI or without high PTRV. further investigated impact PTRV after on outcomes.

Objectives: Coronary artery bypass grafting (CABG) has a favorable prognosis when scheduled; however, the postoperative outcomes in acute coronary syndrome (ACS) are poor. Whether or not patients requiring resuscitation should be transferred to operating room remains unclear. We investigated of who underwent emergency CABG, including salvage CABG.Materials and methods: Of 276 single CABG procedures performed at our hospital, 67 (9 58 non-salvage cases) for ACS, 209 elective CABG. evaluated...

Background: Although the prevalence of severe carotid artery disease (CAD) in patients undergoing coronary bypass grafting (CABG) is high, no clear consensus on how to manage these exists, especially asymptomatic cases. We aimed determine impact CAD in-hospital stroke and all-cause mortality rates CABG. Methods: retrospectively analyzed 235 with documented duplex ultrasound before isolated CABG at our institution between August 2015 December 2022. To assess after CABG, were compared those...

目的 : 内視鏡的経鼻膵管ドレナージ (endoscopic nasopancreatic drainage ; ENPD) 留置下膵液細胞診における膵上皮内腫瘍性病変 (pancreatic intraepithelial neoplasia PanIN) の細胞学的鑑別についての報告はみられない. そこで, PanIN の細胞学的鑑別点を明らかにすることを目的として膵液細胞像を検討した.

Infective coronary artery aneurysm is extremely rare and ruptured life-threatening. We report a case of aneurysm, which was successfully treated by the patch closure technique bypass grafting. Pathological examination revealed purulent inflammation in aneurysmal wall. Prompt diagnosis appropriate treatment were essential.

Postinfarction ventricular septal defect has been a challenge to cardiac surgeons. Recently, number of reports have recommended closure through the right ventricle. However, when inferior myocardial infarction widely extends left ventricle, it is necessary modify patch-closure technique due extensive fragile necrotic myocardium. We describe simplified surgical via incision.