Journal of cardiac surgery
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Case Reports
Embolic occlusion of the left main coronary artery following an isolated aortic valve replacement.
Coronary occlusion after aortic valve replacement due to embolization is a rare complication. We report the case of a patient who developed acute heart failure due to occlusion of the left main coronary artery following an aortic valve replacement. Successful treatment was achieved with emergent coronary bypass surgery.
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Hemathorax is an uncommon but well-described complication of type B acute aortic dissection. Due to the location and anatomic relations of the descending aorta, aortic rupture of acute type B aortic dissection usually causes a left hemathorax. We now report the case of a 42-year-old male who presented with an acute type B aortic dissection and bilateral hemathoraces.
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Papillary fibroelastoma (PFE) is a benign cardiac tumor rarely seen in the right atrium and often misdiagnosed as atrial myxoma or thrombus. We report one such case found in the right atrium during workup in a patient presenting with transient ischemic attack (TIA). ⋯ When encountered in the right heart and symptomatic, they tend to be larger in size presumably due to a longer latent period of growth. Although histologically the tumors are benign, they have the potential for fatal complications due to their propensity to embolize.
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Dilatation of the STJ may cause consequent aortic insufficiency (AI) in patients with normal aortic valve, in patients with ascending aortic aneurysm. In this study, we analyzed the results of ascending aorta replacement with STJ diameter reduction to correct consequent AI in patients with ascending aortic aneurysm. ⋯ Reduction of the diameter of STJ can be used to treat AI in patients with ascending aortic aneurysm with nearly normal aortic cusps. Midterm results of this procedure are encouraging.