Journal of cardiac surgery
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Case Reports
Posttraumatic coronary artery-right ventricular fistula with multiple ventricular septal defects.
The combination of posttraumatic coronary artery-right ventricular fistula and multiple ventricular septal defects is a rare and interesting phenomenon. We describe a case of a 19-year-old male with these findings following a blunt chest trauma after a motorcycle accident.
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Case Reports
Damus-Kaye-Stansel biventricular repair for transposition of the great arteries with pulmonary hypertension.
An 18-year-old female with transposition of great arteries and severe pulmonary hypertension was successfully treated with Damus-Kaye-Stansel biventricular repair. Results of the 12-year follow-up showed satisfactory hemodynamics with the aortic valve staying closed throughout the cardiac cycle and without the pulmonary valve regurgitation.
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A 55-year-old woman underwent elective mitral valve replacement due to severe rheumatic mitral valve stenosis. After valve replacement with a mechanical prosthesis, the patient failed to wean from the cardiopulmonary bypass. ⋯ Peripheral emboli are a known complication in patients undergoing mitral valve surgery for rheumatic mitral stenosis. In this report, we describe the case of a patient who sustained an intraoperative coronary embolus during a mitral valve replacement for rheumatic mitral stenosis.
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Transcatheter aortic valve implantation has been shown to be an effective treatment for severe aortic stenosis in high-risk surgical patients. Many of these patients have significant coexisting coronary artery disease. We report the first case of combined off-pump transapical aortic valve implantation and minimally invasive direct coronary artery bypass via a left mini-thoracotomy in an 82-year-old man with significant comorbidities. This combined procedure is technically feasible and can be performed safely in selected patients with aortic stenosis and left anterior descending artery lesion that is not suitable for percutaneous intervention.
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A unique arteriovenous fistula, originating from the left main coronary artery and branching to drain into the right atrium and superior vena cava is presented with review of the literature.