Two cases of perforation of the left ventricle during mitral valve replacement are described. In the first case there was perforation at the site of papillary muscle excision and this was recognized and successfully treated. However, a true ventricular aneurysm developed at the repair site. One month after operation rupture of the left ventricle occurred at a second and separate site on the pos...

background: this study was undertaken to compare the outcome in patients with moderate to severe ischemic mitral regurgitation (imr) undergoing coronary artery bypass grafting (cabg) with either mitral valve repair or mitral valve replacement. methods: between march 2002 and february 2005, 49 consecutive patients (mean age: 62.84±8.42 years; mean euroscore: 10.03±3.12) with coronary artery dise...

BACKGROUND Re-do mitral valve procedures performed through median sternotomy carry substantial mortality and morbidity. To avoid complications of sternal re-entry and to provide adequate mitral valve exposure, antero-lateral thoracotomy has been suggested by some authors. METHODS From October 1997 to January 2007, 677 mitral valve operations have been performed in our centre using port-access...

A 28-year-old man underwent aortic valve replacement and excision of abscess cavity for staphylococcus aureus endocarditis. A large pseudoaneurysm was found on CTangiogram 4 years later (Figs. 1 and 2). This was successfully treated with a redo aortic valve replacement, patch false aneurysm and replacement ascending aorta. www.elsevier.com/locate/ejcts European Journal of Cardio-thoracic Surger...

The first documented surgery for acquired heart disease was in 1896. A stab wound of the heart was successfully repaired by Rehn [1,2]. On July 13, 1912 Tuffier preformed the first aortic commissurotomy in a 26 year old patient with progressive aortic stenosis [3]. Tuffier had reported six experimental aortic and pulmonary valvulotomies prior to this. His first human commissurotomy was done wit...

BACKGROUND Less invasive cardiac surgery is widely adopted nowadays. Upper or lower partial sternotomy is an approach for less invasive cardiac surgery. We report results of less invasive cardiac surgery via partial sternotomy. METHODS From August 1, 2009 to September 30, 2010, 35 patients underwent cardiac surgery via upper or lower partial sternotomy. The preoperative characteristics, opera...

A 71-yr-old man presented to our emergency department, with 12 hr of chest pain and dyspnea. A computed tomography scan demonstrated the presence of a 7.4 cm ascending aortic aneurysm, type A aortic dissection, in the distal ascending aorta extending into brachiocephalic and right common carotid arteries. A transthoracic echocardiogram showed type A dissection, with intimal flap prolapsing thro...