BACKGROUND Cardiac rehabilitation has been recognized as one of the most effective strategies for managing cardiovascular indices as well as controlling the cardiovascular risk profile, in particular after coronary artery bypass graft surgery (CABG). However, the effect of this program on right ventricular function following CABG is unclear. The aim of this study was to evaluate the impact of c...

In patients with history of coronary artery disease angina pectoris is usually attributed to the progression of atherosclerotic lesions. However, in patients with previous coronary artery bypass graft operation (CABG) using internal mammary artery grafts, great vessel disease should also be considered. Herein we present two patients with history of CABG whose symptoms were suspicious for corona...

Familial hypercholesterolemia (FH) is a dominantly inherited disorder caused by mutations at the locus for the low-density lipoprotein receptor, and it is frequently associated with premature coronary artery disease. An 88-year-old man suffering from right lower abdominal pain caused by a right inguinal hernia was admitted to our hospital, and had been diagnosed with heterozygous FH receiving l...

Secondary coronary revascularizations can be required due to the progression of artery lesions and degeneration bypass grafts in long term after initial graft (CABG) surgery. It is therefore necessary clarify clinical characteristics these patients how improve their prognosis. Optimal medical treatments, including medications, smoking cessation, cardiac rehabilitation, are essential baseline ma...

acute myocardial infarction can culminate in sudden cardiac death due to cardiogenic shock and ventricular fibrillation, and also rarely due to cardiac rupture. we present a case of post-infarction myocardial rupture after thrombolytic therapy diagnosed with transthoracic echocardiography and treated with direct closure and coronary artery bypass grafting.

A 47-year-old woman diagnosed with Marfan syndrome underwent valve-sparing aortic root replacement for aortic regurgitation and annulo-aortic ectasia. Her cardiac function was normal. Preoperative coronary angiography did not demonstrate any stenosis. The David reimplantation procedure with a 28-mm Valsalva graft was performed. Both coronary orifices were reconstructed in a button fashion with ...

A 54-year-old male patient was admitted due to exertional dyspnea and hypertension. The echocardiography indicated severely calcified bicuspid aortic valve stenosis. Unexpectedly, his chest X-ray showed obvious rib notching and typical 3 sign on aortic isthmus (Figure 1). The computed tomography angiography demonstrated coarctation of aorta (CoA) concurrent with hypoplasia of aortic arch distal...

background: the presence of significant carotid stenosis in coronary artery bypass grafting (cabg) patients increases the risk of either transient ischemic attack or stroke. however, there is a dearth of data on the risk for patients with unilateral total occlusion of the carotid artery. we herein report our results of cardiac surgery in patients with unilateral total occlusion of the carotid a...

Introduction Intraoperative right ventricular perforation due to pacing catheter after its successful and uneventful insertion is a rare complication. Here, we present a case of cardiac arrest due to right ventricular perforation associated with a pacemaker lead during off-pump coronary artery bypass graft surgery. Case Presentation The case was a 68-year-old male, who was admitted to our hos...