We report a case of newly developed aortic dissection after aorta cannulation during mitral valve surgery in a patient with Marfan syndrome. An unexpected fatal complication of cardiac surgery detected on postoperative imaging survey in Marfan syndrome patient and its surgical finding are described.

Background: Direct re-implantation of an anomalous left coronary artery into the aorta is the preferred surgical option for creating a dual coronary arterial system in patients in whom the anomalous artery originated from the pulmonary trunk. This technique, however, is applicable only when the anomalous artery arises from the left posterior pulmonary sinus. We report the successfully late foll...

Despite continued progress in the treatment of aortic valve (AV) disease, current treatments continue to be challenged to consistently restore AV function for extended durations. Improved approaches for AV repair and replacement rests upon our ability to more fully comprehend and simulate AV function. While the elastic behavior the AV leaflet (AVL) has been previously investigated, time-depende...

Double orifice mitral valve is a rare congenital anomaly presenting as the division of the mitral orifice into two anatomically distinct orifices, it is most often associated with other congenital heart defects such as left-sided obstructive lesions, ventricular septal defects or aortic coarctation. We report the case of a 15 year's old boy, admitted for arterial hypertension, auscultation reve...

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...

Simultaneous records of wedged pulmonary capillary pressure and left atrial pressure have been made in I2 patients. The pressure changes in the left atrium preceded those in the pulmonary capillary bed by o-o6 to O0I4 sec. This delay, together with the damping of the wedged pulmonary capillary pressure, may result in a false appearance of an end-diastolic gradient between the left atrium and th...

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...

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...