The case of a young patient who presented with severe hemolysis after mitral valve repair is presented. Valve repair included chordal shortening, transposition of chordae tendinae, and annular remodelling using a Duran flexible ring. Reoperation and valve replacement were required to control hemolytic anemia. The possible mechanisms leading to such an uncommon complication after plastic repair of the mitral valve are commented on. The scanty literature concerned is reviewed.

Injury to the intima of the hepatic artery is an uncommon complication of selective arteriography. Eleven such cases were followed up for less than or equal to 12 months. The status of the vessels, the experience of the angiographer, and the materials used for catheterization all affected the frequency of injury, which was manifested by a spectrum of changes including an intimal flap, aneurysm, dissection, and occlusion. No patient had significant changes in liver function. Progression to complete arterial occlusion and regression with complete healing both occurred in this series.

No abstract

The purpose of this study was to investigate the factors of hospital arrival delays of acute ischemic stroke patients. The study subjects were 126 cerebral infarction patients G Metropolitan City university hospital emergency center. General characteristics, disease-related characteristics and stroke-related were collected by self-reported questionnaires. Hospital arrival times by subjects' characteristics were tested by χ2 test and logistic regression analysis. Of 126 cerebral infarction patients, Their average hours taken to move to a hospital was 12.7 hours with the fastest case being 0.5 hour and the most delayed case being 127.8 hours. 61.1%(77 persons) of the stroke patients under this experiment said to have taken 3 hours or less. In logistic regression analyses, Coming to the hospital directly without passing through other hospitals was found to have higher probability of arriving less than 3 hours(β=2.960, p=.009), And if LAPSS was tested positive, such cases are more likely to arrive within 3 hours(β=2.219, p=.049). For acute ischemic stroke and caregivers need training to be conducted promptly admitted to hospitals for education and treatment hospital stroke screening will help to improve the treatment of stroke patients