Once surgical errors had been ruled out, the 1-year patency rate of proximal saphenous vein grafts anastomosed with the aortic connector system was favorable. Poor left ventricular function and low graft flow during the operation were risk factors for midterm graft occlusion. Selection of the target vessel and its runoff may also be an important determinant of long-term patency.

Venous aneurysms are a rare clinical entity, especially in upper extremities. A 35-year-old Japanese woman was diagnosed as having venous aneurysms in her left arm. The lesions were excised, and microscopic examination revealed a lack of smooth muscle, media, and elastic fibers in the aneurysmal wall, with partial hyperplasia of smooth muscle.

A 58-year-old male presented with back pain. On physical examination, his heart rate was 98 beats/min, blood pressure was 178/86 mmHg, his pulses were equal, and there were no murmurs.A computed tomography scan revealed an isolated innominate artery dissection with a maximum diameter of 1.6 cm (Figure 1). The patient was treated medically with strict blood pressure control and pain medication. At 6-month follow-up, he remains asymptomatic and the innominate dissection is unchanged (Figure 2). Spontaneous dissection of the innominate artery is rare.

Background Although carotid artery disease can occur in patients who have coronary artery disease (CAD), ostial stenosis of a left common carotid artery (CCA) along with CAD is a rarely reported condition. Case report We describe a rare case of severe stenosis of the left CCA ostium and CAD, which were successfully treated with an off-pump coronary artery bypass and aorto-left CCA bypass. This strategy minimizes the risk of perioperative strokes. Furthermore, an aorto-supra aortic trunk bypass provides a more physiological blood flow pattern than cerebral approaches. This approach would be a safe and effective treatment option.

No abstract