Spontaneous psoas haematomas are uncommon, even in patients with coagulopathies on anticoagulation therapy. We report a unique case of a life-threatening spontaneous psoas haematoma in a patient during the immediate post-operative period following open heart surgery, despite a normal pre-and post-operative coagulation profile.
With the advent of several valve repair techniques, mitral valve repair is now preferred over mitral valve replacement as the treatment of choice for several mitral pathologic conditions. Because annular dilation is a vital component in most cases of chronic mitral regurgitation (MR), annular support is necessary to provide adequate repair and optimum long-term results.1 Annular reinforcement permits shrinking of the dilated annulus, allowing adequate coaptation of the valve leaflets, thereby preventing recurrent dilation
A 65-year-old patient underwent double coronary artery bypass grafting using the left internal thoracic artery on the left anterior descending coronary artery and nitinol alloy mesh [external Saphenous Vein Support (eSVS)]–covered saphenous vein graft to the right posterior descending coronary artery. Transit-time flow measurements (TTFMs) were obtained on meshed and bare parts of the vein graft. There was no difference in TTFM parameters (flow, pulsatility index, and diastolic fraction values) obtained from the eSVS mesh-covered and the uncovered parts of the venous graft. This observation confirms that eSVS mesh does not interfere with TTFM on venous coronary bypass conduits.
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