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Significant anatomical factors associated with pT2E were found in this study. These factors may be useful in selecting patients for perioperative intervention.

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DR-1 interferometry may be applicable to diagnosing DE and evaluating its progression subsequent to HSCT.

The median sternotomy approach for the treatment of chronic pulmonary thromboembolism was recently improved by Daily, Jamieson, and coworkers who adopted it for use under cardiopulmonary bypass with intermittent circulatory arrest; however, we have sometimes found that the circulatory arrest time was too short to complete thromboendarterectomy. Therefore, we attempted to perform a selective cerebral perfusion technique to extend the endarterectomy time. Although we noted slight back-bleeding from the bronchial arteries, we were able to extend the endarterectomy time without causing any postoperative delirium. We conclude that the median sternotomy approach using cardiopulmonary bypass with selective cerebral perfusion may be the best option for extending the thromboendarterectomy time.

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An 81 year-old man had persistent lumbar pain, abdominal pain, and abdominal distension for a week was acutely admitted to our hospital. An enhanced computed tomography scan showed a ruptured infrarenal abdominal aortic aneurysm and a left-sided inferior vena cava. We successfully performed emergency abdominal aortic reconstruction, though we needed temporary abdominal closure with a vinyl sheet for 3 days for fear of abdominal compartment syndrome. He recovered uneventfully and was discharged 27 days after surgery. Left sided inferior vena cava is a rare anomaly of the inferior vena cava and we review the relevant literature here.