Factor XI (FXI) deficiency is rare and associated with bleeding after surgical procedures. We report a case of an 80-year-old woman with severe aortic valve stenosis. FXI deficiency was diagnosed due to prolonged activated partial thromboplastin time. Aortic valve replacement was performed using a porcine bioprosthetic valve. Intra-operation bleeding was controlled by the transfusion of a fresh frozen plasma. The postoperative course was uneventful.

Alport syndrome is often characterized by renal dysfunction and hearing loss due to abnormalities in type IV collagen production. In this study, we report a rare case of recurrent aortic dissections that developed in a young patient with Alport syndrome over a short period. We discuss the associations between Alport syndrome and aortic dissection with a literature review and emphasize the need for regular follow-up of patients with Alport syndrome for early detection of aortic disease.

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We report an extremely rare case of leiomyosarcoma originating from the abdominal aorta. The patient was a 57-year-old man who had palpable abdominal mass with pain. The symptoms were consistent, and urgent operation was done due to impending rupture of the abdominal aortic aneurysm. The intraoperative findings showed that the mass was a primary tumor of the abdominal aorta, and the histological diagnosis was leiomyosarcoma. It is reported that its prognosis is very poor, but he survived 7.5 years after diagnosis by reason of aggressive management including surgical treatment, chemotherapy and radiotherapy. Jpn. J. Cardiovasc. Surg. 44 : 203 207 2015 leiomyosarcoma originating from aorta ; surgical treatment ; chemotherapy ; radiotherapy

A 70-year-old male underwent a transthoracic echocardiography as a screening test for hypertension and an unruptured aneurysm was detected in the right sinus of Valsalva. The right sinus of Valsalva aneurysm obstructed the right ventricle outflow tract but he did not have any symptoms. The sinus of Valsalva aneurysm was treated successfully by a patch closure with a bovine pericardial patch.

We present a case of superior mesenteric venous thrombosis (SMVT) treated successfully with thrombectomy without bowel resection. A 73-year-old female was referred to our hospital with complaints of stomach ache. The patient was diagnosed with SMVT with impending bowel necrosis and underwent an emergency operation, after computed tomography (CT) revealed a thrombus in the superior mesenteric vein (SMV) extending to the splenic vein, ascites, and extremely edematous intestines. The intestines were not necrotic though highly congested. To avoid massive bowel resection, aggressive thrombectomy was performed. Postoperative CT confirmed resolved SMV and improved bowel edema. Prompt thrombectomy should be considered in such cases.

Background: Bacteroides dorei is an anaerobic, gram-negative bacterium first described in 2006. Due to the high similarity in mass spectrum patterns between B. dorei and Bacteroides vulgatus, discriminating these species is arduous in clinical practice. In recent decades, 16S rRNA gene sequencing has been a complementary method for distinguishing taxonomically close bacteria to the genus and species levels, including B. dorei and B. vulgatus. Accordingly, B. dorei has been shown to contribute to some diseases, including type 1 autoimmune diabetes mellitus and atherosclerotic diseases. Nevertheless, there are no reports on invasive infectious disease caused by B. dorei. This report describes the first case of B. dorei presenting direct invasion and colonisation into human tissue, providing a warning for the previously proposed application of B. dorei as live biotherapeutics for atherosclerotic diseases.Case presentation: A 78-year-old man admitted with suspicion for mycotic thoracic aortic aneurysm was diagnosed by enhanced computed tomography scan, exhibiting the appearance of infection and dissection at the distal aortic arch. Despite strict blood pressure control and empirical antibiotic therapy, the patient's condition worsened. For the prevention of aneurysmal rupture and elimination of infectious foci, the patient underwent surgical treatment, and the resected specimen was subjected to tissue culture and 16S rRNA gene sequencing analysis to identify pathogenic bacteria. A few days after the surgery, culture and sequencing results revealed that the pathogen was B. dorei/vulgatus and B. dorei, respectively. The patient was successfully treated by appropriate antibacterial therapy, improved and was transferred to another hospital for rehabilitation at postoperative day 34. There was no recurrence of symptoms after the patient transfer.Conclusions: This report describes the first case of invasive infectious disease caused by B. dorei, casting a shadow over its utilisation as a probiotic for atherosclerotic diseases.