Acute appendicitis. Acute appendicitis is often suspected but in 70% of the cases the complaints to an other diagnosis. Aggressive therapy is therefore not indicated. A 12 to 24 h observation allows to avoid surgery and complications which are not exceptional.

Abdomen, Acute↗

PubMedDate not supplied

Acute myocardial infarction immediately after heart transplantation.

Myocardial infarction is one of the rarer events causing acute graft failure during the postoperative period after transplantation and is usually caused by preexisting coronary artery disease of the donor heart. We discuss the case of a 56-year-old man in whom cardiogenic shock developed after heart transplantation, which was refractory to all medical treatment. He was put on emergency code and underwent retransplantation 30 hours later. Pathologic examination of the explanted donor heart showed massive recent inferior and posterior wall infarction, with normal coronary arteries; the right coronary artery was dominant and completely occluded by an embolus of fatty material surrounded by fibrin, which we suggest could have originated from the suture line of the left atrium.

Heart Transplantation↗

PubMedDate not supplied

Mediastinitis caused by Aspergillus fumigatus with ruptured aortic pseudoaneurysm in a heart transplant recipient: case study.

The case of a heart transplant recipient with a ruptured aortic pseudoaneurysm caused by an Aspergillus fumigatus mediastinitis is reported. Contamination of surgical fields occurring by air seeding during surgery appears to be the most probable source of infection. Subtle infectious signs of the wound and subacute course are remarkable features of this case.

Aortic Aneurysm↗