[Surgical treatment of interventricular septum rupture in an 87-year-old female with acute antero-lateral myocardial infarction and 97% risk according to the Euroscore scale]. / Pekniecie przegrody miedzykomorowej u 87-letniej chorej ze swiezym zawalem sciany przednio-bocznej skutecznie leczone operacyjnie. Czy 97% ryzyko wg skali Euroscore jest przeciwwskazaniem do operacji?

Rupture of the interventricular septum is a serious complication of myocardial infraction (MI). It occurs in 1-3% of all MI cases, usually within 2 weeks after infraction. In 60% of the cases post-MI ventricular septal defects (VSD) are the result of completely occluded coronary artery supplying anterior wall of left ventricle and subsequent transmural MI. 50% of patients die within the first week after the rupture unless they are surgically treated. In this case report we describe an 87-year-old woman with post-MI VSD who was successfully operated (endocardial patch exclusion technique, proposed by David). In spite of a very high predicted risk (97% by Euroscore), calculated high risk should not be considered as the contraindication for life-saving operation.

[Left main coronary artery stenting in a ninety year old female with recurrent acute coronary syndrome -- a case report]. / Stentowanie pnia lewej tetnicy wiencowej u 90-letniej chorej wracajacej do szpitala z powodu ostrego zespolu wiencowego. Opis przypadku.

A case of a ninety year old female with recurrent acute coronary syndrome is presented. Coronary angiography revealed critical left main coronary artery stenosis which was successfully treated with angioplasty and stent implantation. Data from literature on the left main stenting in the elderly are discussed.

[Amniotic fluid embolism in a 24-year-old female after caesarean section - a case report]. / Zator plynem owodniowym u 24-letniej kobiety po ciazy rozwiazanej cieciem cesarskim.

A case of a 24-year-old female with amniotic fluid embolism following an urgent caesarean section is presented. Medical treatment was effective. Prognosis in this condition and differential diagnosis are discussed.