[Mitral regurgitation in course of Bland-White-Garland syndrome in female patient after four uncomplicated physiological labours]. / Niedomykalnosc zastawki mitralnej w przebiegu zespolu Blanda-White'a-Garlanda u chorel po czterech niepowiklanych porodach fizjologicznych.

A 35-year-old female, mother of 4 children was admitted to the hospital for coronary angiography before scheduled surgical correction of severe mitral insufficiency. During angiography anomalous ostium of left main artery from pulmonary trunk was found. The patient underwent mitral ring correction, implantation of LIMA-LAD graft and ligation of left coronary artery during open heart surgery.

[Complete occlusion of the left main coronary artery complicated by cardiac arrest and acute massive pulmonary embolism with a favourable outcome--a case report]. / Ostra niedroznosc poprzednio zwezonego pnia lewej tetnicy wiencowej powiklana masywna zatorowoscia plucna oraz zatrzymaniem krazenia.

A case of a 53-year-old male with acute myocardial infarction complicated by cardiac arrest is presented. Due to neurological complications which were transient, the patient was not selected for primary angioplasty. Three days later his condition significantly improved and the patient was transferred to internal ward were he developed cardiogenic shock due to a massive pulmonary embolism. Thrombolysis and low molecular weight heparin were effective and the patient did well during subsequent hospitalisation period. Coronary angiography was performed 4 weeks from hospital admission and revealed a total left main coronary occlusion with good collateral circulation from the right coronary artery. Finally, the patient underwent successful CABG.