We describe the treatment of a 54-year-old man with a history of methicillin-resistant Staphylococcus aureus pericarditis who presented with left ventricular pseudoaneurysm following prior left anterior thoracotomy pericardial window. Surgical intervention included pseudoaneurysm repair using a wide patch. Additionally, an attempted mitral valve repair was converted to replacement due to intraoperative findings of significant calcification of the mitral anterior leaflet and annulus, along with suspected rheumatic changes.Our report highlights the management of concurrent cardiac pseudoaneurysm and mitral annular calcification, emphasizing the role of comprehensive imaging both perioperatively and intraoperatively in achieving durable outcomes.

We describe the treatment of a 54-year-old man with a history of methicillin-resistant Staphylococcus aureus pericarditis who presented with left ventricular pseudoaneurysm following prior left anterior thoracotomy pericardial window. Surgical intervention included pseudoaneurysm repair using a wide patch. Additionally, an attempted mitral valve repair was converted to replacement due to intraoperative findings of significant calcification of the mitral anterior leaflet and annulus, along with suspected rheumatic changes.Our report highlights the management of concurrent cardiac pseudoaneurysm and mitral annular calcification, emphasizing the role of comprehensive imaging both perioperatively and intraoperatively in achieving durable outcomes.

We describe the treatment of a 54-year-old man with a history of methicillin-resistant Staphylococcus aureus pericarditis who presented with left ventricular pseudoaneurysm following prior left anterior thoracotomy pericardial window. Surgical intervention included pseudoaneurysm repair using a wide patch. Additionally, an attempted mitral valve repair was converted to replacement due to intraoperative findings of significant calcification of the mitral anterior leaflet and annulus, along with suspected rheumatic changes.Our report highlights the management of concurrent cardiac pseudoaneurysm and mitral annular calcification, emphasizing the role of comprehensive imaging both perioperatively and intraoperatively in achieving durable outcomes.

Objectives: The aim of this study was to assess the prevalence of nomophobia in university students. Methods: A systematic search was conducted of the following databases: Web of Science/ Core Collection, Scopus, PubMed, Embase, and Ovid/ MEDLINE until March 2021. Cross-sectional studies reporting the prevalence of nomophobia in undergraduate or postgraduate university students that assessed nomophobia with the 20-item Nomophobia Questionnaire (NMP-Q) tool were included. Study selection, data extraction, and risk of bias assessment were performed in duplicate. A meta-analysis of proportions was performed using a random-effects model. Heterogeneity was assessed using sensitivity analysis according to the risk of bias, and subgrouping by country, sex, and major. Results: We included 28 cross-sectional studies with a total of 11,300 participants from eight countries, of which 23 were included in the meta-analysis. The prevalence of mild nomophobia was 24% (95% confidence interval [CI], 20%–28%; I2 = 95.3%), that of moderate nomophobia was 56% (95% CI, 53%–60%; I2 = 91.2%), and that of severe nomophobia was 17% (95% CI, 15%–20%; I2 = 91.7%). Regarding countries, Indonesia had the highest prevalence of severe nomophobia (71%) and Germany had the lowest (3%). The prevalence was similar according to sex and major. Conclusions We found a high prevalence of moderate and severe nomophobia in university students. Interventions are needed to prevent and treat this problem in educational institutions.