• 제목/요약/키워드: Korean journal of thoracic and cardiovascular surgery

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뇌농양으로 발견된 폐동정맥루 - 1례 보고 - (Pulmonary Arteriovenous Fistula presented by Brain Abscess - A case report -)

  • 강신광;김시욱;원태희;구관우;박상순;유재현;나명훈;임승평;이영
    • Journal of Chest Surgery
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    • 제34권12호
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    • pp.952-955
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    • 2001
  • 폐동정맥루는 비교적 흔하지 않은 질환이다. 뇌농양은 폐동정맥루의 드물고, 가장 심각한 합병증이며, 폐동정맥루는 신경학적 증상으로 처음 발현되는 수도 있다. 저자들은 뇌농양으로 발견된 폐동정맥루를 치험하였기에 보고하는 바이다.

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Surgical Repair of a Traumatic Tracheobronchial Injury in a Pediatric Patient Assisted with Venoarterial Extracorporeal Membrane Oxygenation

  • Suh, Jee Won;Shin, Hong Ju;Lee, Chang Young;Song, Seung Hwan;Narm, Kyoung Sik;Lee, Jin Gu
    • Journal of Chest Surgery
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    • 제50권5호
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    • pp.403-406
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    • 2017
  • Tracheobronchial rupture due to blunt chest trauma is a rare but life-threatening injury in the pediatric population. Computed tomography (CT) is not always reliable in the management of these patients. An additional concern is that ventilation may be disrupted during surgical repair of these injuries. This report presents the case of a 4 -year-old boy with an injury to the lower trachea and carina due to blunt force trauma that was missed on the initial CT scan. During surgery, he was administered venoarterial extracorporeal membrane oxygenation (ECMO). Although ECMO is not generally used in children, this case demonstrated that the short-term use of ECMO during pediatric surgery is safe and can prevent intraoperative desaturation.

낭종성 종격동종양의 임상적 고찰: 11례 보고 (Clinical Study of the Cystic Mediastinal Tumor - Report of 11 Cases -)

  • 허용;이상목;이섭;유환국;안욱수;김병열;이정호;유회성
    • Journal of Chest Surgery
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    • 제24권10호
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    • pp.993-999
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    • 1991
  • Congenital cysts of the mediastinum are rare, but interesting lesions. Such cysts are important because they may produce distressing symptoms and because some have a malignant potential. Mediastinal cysts of foregut origin represent an important diagnostic group. Classified according to their anomalous embryonic origins they include pericardial, bronchogenic, esophageal, enteric, and nonspecific cysts. A series of 11 consecutive surgically treated cases from the Dep. of Thoracic & Cardiovascular Surgery in National Medical Center from Oct. 1959 to Dec. 1990, all successfully resolved without mortality. The 8 bronchogenic, 1 enteric, & 2 non specific cysts are included in this series. And 2 of 11 were asymptomatic patients presented. The clinical & pathological behavior of the individual cysts comprise a wide variety of patterns. Proper utilization of the many diagnostic tests available can accurately characterize the cysts. The exact histologic diagnosis, however, is rarely made prior to operation.

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Emergency Pulmonary Artery-to-Systemic Artery Shunt to Break the Positive Feedback Loop of a Pulmonary Hypertensive Crisis after Neonatal Coarctation Repair

  • Shin, Yu Rim;Yang, Young Ho;Park, Young-Hwan;Park, Han Ki
    • Journal of Chest Surgery
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    • 제52권4호
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    • pp.232-235
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    • 2019
  • A 2.5-kg neonate with coarctation of the aorta and a small left ventricle experienced a severe pulmonary hypertensive crisis. An emergency pulmonary artery-to-systemic artery shunt was placed to break the positive feedback loop caused by pulmonary hypertension and functional mitral stenosis. This shunt provided immediate relief of suprasystemic pulmonary hypertension and the resultant low cardiac output.

Intra-thoracic Parathyroid Adenomatosis: A Case Report

  • Kim, Wan Kee;Kim, Dong Kwan;Choi, Se Hoon;Kim, Hyeong Ryul;Kim, Yong Hee;Park, Seung-Il
    • Journal of Chest Surgery
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    • 제46권4호
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    • pp.302-304
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    • 2013
  • Ectopic mediastinal parathyroid adenomas are rare, but can be life-threatening. Resection is indicated in those cases accompanied by hypercalcemia, especially in young patients. Although most mediastinal parathyroid adenomas can be removed by a cervical approach, a transthoracic approach is needed when the adenoid tissues are located deep within the thoracic cavity. We describe the case of a 37-year-old female who underwent excision of an intrathoracic ectopic parathyroid adenoma after parathyroidectomy four months earlier.

Intracardiac Thymoma with Superior Vena Cava and Left Brachiocephalic Vein Extension: A Case Report

  • Ju Sik Yun;Sang Yun Song;Kook Joo Na;Sang Gi Oh;Cho Hee Lee;Haein Ko
    • Journal of Chest Surgery
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    • 제56권2호
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    • pp.143-146
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    • 2023
  • Thymomas are common anterior mediastinal tumors with a relatively favorable prognosis compared to that of other types of thoracic malignancies. However, thymomas that invade surrounding structures, such as the heart or vena cava, have been infrequently reported, and intracardiac thymomas are exceedingly rare. Treatment of invasive thymoma is difficult because the high rate of incomplete resection results in a high rate of recurrence. Herein, we present a rare case of a thymoma that originated in the right atrium and extended into the superior vena cava and brachiocephalic vein.

Surgical Treatment of Mediastinal Aspergilloma in a Immunocompetent Patient

  • Lim, Jae Hong;Kim, Ji Seong;Yang, Chan Kyu;Kang, Chang Hyun;Kim, Young Tae;Park, In Kyu
    • Journal of Chest Surgery
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    • 제47권4호
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    • pp.431-433
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    • 2014
  • Aspergillus is a common saprophytic fungi of the human airways and causes a broad spectrum of diseases, ranging from aspergilloma to invasive aspergillosis. There are few reports on mediastinal aspergilloma without any underlying pulmonary disease or immunocompromise. Herein, we report a case of mediastinal aspergilloma that we experienced and treated by thoracoscopic resection and oral antifungal medication.

Single-port Video-Assisted Thoracic Surgery for Lung Cancer

  • Kang, Do Kyun;Min, Ho Ki;Jun, Hee Jae;Hwang, Youn Ho;Kang, Min Kyun
    • Journal of Chest Surgery
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    • 제46권4호
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    • pp.299-301
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    • 2013
  • Video-assisted thoracic surgery (VATS) is a minimally invasive technique that has many advantages in postoperative pain and recovery time. Because of its advantages, VATS is one of the surgical techniques widely used in patients with lung cancer. Most surgeons perform VATS for lung cancer with three or more incisions. As the technique of VATS has evolved, single-port VATS for lung cancer has been attempted and its advantages have been reported. We describe our experiences of VATS for lung cancer with a single incision in this report.

한국형 인공심장(AnyHeart)의 임상경험 (A Clinical Experience of Korean Artificial Heart(AnyHeart))

  • 선경;손호성;정재승;정봉규;이성호;신재승;김광택;이혜원;민병구;김형묵
    • Journal of Chest Surgery
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    • 제35권7호
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    • pp.548-552
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    • 2002
  • 한국형 인공심장(AnyHeart)은 single moving actuator mechanism을 이용한 일체형 및 이식형 양심실 박동펌프이다. 저자 등은 양심 부전증에 의한 말기 심장병 환자에서 구난의료 차원으로 시도된 한국형 인공심장 (AnyHeart) 이식 1례를 경험하였기에 그 결과를 보고한다.

Carinal Reconstruction and Sleeve Right Upper Lobectomy Assisted with Extracorporeal Membrane Oxygenator for Non-small Cell Lung Cancer - A case report -

  • Lee, Hee-Sung;Kim, Hyoung-Soo;Shin, Ho-Seung;Kim, Sung-Jun;Cho, Sung-Woo;Kim, Kun-Il
    • Journal of Chest Surgery
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    • 제44권2호
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    • pp.193-196
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    • 2011
  • Bronchogenic carcinoma involving the carina has remained a challenging problem for thoracic surgeons. Carinal resection and reconstruction is limitedly indicated because this aggressive surgical approach has been reported to be associated with significant morbidity and mortality while long-term outcome has not been determined. Wesuccessfully performed carinal reconstruction and sleeve right upper lobectomy assisted with ECMO for a 60-year-old male with squamous cell carcinoma in the right upper lobe extending to the carina.