• Journal of Chest Surgery
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• v.47 no.2
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• pp.178-180
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• 2014

Pulmonary and/or bronchial aneurysm with systemic thrombophlebitis can be seen in the case of both Behcet's disease and Hughes-Stovin syndrome. These two diseases may be indistinguishable since the clinical, radiological, and histopathological findings are similar in both cases. In particular, from the perspective of pulmonary involvement, hemoptysis is the leading cause of death in both conditions and is followed by aneurysmal rupture. Here, we report a case in which surgical resection was performed for a patient presenting recurrent hemoptysis as an atypical presentation of Behcet's disease.

• Journal of Chest Surgery
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• v.9 no.2
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• pp.133-138
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• 1976

The author reviewed 263 cases of pulmonary tuberculosis operated on at the Department of Thoracic Surgery, Seoul National University Hospital during the 19 year period, from January, 1957 to December 1975. Following observations were made: 1) The sex ratio was 2.8: 1 in male's favor, and 83.6% of the patients were between 20 and 49 years of age. 2) The trends in operative procedures revealed that surgical collapse as a definitive therapy of pulmonary tuberculosis has virtually disappeared and operations required for residuals of pleural diseases have increased. 3) The overall hospital mortality rate was 3-8%. The highest mortality rate was encountered in the cases of resection and decortication with 28.6%, 4) The rate of overall postoperative complications was 24.7%, the highest being encountered in decortication with 56.4%. 5) The most frequent cause of death was bleeding, while the dead space was the most frequent complication.

• Journal of Chest Surgery
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• v.38 no.9 s.254
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• pp.656-659
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• 2005

Pulmonary mucormycosis is very rare but has a devastating opportunistic fungal infection in immunocompromised hosts. The infection usually occurs in patients with hematologic malignancy, chronic renal failure, diabetes mellitus, or in solid organ transplant recipients. We experienced a case of pulmonary mucormycosis associated with renal cadeveric allograft recipient who had uncontrolled diabetes mellitus. The patient was successfully treated by surgical resection with Amphotericin B therapy.

• Journal of Chest Surgery
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• v.27 no.4
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• pp.281-286
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• 1994

From 1973 through June 1993, 25 patients underwent pulmonary resection for pulmonary metastases from carcinoma or sarcoma at our institution. There were 11 carcinomas and 14 sarcomas. 24 patients[96% complete] could follow-up and the median follow-up time was 20 months with a range of 4 months to 271 months and total follow-up period was 1105 months-patients. In our patients, actuarial 5-year survival rate was 49%, mean survival time was 66.6$\pm$12.6 months and median survival time was 84 months. Patients with sarcoma, more than 24 months of the tumor-free interval, postoperative adjuvant therapy had a better survival than did those with carcinoma, less than 24 months of the tumor-free interval, no postoperative adjuvant therapy. But there were no statistical differences between two groups[P>0.05]. This results recommend more aggressive surgical treatment for pulmonary metastases.

• Journal of Korean Neurosurgical Society
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• v.37 no.2
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• pp.146-149
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• 2005

Most primary spinal abscesses, irrespective of pathogens and anatomical locations, have better prognosis than that of secondary abscesses with spondylitis. We report a 68-year-old man, previously undertaken pulmonary resection due to tuberculosis, presented with paraparesis. Imaging studies showed primary intraspinal abscesses at T-1 and T-3 vertebral levels, semi-invasive pulmonary Aspergillosis and inflammation of the posterior mediastinum. Operative procedure and histopathological examination revealed interdural Aspergillus abscess. Despite chemotherapy, he deteriorated progressively, and spondylitis developed at corresponding vertebrae. He eventually died 6 weeks postoperatively due to pulmonary complication. The authors intended to inform that such an extradural inflammatory lesion of Aspergillus abscess should be treated carefully.

• Journal of Chest Surgery
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• v.25 no.12
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• pp.1461-1464
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• 1992

Cor triatriatum is rare congenital heart disease which is another variant of anomalous pulmonary venous return. It has abnormal fibromuscular diaphragm between true left atrium and accessary chamber which has one or more orifice to the left atrium. In classic form, the patient dies within several months after birth due to pulmonary hypertension inevitably, so it is rarely found in adult. With priopertive echocardiogram and cineangiogram we had two impressions, left atrial cystor cortriatriatum. At operative finding, there was no visible combined anomaly except accessary chamber which received all pulmonary venous return that drained into the left atrium through small calcified orifice. The operation was performed by simple resection of the diaphragm under cardiopulmonary bypass. The postope rative course was uneventful.

• Journal of Chest Surgery
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• v.50 no.1
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• pp.54-58
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• 2017

Primary intrapulmonary thymoma (PIT) is a very rare lesion of uncertain pathogenesis. PIT should be considered when the histopathological appearance of a lung tumor shows features that are uncommon but similar to those of a thymoma. In this case report, we discuss the case of a 5 9-year-old female with a solitary pulmonary nodule that was confirmed to be PIT on the basis of pathological tests. Treatment with complete resection showed good results.

• Journal of Chest Surgery
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• v.24 no.10
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• pp.1033-1038
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• 1991

From August 1988 to August 1991 40 automatic staplers[four TA 30 Premium and 36 TA 55 Premium] were used to close the bronchial stump in 38 patients. There were 8 pneumonectomies, 5 bilobectomies, 23 lobectomies, 1 lobectomy and segmentectomy, and 1 segmentectomy due to various pulmonary diseases. Among 40 bronchial stumps, 15 stumps were covered with the pleural flaps for reinforcing the stump and remained 25 stumps left uncovered. The patients of the 2 groups were selected randomly regardless of disease entities. The duration of follow-up was from 1 month to 38 month-average 16 months, and there were no bronchopleural fistulas in all cases during the follow-up period. Especially in the uncovered bronchial stumps group, 3 preoperative sputum AFB[+] patients and 2 patients of stage IIIa lung cancer underwent pneumonectomy with ipsilateral radical lymph node dissection were included. So, surgical stapling is the safe method and is recommended in closing the bronchial stump in various pulmonary resections.

• Journal of Chest Surgery
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• v.27 no.5
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• pp.418-421
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• 1994

The usage of autosuture instruments and techniques in resection of bronchovascular structures gained increasing acceptance amongst surgeons in the recent years. The manipulation of these devices are simple, safe, and shortens operating time by avoiding numerous ties and sutures. We have been using autosuture instruments in most of pulmonary resections in Yongdong Severance hospital, and had a satisfactory results. However, we recently have experienced post-pneumonectomy rupture of left pulmonary vein on postoperative one day where the rupture site was in the border of left atrium and left pulmonary vein where the stapler was fired. The patient underwent emergency operation to control massive bleeding and successfully managed by left atrial suture.

• Journal of Chest Surgery
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• v.27 no.2
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• pp.157-160
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• 1994

Primary tumors of the heart are extremely rare, and about 25 per cent of primary cardiac tumors are malignant. Recently, We experienced a case of primary cardiac liposarcoma occurred on the right ventricular outflow tract and extended into the main pulmonary artery. The patient was 57 year-old man and the chief complaints was severe exertional dyspnea. Emergency operation to relieve the right ventricular outflow tract obstruction was performed under cardiopulmonary bypass. The tumor was 5$\times$4$\times$3 cm in size and infiltrated into the right ventricle and ventricular septum. The tumor in the main pulmonary artery was removed without any difficulty but the on the right ventricular outflow tract was difficult to remove completely. The patient was recovered without any specific problems. After successful surgical resection and postoperative radiotherapy the patient discharged with good condition. Herein, the clinical characteristics of cardiac liposarcoma, the problems in differential diagnosis, the prognosis and current therapy are reviewed.