• Journal of Chest Surgery
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• 제46권5호
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• pp.357-361
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• 2013

Left ventricular free wall rupture (LFWR) is rare, but is one of the most serious complications of myocardial infarction and is associated with high mortality. Several operative techniques have been attempted, but early diagnosis and prompt surgical management are crucial for a positive patient outcome. We report three cases of LFWR successfully treated with surgical methods.

• Journal of Chest Surgery
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• 제54권5호
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• pp.404-407
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• 2021

We present a case study of necrotizing fasciitis (NF), a very rare but dangerous complication of chest tube management. A 69-year-old man with shortness of breath underwent thoracostomy for chest tube placement and drainage with antibiotic treatment, followed by a computed tomography scan. He was diagnosed with thoracic empyema. Initially, a non-cardiovascular and thoracic surgeon managed the drainage, but the management was inappropriate. The patient developed NF at the tube site on the chest wall, requiring emergency fasciotomy and extensive surgical debridement. He was discharged without any complications after successful control of NF. A thoracic surgeon can perform both tube thoracostomy and tube management directly to avoid complications, as delayed drainage might result in severe complications.

• Journal of Chest Surgery
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• 제51권4호
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• pp.277-279
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• 2018

A 68-year-old man presented with a posterior tracheal wall injury caused by percutaneous dilatational tracheostomy. The wound was immediately covered with an absorbable polyglycolic acid sheet. Ten days after the injury, the perforation was closed with knotless sutures using a Castroviejo needle-holder through the tracheostomy. The successful repair in this case indicates the feasibility of the knotless suture technique for perforations. The technique is described in detail in this report. The patient was weaned from the mechanical ventilator on postoperative day 25. In cases of posterior tracheal posterior wall perforation, every effort should be made to repair the perforation through an existing opening.

• Journal of Chest Surgery
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• 제29권2호
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• pp.239-243
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• 1996

역행성 호흡 운동을 방지 하고 종격동내의 구조물을 보호하는 흥곽의 기능을 고려해야 하기 때문에 흉벽 재건은 임상적으로 간단하지가 않다. 영남대 학교병원 흉부외과에서는 교통사고로 좌측 전흉부의 전층에 걸친 흉벽 결손을 가진 37세 남자 환자에게 흉벽 재건술을 시행하였다. 외상직후 변연 절제와 지혈을 위해 1차 응급 수술이 시행되었고, 수술후25일째 흉벽 재건을 위한 2차수술을 시행하였다. 흉벽재건에는 흉배동맥을 피판경으로한 광배근피판과 좌측 대퇴부로부터 피부이식이 이용되었다. 흉벽 재건 수술후 인공호흡기 보조없이 자가 호흡이 가능하였으며, 수술후 3개월에 시행한 폐기능 검사(FVC, FEV1.0)는 예측치의 80%로 나타났다. 광배근피판을 이용한 흉벽 재건의 수술후 경과는 생리학적, 해부학적 그리고 미학적으로도 만족할만 하였다.

• Journal of Chest Surgery
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• 제47권2호
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• pp.149-151
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• 2014

Hemangioma of the heart, presenting as a primary cardiac tumor is extremely rare; it accounts for approximately 2% of all primary resected heart tumors. In our patient, the tumor was located in the orifice of the right lower pulmonary vein. Few cases of cardiac hemangiomas have been reported to arise from the left atrial (LA) wall. Left atrial hemangiomas, especially those attached to the LA wall, may be erroneously diagnosed as myxomas. Cardiac hemangioma is a rare disease; furthermore, a tumor arising from the LA wall and misconceived as a myxoma is extremely rare. We removed a mass misdiagnosed as a myxoma; it was pathologically confirmed to be a cardiac capillary hemangioma. Therefore, we report a rare case of a cardiac hemangioma misconceived as a myxoma; the tumor was removed successfully.

• Journal of Chest Surgery
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• 제40권7호
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• pp.523-525
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• 2007

낭성활액낭종으로도 불리는 낭포성림프관종은 보통 경부와 액와부에 잘 발생하고 출생 시부터 발견되며, 90% 이상의 환자에서 늦어도 2세 이전에 발견된다. 성인의 흉벽에서 발견되는 예는 아주 드문 경우로 알려져 있다. 저자들은 64세의 남자 환자에서 좌 후흉벽에 발생한 낭성림프관종을 치험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제39권4호
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• pp.343-346
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• 2006

81세 여자 환자가 양측성 흉벽 종양을 주소로 본원에 내원하여, 악성종양과 감별진단을 위해 종양적출술을 시행하여 양측성 흉벽 탄력섬유종을 진단하였다. 드문 질환으로 알려진 흉벽의 탄력섬유종 증례 1예를 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제55권2호
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• pp.183-187
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• 2022

Flail chest is a critical medical condition in which multiple segmentally fractured adjacent ribs cause paradoxical movement of the thoracic cage in patients with severe blunt trauma injury. Surgical stabilization is considered essential in patients who require mechanical ventilation. However, there is no consensus on which surgical procedure to choose among the various available techniques or when to perform surgery. We report the case of a patient with traumatic anterior flail chest due to bilateral multiple fractures of the ribs requiring surgical stabilization in whom weaning from mechanical ventilation had failed. The Nuss procedure using double bars with the bridge technique was performed for chest wall stabilization. The patient was weaned from mechanical ventilation on postoperative day 44 and she underwent bar removal on postoperative day 71. After extensive rehabilitation for multiple trauma, she was discharged successfully. The patient currently shows no recurrence of chest wall depression in outpatient follow-up.

• Journal of Chest Surgery
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• 제49권1호
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• pp.67-69
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• 2016

Nodular fasciitis is a benign reactive proliferation that usually involves the deep fascia. Although it is relatively common in the adult population, it is often misdiagnosed as sarcoma due to its rapid growth and pathological features. It rarely presents as a chest wall tumor in young patients. Here, we report a case of nodular fasciitis involving the chest wall of an 18-year-old woman and its surgical management. This case underscores the need to consider nodular fasciitis in the differential diagnosis of chest wall tumors in young patients.

• Journal of Chest Surgery
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• 제8권1호
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• pp.29-36
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• 1975

We have experienced 49 cases of tumors of chest wall at St. Mary`s Hospital from Jan. 1963 to Dec.1974. In four cases of them, the reconstruction of chest wall defects performed. 1] Out of 49 cases of tumors of the chest wall, 27 cases were benign tumors, 14 cases metastatic malignant tumors, and 8 cases primary malignant tumors. 2] Twenty-six cases [50%] of tumors of the chest wall were on the bony cage. Among them benign tumors were 9 cases [35%], metastatic malignant tumors 14 cases [53%], and primary malignant tumors 3 cases [12%]. Of these, 24 cases were located on the ribs and 2 cases on the sternum.3] The malignant tumors of bony chest wall were excised in en bloc resection including involved ribs. The wide defects of bony chest wall were reconstructed by means of displacement of neighboring ribs and mobilized diaphragm, in the two osteogenic sarcomas of rib, and of prosthesis with silastic sheets in one rhabdomyosarcoma and one metastatic adenocarcinoma of lung.