• Journal of Chest Surgery
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• 제45권4호
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• pp.260-262
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• 2012

Postpneumonectomy empyema is a life-threatening complication, which is often related with a bronchopleural fistula. After surgical repair of fistula, sterilization of infected pleural cavity is important and usually carried out by long-term cyclic irrigation. We report a case in which vacuum-assisted closure device was successfully applied to sterilize the pleural cavity and obliterate bronchopleural fistula.

• Journal of Chest Surgery
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• 제54권4호
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• pp.263-265
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• 2021

Intraoperative events can occur during video-assisted thoracoscopic surgery (VATS) lobectomy due to unfavorable surgical anatomy, such as dense adhesions or calcifications around the pulmonary arteries. Troubleshooting intraoperative complications is essential for performing safe and successful VATS pulmonary resection and lymph node dissection. If continuous bleeding occurs or VATS does not proceed despite all measures, conversion to open thoracotomy should not be delayed.

• Journal of Chest Surgery
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• 제41권4호
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• pp.516-519
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• 2008

개심술 이후 발생한 대동맥 피부 누공의 합병증은 드물지만 한 번 발생하면 매우 치명적이므로 빠른 진단과 수술적 치료가 요구된다. 국립의료원에서는 대동맥 판막과 승모판막 치환술 이후 4년 8개월 동안 흉골감염이 반복되다가 갑작스런 출혈로 응급실에 내원해서 대동맥 혈관 촬영술을 통해 대동맥 피부 누공을 진단하여 응급 체외순환하에 일차 봉합만으로 더 이상의 재발없이 2년간 외래 추적 관찰 중이다.

• Journal of Chest Surgery
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• 제39권11호
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• pp.868-871
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• 2006

흉벽 기형의 일종인 누두흉의 수술방법인 Nuss 술식은 비교적 안전하고 교정 만족도가 높아 최근 많이 이용되는 방법이며 합병증으로는 기흉, 막대 편위, 창상 감염, 심낭염, 흉막 삼출, 혈흉, 심장 천공 등이 있다. 본원에서는 30세 남자 환자에서 Nuss 수술 3년 후 막대 편위로 인한 제거 수술 중 발생한 급성 흉부대동맥 손상을 경험하여 보고하는 바이다. 편위된 막대는 별 저항 없이 뽑혔으나 양측 수술 창을 통해 동맥혈이 뿜어져 나와 양손으로 출혈을 막고 신속하게 대퇴동-정맥 환류로 체외 순환을 시행하면서 정중 흉골절개를 가하고 초저온 순환 정지 하에 대동맥궁 기시부의 열상 부위를 봉합하였다. 환자는 수술 후 13일째 별다른 문제 없이 퇴원하였다.

• Journal of Chest Surgery
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• 제45권3호
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• pp.189-191
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• 2012

Graft infections after aortic replacement are a rare, but severe complication. Because surgical removal of the infection source is essential, an accurate diagnosis is required to prevent unnecessary treatment. Both of the patients described herein were diagnosed with graft infections using dual-modality positron emission tomography-computed tomography; one patient was a false-positive, and the other was confirmed with an infection.

• Journal of Chest Surgery
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• 제51권6호
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• pp.415-418
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• 2018

A solitary fibrous tumor (SFT) is a mesenchymal fibroblastic tumor inside the pleura, for which complete surgical resection is the standard treatment. For large SFTs, preoperative identification of tumor-feeding vessels using angiography is important for achieving complete resection without unexpected operative bleeding. Extensive adhesions can make resection difficult in a limited operative window, and pulmonary resection may be required to achieve complete SFT resection. Herein, we report successful resection of a large pleural SFT in a 39-year-old man without any complications using a 2-stage approach, in which ligation of the feeding vessels through small another operative window was the first step.

• Journal of Chest Surgery
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• 제52권3호
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• pp.174-177
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• 2019

Pancreaticopleural fistula (PPF) is a rare complication in patients with pancreatitis. Its symptoms are similar to those of empyema or pleural effusion; therefore, it is important to consider PPF in the differential diagnosis. Herein, we describe the diagnosis and treatment of PPF in a patient presenting with unusual empyema and delayed hemoptysis.

• Journal of Chest Surgery
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• 제55권6호
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• pp.482-484
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• 2022

Spontaneous hemothorax is rare, with limited data available on its etiology and treatment. We report a case of massive spontaneous hemothorax with a ruptured variceal phrenic vein during pregnancy, likely a complication of the Kasai procedure. Despite closed thoracostomy, the patient's symptoms and imaging findings did not improve. Emergent open thoracotomy and bleeding control were performed.

• Journal of Chest Surgery
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• 제55권1호
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• pp.91-94
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• 2022

Chylothorax after thoracic surgery is a rare complication, and treatment for refractory chylothorax is challenging. We report a case of chylothorax after cardiothoracic surgery in an infant after failure of conservative management and thoracic duct ligation. The patient underwent chemical pleurodesis with a Viscum album extract. The treatment was successful and chylothorax did not recur.

• Journal of Chest Surgery
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• 제56권6호
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• pp.456-459
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• 2023

Penetrating chest trauma may result in significant intracardiac injury. A traumatic ventricular septal defect is a rare complication that requires surgical management, particularly if heart failure ensues. We report a case of delayed repair of an outlet-type ventricular septal defect and perforation of the aortic and pulmonary valve leaflets following a stab wound. This report highlights diagnostic and surgical considerations and also presents an opportunity to review the conotruncal anatomy, which may be relatively unfamiliar to many adult cardiac surgeons.