• Journal of Chest Surgery
• /
• 제46권3호
• /
• pp.230-233
• /
• 2013

While a diaphragmatic rupture commonly results from trauma to the abdomen and chest, a spontaneous diaphragmatic rupture is very rare. A 68-year-old male presented with chest pain that had originated while doing farm work in a squatting position. Images revealed a 5 cm defect of the left diaphragmatic dome, and the entire stomach was displaced into the thorax. The diaphragmatic defect was round and half had a well-demarcated margin. The remaining fragile tissue was completely excised and was closed primarily. The patient was uneventfully discharged and resumed with a normal diet 10 days after the operation.

• Journal of Chest Surgery
• /
• 제47권3호
• /
• pp.280-282
• /
• 2014

Atrial septal defect (ASD) is one of the most common congenital heart defects in adults. Surgical repair is the most common treatment approach, but device closure has recently become widely performed in accordance with the trend toward less invasive surgical approaches. Although surgery is recommended when ASD is accompanied by atrial fibrillation, this study reports a case in which a complete cure was achieved by closure of a device and totally thoracoscopic ablation.

• Journal of Chest Surgery
• /
• 제41권5호
• /
• pp.630-632
• /
• 2008

AESOP (Automated Endoscope System for Optimal Positioning)을 이용한 최소 침습적 심장 수술은 고식적인 정중흉골 절개술을 이용한 심장 수술에 비하여 수술 상처가 작고, 수술 후 환자의 회복이 빠르며, 입원 기간을 단축시키는 등의 장점이 알려져 있다. 저자들은 26세 여자 환자에서 좌측 최소 개흉술을 이용한 동맥하형 심실중격 결손증의 교정수술을 성공적으로 시행하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
• /
• 제33권4호
• /
• pp.333-337
• /
• 2000

Malignant fibrous histiocytoma(MFH) is a deep-seated pleomorphic sarcoma, which occurs principally as a mass of the extremities, abdominal cavity, or retroperitoneum in adults. However, it only rarely occurs in the chest wall. An 85-year-old man had undeergone excision of a small mass on the right posterior chest wall under local anesthesia 14 months age. However, the lesion did not heal and the mass recurred. He was referred to our hospital after the mass had grown to a size of 10.5$\times$8$\times$4cm with a 3$\times$3cm skin defect. Intraoperative frozen biopsy revealed MFH. An en-bloc wide resection and thin-thickness skin graft from his thigh were performed. Although distant metastasis to the lund developed 14 months later and the patient died 2 months later, there was no local recurrence. Thin-thickness skin graft is a simple method for a wide range skin defect, especially in the old age. He recovered in good condition without any physical disabilities.

• Journal of Chest Surgery
• /
• 제41권1호
• /
• pp.102-105
• /
• 2008

대혈관 사이로 주행하는 관상동맥의 이상 기시는 매우 드문 심기형으로 심근허혈이나 급사를 초래할 수 있다. 이런 기형을 교정하기 위해 몇몇 술식들이 소개되어 왔다. 우관상동맥의 이상기시 환자에서 우관상동맥의 또 다른 개구부를 만들어주는 Extended Unroofing 술식을 성공적으로 수행하였다. 술 후 3개월 째 심근허혈이나 대동맥판막역류증 없이 새로 만든 개구부는 넓게 잘 유지되었다.

• Journal of Chest Surgery
• /
• 제27권6호
• /
• pp.477-480
• /
• 1994

A 62 year old female, who had suffered from severe pulmonary and cardiac failure with postinfarction VSD [NYHA class IV], underwent successful concomittant patch closure of ventricular septal defect and coronary artery bypass for obstructed first diagonal branch. The operation was performed electively 4 weeks after occurrence of the postinfarction VSD.

• Journal of Chest Surgery
• /
• 제18권2호
• /
• pp.157-164
• /
• 1985

Our series comprised 68 patients of ventricular septal defect who underwent open heart surgery at the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, from January, 1980 to September, 1984. Of the 68 patients, 47 patients were male [69.1%] and 21 patients were female [30.9%]. Their age ranged from 3 years to 27 years, and the mean age was 10.1 years. Upon Kirklin`s anatomical classification, type I constituted 29.4%, type II 69.1%, type III 1.5%, and type IV 1%. The cardiac anomalies associated with ventricular septal defect were 21 in all; 5 PS, 4 Aortic insufficiency, 2 ASD, 4 Patent foramen ovale, and 1 Patent ductus arteriosus. Upon the data of cardiac catheterization, most of the patients had Qp/Qs of 1.4-1.8, Pp/Ps of 0.25 or less and Rp/Rs of 0.25 or less. There was no significant correlationship between the rate of operative complication & mortality and the increase of Qp/Qs, Pp/Ps, and Rp/Rs. The values of Qp/Qs, Pp/Ps and Rp/Rs were correspondingly increased according to increment of the defect size. 20 patients developed postoperative complications, such as 4 acute respiratory failure, 3 reexploration due to massive bleeding, 1 low cardiac output, 1 patch detachment, and 2 air embolism. Operative mortality rate was 7.4% [5 cases] among 68 patients.

• Clinical and Experimental Pediatrics
• /
• 제54권2호
• /
• pp.86-89
• /
• 2011

Traumatic ventricular septal defect (VSD) resulting from blunt chest injury is a very rare event. The mechanisms of traumatic VSD have been of little concern to dateuntil now, but two dominant theories have been described. In one, the rupture occurs due to acute compression of the heart; in the other, it is due to myocardial infarction of the septum. The clinical symptoms and timing of presentation are variable, so appropriate diagnosis can be difficult or delayed. Closure of traumatic VSD has been based on a combination of heart failure symptoms, hemodynamics, and defect size. Here, we present a case of a 4-year-old boy who presented with a traumatic VSD following a car accident. He showed normal cardiac structure at the time of injury, but after 8 days, his repeated echocardiography revealed a VSD. He was successfully treated by surgical closure of the VSD, and has been doing well up to the present. This report suggests that the clinician should pay great close attention to the patients injured by blunt chest trauma, keeping in mind the possibility of cardiac injury.

• Journal of Chest Surgery
• /
• 제28권9호
• /
• pp.865-868
• /
• 1995

A case of bronchogenic cyst associated with a partial pericardial defect is reported. Bronchogenic cysts are not so rare in incidence, but they are more rare when associated with a pericardial defect, the first case being reported by Rusby and Sellors in 1945. Recently, we experienced such a rare case of a bronchogenic cyst with a partial pericardial defect. The patient is a 39-year-old female and she was found to have a left anterior mediastinal mass during routine chest X-ray. During the operation, we detected partial pericardial defect after removal of the mediastinal mass. The pericardial defect was repaired with a Gore-Tex Membrane. The pathological examination of the mass showed a bronchogenic cyst. The patient had an uneventful hospital course.

• Journal of Chest Surgery
• /
• 제18권2호
• /
• pp.283-287
• /
• 1985

Seven patients had undergone repair of endocardial cushion defect from Jan. 1977 to Dec. 1984 at National Medical Center. Most patients had no associated anomalies except one who had PFO, and mortality case was absent. Five patients had partial ECD and two had complete ECD [Rastelli type A]. In P-ECD patients, the atrial septal defect was closed with patch in all cases and mitral cleft was approximated with 2-3 direct stitches. In two cases of C-ECD, atrial and ventricular septal defect was closed with single patch in one case and atrial septal defect was closed with patch but ventricular septal defect was closed with patch but ventricular septal defect was closed it direct suture in the other case. Atrioventricular cleft was approximated with 2-3 direct sutures. Postop. transient A-V block was noted in 2 cases but returned to regular sinus rhythm after 2 to 6 months.