• Title/Summary/Keyword: heart surgery

Search Result 2,869, Processing Time 0.026 seconds

Extra-Gastrointestinal Stromal Tumor Presenting as an Anterior Chest Wall Mass

  • Lim, Junghyeon;Cho, Sung Woo;Lee, Hee Sung;Kim, Hyoung Soo;Kim, Yong Han;Park, Bong Suk
    • Journal of Chest Surgery
    • /
    • v.50 no.4
    • /
    • pp.308-311
    • /
    • 2017
  • A 71-year-old man was referred for an anterior chest wall mass. Chest computed tomography (CT) and positron emission tomography-CT suggested a malignant tumor. Surgical biopsy through a vertical subxiphoid incision revealed an extra-gastrointestinal stromal tumor (EGIST). En bloc resection of the tumor, including partial resection of the sternum, costal cartilage, pericardium, diaphragm, and peritoneum, was performed. Pathologic evaluation revealed a negative resection margin and confirmed the tumor as an EGIST. On postoperative day 17, the patient was discharged without any complications. At the 2-week follow-up, the patient was doing well and was asymptomatic.

Papillary Fibroelastoma of Pulmonary Valve with Congestive Heart Failure -A case report- (심부전을 동반한 폐동맥 판막의 유두상 섬유탄력종 - 1예 보고 -)

  • CheKar, Jay-Key;Ahn, Byoung-Hee;Oh, Sang-Gi;Jeong, In-Seok;Yun, Chi-Hyeong;Kim, Sang-Hyung
    • Journal of Chest Surgery
    • /
    • v.43 no.2
    • /
    • pp.176-179
    • /
    • 2010
  • Cardiac papillary fibroelastomas are the second most common primary tumor of the heart and they most commonly affect the left cardiac valves. However, occurrence of this tumor on the right side of the heart has been rarely reported, with only a few cases having been documented on the pulmonary valve. We present here a rare case of a papillary fibroelastoma that occurred on the pulmonary valve and this was successfully managed by replacing the pulmonary valve in a patient with congestive heart failure.

Thoracoscopic Repair of a Right-sided Congenital Diaphragmatic Hernia -A case report - (흉강경을 이용한 우측 선천성 횡격막 탈장 수술 -1예 보고-)

  • Jo, Tae-Jun;Lee, Jae-Woong;Lee, Weon-Yong;Hong, Ki-Woo;Ahn, Su-Min;Kim, Kun-Il
    • Journal of Chest Surgery
    • /
    • v.40 no.2 s.271
    • /
    • pp.155-158
    • /
    • 2007
  • A congenital diaphragmatic hernia, which mainly occurs in the left thorax, requires an emergency operative procedure during the neonatal periods. A right-sided congenital diaphragmatic hernia is rare, and often detected after the neonatal period due to the mild symptoms. Traditionally, the treatment repairs the diaphragmatic defect via a thoracotomy. However, good results of thoracoscopic repairs have been reported. Herein, the case of a 5-month-old girl, who received a thoracoscopic repair of a right-sided congenital diaphragmatic hernia, is reported.

Clinical Analysis of Open Heart Surgery -Review of 450 Cases (개심술 450례의 임상적 고찰)

  • 이서원;이계선
    • Journal of Chest Surgery
    • /
    • v.30 no.8
    • /
    • pp.770-779
    • /
    • 1997
  • From Feb. 1985 to Aug. 1996, 450 patients underwent open heart surgery with hypothermic cardiopulmonary bypass. In 450 cases of open heart surgery, 222 cases(49.3%) were congenital heart diseases and 228 cases(5 .7%) were acquired heart diseases. In 222 cases of congenital heart diseases, there were 201 cases of acyanotic heart disease and 21 cases of cyanotic heart diseases. Among the 228 cases of acquired heart diseases, most cases were valvular heart diseases in which 206 valves were implanted. There were 32 cases of ischemic heart disease and the average graft anastomoses were 2.37 sites per operation. The operative mortality of congenital and acquired disease was 9.0% and 10.l% respectively and then overall mortality rate was 9.6% .

  • PDF

Open Heart Surgery in the First Half of 1978: A Report of 112 Cases (1978년도 상반기 개심술 : 112례 보고)

  • 이영균
    • Journal of Chest Surgery
    • /
    • v.11 no.3
    • /
    • pp.281-295
    • /
    • 1978
  • Last year in this department 100 cases of open heart surgery were done annually. This year 200 cases of open heart surgery were scheduled. During the first 6 months of this year 112 open heart surgery cases were done with 13 deaths [11.6%]. There were 72 cases of cougenital malformation with 9 operative deaths [12.5%], consisting of 23 acyanotic cases with one death [4.5%] and 49 cases of cyanotic cases with 8 deaths [16.3%]. Out of 40 tetralogy of Fallot, 6 cases expired [15%]. For 39 cases of acquired valvular heart disease and one Ebstein anomaly valves were replaced with 4 operative deaths [10%]. Single valve replacement in 33 with 3 operative deaths and double valve replacement in 7 cases with one death were noted. Two patients expired among 28 mitral valve replacement cases [7.1%]. Among 7 double valve replacement patients, consisting of 3 mitral and aortic and 4 mitral and tricuspid valve replacement one case expired. In a case of Ebstein anomaly, tricuspid valve was replaced with plication of atrialized right ventricle successfully. The operative result was excellent.

  • PDF

Clinical report of 131 cases of open heart surgery in 1985 (1985년도 연간개심술 131예 보고)

  • 김규태
    • Journal of Chest Surgery
    • /
    • v.19 no.3
    • /
    • pp.399-406
    • /
    • 1986
  • 131 cases of open heart surgery were performed in the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital in 1985. There were 116 congenital cardiac anomaly and 15 acquired heart diseases. Out of 116 congenital cardiac anomaly, 73 cases of acyanotic group and 43 cases of cyanotic group were noted. In 73 cases of acyanotic group, 17 ASD, 52 VSD and 4 other acyanotic anomaly were noticed. In 43 cases of cyanotic group, 4 Trilogy of Fallot, 34 TOF, 1 Pentalogy, 3 DORV and 1 DCRV were included. Of the 15 acquired valvular heart disease cases, individual incidence was in mitral valve 10, double valve 3, and simple aortic valve 2 cases. Total number of valve replaced was 16, and 13 for mitral, 2 for aortic, and 1 for tricuspid in position, including 1 cases of double valve replacement. Overall operative mortality for 131 cases of open heart surgery was 4.5%, and the operative mortality was 5.5% in congenital acyanotic group, 2.3% in congenital cyanotic group, 0% in TOF group and 6.7% in acquired group.

  • PDF

Sural nerve grafts in subacute facial nerve injuries: a report of two cases

  • Jiwon Jeong;Yongjoon Chang;Kuylhee Kim;Chul Hoon Chung;Soyeon Jung
    • Archives of Craniofacial Surgery
    • /
    • v.25 no.2
    • /
    • pp.99-103
    • /
    • 2024
  • Because facial nerve injuries affect the quality of life, leaving them untreated can have devastating effects. The number of patients with traumatic and iatrogenic facial nerve paralysis is considerably high. Early detection and prompt treatment during the acute injury phase are crucial, and immediate surgical treatment should be considered when complete facial nerve injury is suspected. Symptom underestimation by patients and clinical misdiagnosis may delay surgical intervention, which may negatively affect outcomes and in some cases, impair the recovery of the injured facial nerve. Here, we report two cases of facial nerve injury that were treated with nerve grafts during the subacute phase. In both cases, subacute facial nerve grafting achieved significant improvements. These cases highlight surgical intervention in the subacute phase using nerve grafts as an appropriate treatment for facial nerve injuries.

Fontan Conversion with Arrhythmia Surgery in a Jehovah′s Witnesses (여호와의 증인 환자의 폰탄전환술 및 부정맥수술)

  • Ryu, Jae-Wook;Kim, Woong-Han;Na, Chan-Young;Oh, Sam-Se;Kim, Soo-Cheol;Lim, Cheong;Baek, Man-Jong;Jong, Joon-Hyuk;Lee, Jae-Young;Park, Young-Kwan;Kim, Chong-Hwan
    • Journal of Chest Surgery
    • /
    • v.35 no.1
    • /
    • pp.48-51
    • /
    • 2002
  • The conversion of failing Fontan circuit to total cavopulmonary connection(TCPC) is recommended as a therapeutic option in patients with late Fontan complications such as atrial arrhythmia, atrial enlargement, pulmonary venous obstruction, and ventricular dysfunction. Combined TCPC with extracardiac conduit and cryoablation of arrhythmia circuit is preferred for treatment of failing Fontan coulection with atrial lachyarrhythrnia. We report a case of conversion of atriopulmonary connection to extracardiac conduit Fontan and cryoablation of atrial arrhythmia circuit in a patient with tricuspid atresia, who also had ectopic atrial tachycardia, right atrial thrombi, pulmonary venous obstruction, and ventricular dysfunction. This patient and the parents were Jehovah's Witnesses; therefore, the patient underwent the procedure without blood transfusion.

Solitary Osteochondroma of Fibula in Distal Tibiofibular Joint causing Valgus Deformity of Ankle: A Case Report (족관절 외반 변형을 동반한 원위 경비 관절 비골에 발생한 고립성 골연골종: 1예 보고)

  • Lee, Dong-Hum;Shin, Sung-Il;Park, Yong-Wook;Kim, Do-Young;Lee, Sang-Soo;Suh, Dong-Hyun;Hwang, Pil-Sung;Kim, Hyong-Nyun
    • Journal of Korean Foot and Ankle Society
    • /
    • v.9 no.1
    • /
    • pp.113-116
    • /
    • 2005
  • The osteochondroma is a cartilage-capped exostosis resulting from an error in the regulation of normal chondrocyte proliferation and maturation that leads to a normal bone growth. Although exostoses are benign lesions, they are often associated with characteristic progressive skeletal deformities and may cause clinical symptoms. Surgery can prevent progression and provide correction for certain deformities. We experienced a rare case of solitary osteochondroma in a 21-year-old male which caused the valgus deformity of the ankle.

  • PDF