• Title/Summary/Keyword: left thoracotomy

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Pleural Lipoma; A Case Report (흉막지방종의 수술치험;1례 보고)

  • 양성린
    • Journal of Chest Surgery
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    • v.26 no.6
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    • pp.505-506
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    • 1993
  • Lipomas are common tumors occuring mostly in the skin and subcutaneous tissue. This tumors are rare in the thorax. They frequently represent on incidental roentgengraphic finding or symptomes depending primarily on their location and size. The patient was 23-month-old male complained of fever and coughing. His chest X-ray and CT scan were revealed soft tissue density featured of pleural mass in the left lower hemithorax. And thoracotomy was performed for accurate diagnosis and treatment. So, experience of parietal pleural lipoma is reported here in.

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Surgical Treatment of Complete Vascular Ring Associated with Kommerell's Diverticulum (Konnerell's diverticulum에 동반된 완전 혈관류의 수술적 교정)

  • 윤태진;오정훈;민경석;서동만;김영휘;고재곤;박인숙
    • Journal of Chest Surgery
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    • v.33 no.9
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    • pp.761-765
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    • 2000
  • Forty year old woman with dysphagia underwent surgical correction of complete vascular ring formed by right aortic arch, Kommerell's diverticulum and ligamentum arteriosum. Operation consisted of ligamentum division, reduction diverticuloplasty and posterior diverticulopexy via left posterolateral thoracotomy. Dysphagia was relieved postoperatively, and concentic narrowing of esophagus in the level of aortic arch disappeared on postoperative esophagography.

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Esophageal leiomyoma combined with achalasia; report of 1 case (아칼라지아와 동반된 식도 평활근종;수술 치험 1례 보고)

  • 백만종
    • Journal of Chest Surgery
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    • v.26 no.10
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    • pp.815-820
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    • 1993
  • We experienced a case of esophageal leiomyoma combined with achalasia that is very rare. Patient had suffered from severe dysphagia and postprandial vomiting and diagnosis was accomplished by esophagography, esophagoscopy, chest CT, and esophageal motility test. The operative treatment was done through left lateral thoracotomy by enucleation of the submucosal tumor and esophagomyotomy. By histopathological findings, the diagnosis of leiomyoma was confirmed and LES biopsy revealed absence of the ganglion cells of myenteric and Auerbach`s plexus. Symptoms of the patient were completely relieved and postoperative course was uneventful.

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Giant Leiomyoma of the Esophagus - A Case Report - (거대 식도평활근종 수술치험 1예)

  • 이두연
    • Journal of Chest Surgery
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    • v.22 no.3
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    • pp.518-523
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    • 1989
  • A 42-year old male was seen with symptoms of dysphagia, chest pain and dyspnea of 9 months duration. A benign tumor of the posterior mediastinum was diagnosed from x-ray studies and a transthoracic needle aspiration biopsy which was inconclusive. A left thoracotomy revealed a huge mass occupying the retrocardiac space and the contra-lateral mediastinum. It was resected by blunt dissection and, during this process, a 3.0 cm laceration was created in the esophageal wall. This was repaired with Tevdec sutures and staplers and was reinforced with an intercostal muscle flap to prevent leakage. The postoperative course was entirely uneventful.

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Emergency Treatment of Penetrating Cardiac Injury (관통성 심장 자상 환자의 응급수술)

  • 신윤곤
    • Journal of Chest Surgery
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    • v.27 no.6
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    • pp.483-485
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    • 1994
  • Recently, we experienced one case of penetrating cardiac injury patient by the knife.This patient was treated by emergency operation through left anterolateral thoracotomy under local anesthesia at emergency room. But, the patient was brought about the brain death inspite of normalized function of heart and lung. Now we have a conclusion that was able to recover of heart and lung functions by doctor`s exactly judgement and practice, at least.

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Complete Vascular Ring Caused by Kommerell's Diverticulum and Right Aortic Arch with Mirror Image Branching

  • Ryu, Jae-Wook
    • Journal of Chest Surgery
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    • v.45 no.5
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    • pp.338-341
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    • 2012
  • Vascular ring, caused by Kommerell's diverticulum and ligamentum arteriosum, in a patient with right aortic arch and mirror image branching is extremely rare. A 10-month-old boy with coughing and stridor was diagnosed as having tracheo-esophageal stenosis, which is caused by a vascular ring with Kommerell's diverticulum, ligamentum arteriosum, right aortic arch, and mirror image branching. Kommerell's diverticulum was successfully resected via a left thoracotomy. The patient has been free from tracheo-esophageal stenosis for a year after the surgery.

A Treatment Case of Endoscopic Removal of Left Ventricular Thrombus, During Coronary Artery Bypass Graft

  • Park, Hyun-Seok;Ryu, Se-Min;Cho, Seong-Joon;Park, Sung-Min;Lim, Sun-Hye
    • Journal of Chest Surgery
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    • v.47 no.4
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    • pp.434-436
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    • 2014
  • Left ventricular thrombus is a common complication related to acute myocardial infarction. Removing this with an incision of the free wall of the left ventricle may cause fatal cardiac dysfunction or arrhythmias. Furthermore, performing incision and suture on the fragile myocardium of an acute myocardial infarction patient may cause serious bleeding complications. If there is a patient with left ventricular thrombus who needs thoracotomy for another reason, the case is attempted with the thought that if effective intraventricular visualization and manipulation can be done, fatalities caused by incision and suture may be reduced. For patients undergoing cardiopulmonary bypass, if intracardiac manipulation is required, an endoscope can be used, and given the potential complications after the incision and suturing of the infarcted tissue, the benefits are deemed sufficient.

Surgical Correction of Complete Vascular Ring Associated with Kommerell's Diverticulum (Kommerell 게실과 동반된 완전 혈관륜의 수술적 교정)

  • Kim, Hee-Jung;Jung, Sung-Ho;Kim, Kyung-Mo;Yun, Tae-Jin
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.943-945
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    • 2006
  • An 11-month old girl with a feeding difficulty and recurrent aspiration pneumonia received surgical correction of complete vascular ring, which was formed by right aortic arch, aberrant left subclavian artery(LSCA) originating from Kommerell's diverticulum(KD) and ligamentum arteriosum. Through left posterolateral thoracotomy, the ligamentum arteriosum was divided to relieve the tracheo-esophageal bundle. KD was separated from the right descending aorta, and the left subclavian artery was severed from KD at its origin and trasfered to the side wall of left common carotid artery. Postoperative course was uneventful, and the patient has been followed up with a clinical improvement.

Conjunction of a Fungus Ball and a Pulmonary Tumourlet in a Bronchiectatic Cavity

  • Yazgan, Serkan;Gursoy, Soner;Turk, Figen;Dinc, Zekiye Aydogdu
    • Journal of Chest Surgery
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    • v.51 no.2
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    • pp.138-141
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    • 2018
  • Herein, we describe the case of a 67-year-old female patient who presented with cough and haemoptysis. Chest computed tomography revealed destruction of the left lower lobe and multiple fungus balls in a bronchiectatic cavity. A left lower lobectomy was performed via thoracotomy. Histopathological examination of the lung showed a concomitant aspergilloma and multiple tumourlets in the large bronchiectatic cavity. Pulmonary intracavitary aspergilloma and concomitant tumourlets are quite rare. Our report presents this interesting case that manifested with haemoptysis.

Double Aortic Arch with Right Sided Descending Aorta - Report of 1 case - (우측 하행 대동맥을 동반한 중복 대동맥궁 - 1례 수술 치험 -)

  • 조경수
    • Journal of Chest Surgery
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    • v.23 no.1
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    • pp.201-204
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    • 1990
  • The double aortic arch is the commonest anomaly among the vascular rings are relatively rare congenital vascular anomalies. This anomaly is malformation of the aortic arch system may, by compression of the trachea and esophagus, cause respiratory distress and dysphagia. We experienced one case of double aortic arch with right sided descending aorta with predominant right anterior arch treated surgically at Kyung Hee University Medical Center. 1-year-old male patient with acute airway obstruction due to combination of double aortic arch and right descending aorta. The diagnosis was made by simple X-ray & confirmed by barium esophagogram & aortogram. The operative approach was through left thoracotomy & underwent division of the left aortic arch & division of ligamentum arteriosum & suspension of divided proximal end of anterior arch to anterior thoracic wall. The postoperative courses was uneventful and doing well on the 3 years.

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