• Journal of Chest Surgery
• /
• 제54권2호
• /
• pp.88-98
• /
• 2021

Background: This study aimed to develop a new risk prediction model for operative mortality in a Korean cohort undergoing heart valve surgery using the Korea Heart Valve Surgery Registry (KHVSR) database. Methods: We analyzed data from 4,742 patients registered in the KHVSR who underwent heart valve surgery at 9 institutions between 2017 and 2018. A risk prediction model was developed for operative mortality, defined as death within 30 days after surgery or during the same hospitalization. A statistical model was generated with a scoring system by multiple logistic regression analyses. The performance of the model was evaluated by its discrimination and calibration abilities. Results: Operative mortality occurred in 142 patients. The final regression models identified 13 risk variables. The risk prediction model showed good discrimination, with a c-statistic of 0.805 and calibration with Hosmer-Lemeshow goodness-of-fit p-value of 0.630. The risk scores ranged from -1 to 15, and were associated with an increase in predicted mortality. The predicted mortality across the risk scores ranged from 0.3% to 80.6%. Conclusion: This risk prediction model using a scoring system specific to heart valve surgery was developed from the KHVSR database. The risk prediction model showed that operative mortality could be predicted well in a Korean cohort.

• Journal of Chest Surgery
• /
• 제53권4호
• /
• pp.151-151
• /
• 2020

• Journal of Chest Surgery
• /
• 제16권4호
• /
• pp.559-562
• /
• 1983

• Journal of Chest Surgery
• /
• 제56권4호
• /
• pp.252-254
• /
• 2023

• Journal of Chest Surgery
• /
• 제57권3호
• /
• pp.300-301
• /
• 2024

• Journal of Chest Surgery
• /
• 제38권10호
• /
• pp.714-716
• /
• 2005

우측심장이 매우 확장되어 있는 경우 정중흉골 재절개는 대량출혈의 위험성을 내포하고 있음을 고려해야 한다. 일차 수술에서 정중흉골절개를 통하여 수술했던 환자에서 우측개흉은 삼첨판막에 쉽고 안전하게 접근할 수 있는 방법이다.

• Journal of Chest Surgery
• /
• 제53권2호
• /
• pp.92-92
• /
• 2020

• Journal of Chest Surgery
• /
• 제34권6호
• /
• pp.511-513
• /
• 2001

충남대학교 의과 대학 흉부외과학 교실에서 상박 외과경 골절 고정에 이용한 Steinmann씨 핀이 흉강내로 이동한 환자 1예를 치험 하였다. 핀 하나는 흉벽에 약간의 유착을 형성하여,흉벽에 위치했고 하나는 흉곽출구에서 흉강 내로 관통하고 있었다. 우측방 개흉으로 어려움 없이 제거하고 환자는 수술 10일에 경쾌 퇴원하였다.

• Journal of Chest Surgery
• /
• 제57권1호
• /
• pp.87-91
• /
• 2024

Gunshot-induced chest trauma is exceedingly rare among civilians in South Korea due to strong firearm control policies. In contrast to military reports emphasizing the use of emergent open thoracotomy to increase chances of survival, most penetrating non-cardiac injuries in civilian settings are managed conservatively, such as through chest tube insertion, as they typically result from lower-energy bullets. However, early surgical intervention for penetrating gunshot wounds can help reduce delayed fatalities caused by septic complications from pneumonia or empyema. The advent of minimally invasive thoracic surgery has provided cost-effective and relatively non-invasive treatment options, aided in the prevention of potential complications from undrained hematomas, and facilitated functional recovery and reintegration into society. We successfully treated a patient with a penetrating gunshot wound to the chest using video-assisted thoracoscopic surgery.

• Journal of Chest Surgery
• /
• 제46권3호
• /
• pp.212-215
• /
• 2013

A 79-year-old man was admitted to Samsung Changwon Hospital due to chest pain and dyspnea. The ejection fraction was 31% and mean pressure gradient between the left ventricle and aorta was 69.4 mmHg on echocardiography. Chest computed tomography showed severe calcification of the ascending aorta. Aortic valve replacement was successfully performed using a thoracic endovascular aortic repair balloon catheter without classic aortic cross clamping. The patient was discharged on the eleventh postoperative day.