• 제목/요약/키워드: thoracic and cardiovascular surgery

검색결과 7,900건 처리시간 0.04초

An Isolated True Aneurysm of the Superficial Femoral Artery in a Young Woman - A case report -

  • Lee, Seok-Kee;Kang, Shin-Kwang;Oh, Hyun-Kong;Kang, Min-Woong;Yu, Jae-Hyeon;Na, Myung-Hoon;Lim, Seung-Pyung
    • Journal of Chest Surgery
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    • 제44권5호
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    • pp.361-363
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    • 2011
  • A 39-year-old woman was admitted to the hospital due to a pulsatile mass on her right inner thigh that was evident for two months. She did not exhibit any risk factors of atherosclerosis, no evidence of vasculitis, or any signs of previous trauma history. Ultrasound and computed tomography revealed an adult fist-sized aneurysm on the distal superficial femoral artery. The aneurysm was resected and peripheral circulation was restored with the interposition of a saphenous vein graft. The resected aneurysm had three layers that showed atherosclerosis on histological examination.

Primary Pulmonary Chordoid Meningioma

  • Bae, So Young;Kim, Hye-seon;Jang, Hyo-Jun;Chung, Won-Sang;Kim, Hyuck;Kim, Young Hak;Lee, Jun Ho;Bang, Seong Sik
    • Journal of Chest Surgery
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    • 제51권6호
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    • pp.410-414
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    • 2018
  • Primary pulmonary meningioma is a rare disease, and chordoid meningioma is an uncommon variant of meningioma in the central nervous system (CNS) with a high recurrence rate. We report a case of primary pulmonary chordoid meningioma that presented as a solitary pulmonary nodule (SPN). The SPN was resected by thoracoscopic wedge resection and was revealed to have characteristics of chordoid meningioma. After confirming the absence of a meningioma in the CNS by brain imaging, the nodule was diagnosed as a primary pulmonary chordoid meningioma. The patient remained disease-free after 26 months postoperatively. To our knowledge, this is the third case of primary pulmonary chordoid meningioma to be reported.

Aortic Arch Endarterectomy Associated with On-Pump Cardiac Surgery in Patients with a Mobile Arch Atheroma

  • Song, Joon Young;Choi, Jong Bum;Kim, Jong Hun;Kim, Kyung Hwa;Kim, Tae Yun
    • Journal of Chest Surgery
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    • 제52권2호
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    • pp.112-115
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    • 2019
  • We describe aortic arch endarterectomy performed concomitantly with on-pump cardiac surgery in 2 patients with grade V arch atherosclerosis. In both patients, transesophageal echocardiographic findings led to the diagnosis of severe arch atherosclerosis associated with a mobile atheromatous plaque in the aortic arch. The severe arch atherosclerosis was managed with endarterectomy under deep hypothermic circulatory arrest. In patients with severe grade V atherosclerosis in the aortic arch, performing endarterectomy simultaneously with primary cardiac surgery may be justified as a way to reduce the risk of peripheral embolism, including cerebrovascular accidents, with minimal additional surgical risk.

원발성 자연 기휴에 대한 2mm 비디오 흉강경 검사 (2mm Video Thoracoscopic Examination for Primary Spontaneous Peumothorax)

  • 이송암;김광택;박성민;정봉규;선경;김형묵;이인성
    • Journal of Chest Surgery
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    • 제33권4호
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    • pp.306-309
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    • 2000
  • Background: The purpose of this study was to evalute the diagnostic value of 2mm video thoracoscopy for primary spontaneous penumothorax. Material and Method: During the period of March to June 1999, we prospectively analyzed 33 consecutive patients suffering from primary spontaneous pneumothorax. 2mm video-assisted thoracoscopy was compared with the operative finding. We observed recurrence during the mean follow-up of 3months. Result: Blebs were present in 24 patient(73%: 24/33). These were treated by 10mm video-assised thoracoscopic stapling. Nine pateints with no bleb were treated with pleural drainage. There were no significant differences in the bleb finding. No recurrence occurred during the follow-up period. Conclusion: A 2mm video thoracoscopic examination for primary spontaneous pnumothorax is a useful alternative in deciding the operative indication.

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Saccular Aneurysm of the External Jugular Vein: A Case Report

  • Lee, Hae Young;Cho, Sung Ho;Ko, Taek Yong;Kim, Hyun Su;Kim, Jong In;Park, Sung Dal;Cho, Sung Rae;Chun, Bong Kwon
    • Journal of Chest Surgery
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    • 제47권2호
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    • pp.171-173
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    • 2014
  • Saccular aneurysm of the external jugular vein presenting as a neck mass is very rare. We report the surgical treatment of an external jugular venous aneurysm in a 48-year-old female patient due to the cosmetic problem of neck engorgement, concomitant with thyroidectomy for cancer.

뇌전이를 동반한 원발성 폐활막육종 (Primary pulmonary synovial sarcoma with brain metastasis)

  • 신성호;송동섭;정원상;김혁;김영학;강정호;지행옥;전석철;고용
    • Journal of Chest Surgery
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    • 제33권4호
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    • pp.329-332
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    • 2000
  • Synovial sarcoma is a malignant soft tissue tumor originated from the primitive mesencymal cell. It occurs primarily in the extremities, especially in the lower extremities. Primary pulmonary synovial sarcoma has been rarely reported in literatures. We experienced a case of intrapulmonary synovial sarcoma with brain metastasis which originated from the lung.

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발작성 심방성 빈맥을 동반한 심장지방종 (Cardiac Lipoma Combined with Paroxysmal Atrial Tachycardia)

  • 박찬범;조민섭;진웅;조덕곤;조규도;왕영필;김치경
    • Journal of Chest Surgery
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    • 제38권6호
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    • pp.438-440
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    • 2005
  • 원발성 심장종양은 드문 것으로 알려져 있으며, 더구나 부정맥을 동반하는 경우는 매우 드문 것으로 알려져 있다. 저자들은 발작성 심방성 빈맥을 동반한 심장지방종 환자를 치험하여 보고하는 바이다.

Left Ventricular Assist Device Implantation via Dual Left Thoracotomy in an Adult Patient with Congenitally Corrected Transposition of the Great Arteries

  • Kim, Shin;Cho, Yang-Hyun;Park, Pyo Won;Lee, Young Tak;Jun, Tae-Gook;Kim, Wook Sung;Sung, Kiick;Yang, Ji-Hyuk;Chung, Suryeun
    • Journal of Chest Surgery
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    • 제53권5호
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    • pp.306-309
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    • 2020
  • A 59-year-old man presented for possible durable ventricular assist device (VAD) implantation. He had previously been diagnosed with congenitally corrected transposition of the great arteries, a ventricular septal defect, an atrial septal defect, pulmonary valve stenosis, and aortic valve regurgitation. In the previous 22 years, he had undergone palliative cardiac surgery 3 times. VAD implantation as a bridge to transplantation was planned. Owing to severe adhesions, mesocardia, a left ascending aorta, and moderate aortic regurgitation, we performed VAD implantation and aortic valve closure via a dual left thoracotomy and partial sternotomy.

식도암에 대한 최소 침습수술 (Minimally Invasive Surgery for Esophageal Cancer)

  • 류경민;정요천;조석기;진성훈;성숙환;박도중;김형호;전상훈
    • Journal of Chest Surgery
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    • 제39권3호
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    • pp.255-259
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    • 2006
  • 식도암의 수술은 일반적으로 개흉술과 개복술이 동시에 시행되며 경우에 따라 경부절개까지 추가되므로 다른 수술에 비해 이환율과 사망률이 상대적으로 높다. 수술에 따른 합병증을 최소화하고 빠른 회복을 유도하기 위하여 최근에는 양성 질환뿐만 아니라 악성 종양의 수술에도 저 침습적인 방법이 많이 시행되고 있으나, 식도암에는 적극적으로 적용되고 있지는 않으며 아직 국내보고도 없다. 최근 저자들은 8예의 식도암 환자에게 저 침습 수술을 적용하였기에 수술 기법을 중심으로 보고하는 바이다.