• 제목/요약/키워드: thoracic and cardiovascular surgery

검색결과 7,865건 처리시간 0.024초

Surgical Resection of Thoracic Duct Lymphangioma

  • Bok, Jin San;Jun, Jae Hyun;Lee, Hyun Joo;Park, In Kyu;Kang, Chang Hyun;Kim, Young Tae
    • Journal of Chest Surgery
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    • 제47권4호
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    • pp.423-426
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    • 2014
  • A 67-year-old male patient came to the hospital due to lung cancer and mediastinal cystic mass which was suspected to be esophageal duplication cyst. Video-assisted thoracoscopic surgery (VATS) was performed and intra-operative finding suggested it as a cystic mass along the thoracic duct. Thoracic duct was ligated and the cyst was completely resected. A 48-year-old female patient visited the hospital for dysphagia. Mediastinal cystic mass was suspected to be an esophageal duplication cyst. Intraoperative finding suggest a thoracic duct lymphangioma. After thoracic duct ligation, the mass was completely resected with VATS. Postoperative chylothorax did not develop in both cases.

심근경색 후 발생한 후기저부 좌심실류의 외과적 치험 -2예 보고 - (Surgical Treatment of Postinfarction Posterobasal Left Ventricular Aneurysm - Report of 2 cases-)

  • 김재현;나찬영;김웅한;오삼세;백만종;황성욱;강창현;이철;장윤희;조원민;서홍주;박영관;김종환
    • Journal of Chest Surgery
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    • 제36권12호
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    • pp.975-978
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    • 2003
  • 심근경색 후 좌심실류의 약 88% 이상이 전벽경색에 의한 것이고 나머지는 하벽경색에 의한 것으로 후벽에 발생하는 좌심실류는 특히 드물다. 본원에서는 심근경색 후 좌심실 후기저부에 생긴 진성 좌심실류와 가성 좌심실류 2예에서 수술적 교정을 시행하였기에 증례 보고하는 바이다.

Intracardiac Thrombosis Involving All Four Cardiac Chambers after Extracardiac Membranous Oxygenation Associated with MTHFR Mutations

  • Kim, Bong Jun;Song, Seung Hwan;Shin, Yu Rim;Park, Han Ki;Park, Young Hwan;Shin, Hong Ju
    • Journal of Chest Surgery
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    • 제49권3호
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    • pp.207-209
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    • 2016
  • A 4-month-old boy diagnosed with acute myocarditis was treated with extracorporeal membrane oxygenation (ECMO). Follow-up echocardiography eight hours after ECMO revealed intracardiac thrombosis involving all four heart chambers. Because of the high risk of systemic embolization due to a pedunculated thrombus of the aortic valve, we performed an emergency thrombectomy. After the operation, the patient had a minor neurologic sequela of left upper arm hypertonia, which had almost disappeared at the last outpatient clinic two months later. He was diagnosed with a major mutation in MTHFR (methylenetetrahydrofolate reductase), which is related to thrombosis.

Surgical Treatment of Thoracic Menigocele Associated with Neurofibromatosis and Kyphoscoliosis

  • Kim, Young-Jin;Cho, Hyun-Min;Yoon, Chee-Soon;Lee, Chan-Kyu;Lee, Tae-Yeon;Seok, June-Pill
    • Journal of Chest Surgery
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    • 제44권5호
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    • pp.383-386
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    • 2011
  • A 46-year-old man presented with a lateral thoracic meningocele associated with cutaneous neurofibromatosis type I and kyphoscoliosis of the thoracic spine upon medical examination. In the majority of such cases, these meningoceles remain asymptomatic, but surgery is indicated when giant or symptomatic cysts are present. The large thoracic meningocele was successfully extirpated through the transthoracic approach in combination with lumbar puncture and cerebrospinal drainage for decompression of the cyst.

Central-Approach Surgical Repair of Coarctation of the Aorta with a Back-up Left Ventricular Assist Device for an Infant Presenting with Severe Left Ventricular Dysfunction

  • Kim, Tae Hoon;Shin, Yu Rim;Kim, Young Sam;Kim, Do Jung;Kim, Hyohyun;Shin, Hong Ju;Htut, Aung Thein;Park, Han Ki
    • Journal of Chest Surgery
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    • 제48권6호
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    • pp.407-410
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    • 2015
  • A two-month-old infant presented with coarctation of the aorta, severe left ventricular dysfunction, and moderate to severe mitral regurgitation. Through median sternotomy, the aortic arch was repaired under cardiopulmonary bypass and regional cerebral perfusion. The patient was postoperatively supported with a left ventricular assist device for five days. Left ventricular function gradually improved, eventually recovering with the concomitant regression of mitral regurgitation. Prompt surgical repair of coarctation of the aorta is indicated for patients with severe left ventricular dysfunction. A central approach for surgical repair with a back-up left ventricular assist device is a safe and effective treatment strategy for these patients.