• Title/Summary/Keyword: thoracic and cardiovascular surgery

Search Result 7,844, Processing Time 0.034 seconds

Aortoenteric Fistula -one case report- (대동맥장루 -1예 보고-)

  • Kim, Hyuck;Jung, Tae-Yol;Ban, Dong-Gyu;Chung, Won-Sang;Kim, Young-Hak;Kang, Jung-HO;Jee, Heng-Ok;Lee, Chul-Bum;Kwon, Oh-Jung;Kim, Kyung-Soo
    • Journal of Chest Surgery
    • /
    • v.34 no.2
    • /
    • pp.176-179
    • /
    • 2001
  • 이차성 대동맥장루는 아주 드물며 대동맥-장골동맥의 재건수술의 중대한 합병증으로 발생할 수 있다. 이 질환은 진성 대동맥장루와 paraprosthetic enteric fistula 로 분류할 수 있다. 이러한 합병증의 예방, 진단 및 치료는 추구해야할 문제로 되어 있다. 염증성 가성동맥류로 복부대동맥 및 장골동맥을 인조혈관으로 치환한 후 41개월에 내시경으로 Paraprosthetic enteric Fistula로 진단되어 수술을 시행한 39세 남자환자를 치험하였기에 보고한다.

  • PDF

Thoracic Endovascular Repair for Complicated Type B Acute Aortic Dissection with Distal Malperfusion

  • Choo, Suk-Jung;Jung, Sung-Ho;Kim, Ji-Eon;Lim, Ju-Yong;Ju, Min-Ho
    • Journal of Chest Surgery
    • /
    • v.44 no.6
    • /
    • pp.427-431
    • /
    • 2011
  • Successful thoracic endovascular repair for complicated Stanford type B acute aortic dissection in two patients is herein reported. The true lumen flow was immediately restored following stent graft deployment in the descending thoracic aorta with subsequent resolution of the distal malperfusion syndrome. One patient is doing well more than 15 months after surgery and another patient who was treated more recently is also doing well 7 months postoperatively.

Silastic Molding Method for Pectus Excavatum Correction Using a Polyvinyl Alcohol (Ivalon) Sponge

  • Lee, Jun-Ho;Kim, Sung-Jin;Kang, Jeong-Ho;Chung, Won-Sang;Kim, Hyuck;Chon, Soon-Ho
    • Journal of Chest Surgery
    • /
    • v.45 no.6
    • /
    • pp.418-420
    • /
    • 2012
  • Pectus excavatum is rare, but it is the most common type of sternal congenital disorder. There are many surgical methods to correct pectus excavatum such as the Ravitch method, Wada method, Silastic mold method, and the Nuss operation. We report a case of minimal invasive surgery for pectus excavatum using a polyvinyl alcohol sponge.

Bypass Surgery in Arterial Thoracic Outlet Syndrome

  • Bae, Miju;Lee, Chung Won;Chung, Sung Woon;Choi, Jinseok;Kim, Min Su
    • Journal of Chest Surgery
    • /
    • v.48 no.2
    • /
    • pp.146-150
    • /
    • 2015
  • Arterial thoracic outlet syndrome (TOS) causes ischemic symptoms; it is the rarest type, occurring in 5% of all TOS cases. This paper is a case report of a 38-year-old male patient diagnosed with arterial TOS, displaying symptoms of acute critical limb ischemia caused by thromboembolism. Brachial artery of the patient has been diffusely damaged by repeated occurrence of thromboembolism. It was thought to be not enough only decompression of subclavian artery to relieve the symptoms of hand ischemia; therefore, bypass surgery using reversed great saphenous vein was performed.

Treatment of Fungal Empyema Combined with Osteoradionecrosis by Thoracoplasty and Myocutaneous Flap Transposition

  • Lee, Joon Seok;Park, In Kyu;Park, Samina;Hyun, Kwan Yong;Kang, Chang Hyun;Kim, Young Tae
    • Journal of Chest Surgery
    • /
    • v.51 no.4
    • /
    • pp.273-276
    • /
    • 2018
  • We report the rare case of a 58-year-old woman who was diagnosed with fungal empyema thoracis combined with osteoradionecrosis. After 32 months of home care followed by open window thoracostomy, thoracoplasty with serratus anterior muscle transposition and a latissimus dorsi myocutaneous flap was performed successfully. Although thoracoplasty is now rarely indicated, it is still the treatment of choice for the complete obliteration of thoracic spaces.

Aortic Periannular Abscess Invading into the Central Fibrous Body, Mitral Valve, and Tricuspid Valve

  • Oh, Hyun Kong;Kim, Nan Yeol;Kang, Min-Woong;Kang, Shin Kwang;Yu, Jae Hyeon;Lim, Seung Pyung;Choi, Jae Sung;Na, Myung Hoon
    • Journal of Chest Surgery
    • /
    • v.47 no.3
    • /
    • pp.283-286
    • /
    • 2014
  • A 61-year-old man was diagnosed with aortic stenoinsufficiency with periannular abscess, which involved the aortic root of noncoronary sinus (NCS) that invaded down to the central fibrous body, whole membranous septum, mitral valve (MV), and tricuspid valve (TV). The open complete debridement was executed from the aortic annulus at NCS down to the central fibrous body and annulus of the MV and the TV, followed by the left ventricular outflow tract reconstruction with implantation of a mechanical aortic valve by using a leaflet of the half-folded elliptical bovine pericardial patch. Another leaflet of this patch was used for the repair of the right atrial wall with a defect and the TV.

Traumatic Chylothorax - Two Case Report - (외상성 유미흉, 2례 보고)

  • Lee, Gun;Park, Hyoung-Ju;Choi, Young-Ho;Lee, In-Sung;Kim, Hark-Jae;Kim, Hyoung-Mook
    • Journal of Chest Surgery
    • /
    • v.25 no.12
    • /
    • pp.1440-1443
    • /
    • 1992
  • Traumatic chylothorax is the presence of lymphatic fluid in the pleural space resulting from thoracic duct rupture, This condition is a serious and often life-threatening clinical entity. Operative trauma is most common mechanism of injury, but we experienced two case of chylothorax due to blunt trauma. One case was treated conservatively, another case was treated surgically.

  • PDF

Azygos Vein Aneurysm - A Case for Elective Resection by Video-assisted Thoracic Surgery

  • Lee, Deok-Heon;Keum, Dong-Yoon;Park, Chang-Kwon;Kim, Jae-Bum;Rho, Byung-Hak
    • Journal of Chest Surgery
    • /
    • v.44 no.4
    • /
    • pp.304-306
    • /
    • 2011
  • An azygos vein aneurysm is a very rare cause of a posterior mediastinal mass. Once the diagnosis has been confirmed, no treatment is usually required. However, the aneurysm can thrombose, and this may lead pulmonary thromboembolism, or the aneurysm may rupture. In these instances, the excision of the mass is recommended. Video-assisted thoracic surgery techniques have considerably improved. If it is necessary to remove the aneurysm, video-assisted thoracic surgery may be a good option for surgical treatment. We report a case of an aneurysm of the azygos arch that was successfully resected by video-assisted thoracic surgery.

Clinical Experience of Acute Pericarditis with Effusion (삼출액을 동반한 급성심낭염의 임상적 고찰)

  • Park, K.;Yoo, J.S.;Kim, Y.H.;Jo, K.D.;Park, J.K.;Wang, Y.P.;Kim, S.W.;Lee, H.K
    • Journal of Chest Surgery
    • /
    • v.24 no.2
    • /
    • pp.190-196
    • /
    • 1991
  • Clinical experience of 48 acute pericarditis with effusion was reviewed and presented. There were 28 male and 20 female patients ranging from 3 years to 77 years old. Malignant effusion; Twenty patients had underlying malignancy. These etiologies were lung ca[8 patients, 40%], breast ca[7 patients 35%], lymphoma[2 patients, 10%], esophageal ca[1 patients, 5%], stomach ca[1 patient, 5%], ovarian ca[1 patient, 5%]. Uremic effusion; 15 patients with renal failure required surgical intervention. Traumatic effusion; 7 patients had traumatic pericarditis. These etiologies were stab wound [5 patients, 71.4%] and aspiration[2 patients, 28.6%]. Pyogenic effusion: 6 patients had pyogenic pericarditis. These etiologies were empyema thoracis[3 patients, 50%], liver abscess[2 patients, 33.3%], pneumonia[1 patient, 16.7%]. The patients were treated by pericardiocentesis, subxiphoid tube drainage, pericardiectomy: 4 of them underwent pericardiocentesis; 37, subxiphoid tube drainage; 5, pericardiectomy. We conclude that subxiphoid tube pericardial drainage was effective for treatment of pericardial effusion.

  • PDF

Bronchial Artery Aneurysm Presenting as Hematemesis and Mediastinal Hemorrhage

  • Kim, Ji Sung;Lee, So Young;Son, Kuk Hui;Kim, Kun Woo;Choi, Chang Hu;Lee, Jae Ik;Park, Kook Yang;Park, Chul Hyun
    • Journal of Chest Surgery
    • /
    • v.48 no.4
    • /
    • pp.298-301
    • /
    • 2015
  • Hematemesis is a rare manifestation of a ruptured bronchial artery aneurysm (BAA) in the mediastinum. It is difficult to diagnose a ruptured BAA presenting as hematemesis, because it can be confused with other diseases, such as Boerhaave's syndrome, variceal disease, or a perforated ulcer. In this report, we describe a case of BAA resulting in hematemesis and mediastinal hemorrhage.