• Title/Summary/Keyword: thoracic and cardiovascular surgery

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Atypical Thymic Carcinoid in a Patient with Zollinger-Ellison Syndrome

  • Lee, Jiyun;Hyun, Kwanyong;Moon, Mi Hyoung;Moon, Seok Whan;Park, Jae Kil;Choi, Si Young;Sa, Young Jo;Kim, Kyung Soo
    • Journal of Chest Surgery
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    • v.52 no.6
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    • pp.420-424
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    • 2019
  • Atypical thymic carcinoid is an extremely rare tumor with a poor prognosis. In addition to its known association with multiple endocrine neoplasia type 1, its hallmark characteristics include local invasion and early distant metastasis. In this report, we share our experience treating atypical thymic carcinoid in a patient with Zollinger-Ellison syndrome.

A Clinical Experience of Korean Artificial Heart(AnyHeart) (한국형 인공심장(AnyHeart)의 임상경험)

  • Sun, Kyung;Son, Ho-Sung;Jung, Jae-Seung;Chung, Bong-Kyu;Lee, Sung-Ho;Shin, Jae-Seung;Kim, Kwang-Taik;Lee, Hye-Won;Min, Byoung-Goo;Kim, Hyoung-Mook
    • Journal of Chest Surgery
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    • v.35 no.7
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    • pp.548-552
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    • 2002
  • Korean artificial heart(AnyHeart) is a single-pieced and implantable hi-ventricular pulsaile pump adapting a moving actuator mechanism. The authors report a case of clinical application of AnyHeart as a life-saving device for the patients with end-stage heart disease combined with biventricular failure.

Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience

  • Siwon Oh;Suk Kyung Lim;Jong Ho Cho;Hong Kwan Kim;Yong Soo Choi;Jhingook Kim;Young Mog Shim;Junghee Lee
    • Journal of Chest Surgery
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    • v.56 no.3
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    • pp.171-176
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    • 2023
  • Background: This study analyzed and described the clinical characteristics and surgical outcomes of diaphragmatic hernia (DH) repair according to the operative approach. Methods: After excluding cases with a combined approach and hiatal hernias, we analyzed 26 patients who underwent DH repair between 1994 and 2018. The baseline and perioperative characteristics of the thoracic approach group and the abdominal approach group were described and analyzed. Results: Fifteen of the 26 patients were treated through the thoracic approach, including 5 patients who underwent video-assisted thoracic surgery (VATS). Eleven patients underwent the abdominal approach. The thoracic approach was associated with a longer duration of DH than the abdominal approach (2 vs. 0.1 months), herniation of the right-sided abdominal organs, and herniation of the retroperitoneal organs. During the median follow-up of 23 months, there was no recurrence of DH. Conclusion: The surgical approach should be chosen considering the duration of DH and the location of herniated organs. VATS might be a safe and feasible option for repairing DH.

Single-Incision Video-Assisted Thoracoscopic Surgery for Benign Mediastinal Diseases: Experiences in Single Institution

  • Ahn, Hyo Yeong;Cho, Jeong Su;Kim, Yeong Dae;I, Hoseok;Lee, Jonggeun
    • Journal of Chest Surgery
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    • v.46 no.5
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    • pp.388-390
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    • 2013
  • With advancement of the technique of video-assisted thoracic surgery (VATS), some surgeons have made great efforts to reduce the number of incisions in the conventional three- or four-port approach. Several studies on cases treated by single-incision VATS and their short-term outcomes were reported. Here, we present our experience with single-incision VATS for the treatment of benign mediastinal diseases.

Successful Endovascular Management of Intraoperative Graft Limb Occlusion and Iliac Artery Rupture Occurred during Endovascular Abdominal Aortic Aneurysm Repair

  • Lim, Jae Hong;Sung, Yong Won;Oh, Se Jin;Moon, Hyeon Jong;Lee, Jeong Sang;Choi, Jae-Sung
    • Journal of Chest Surgery
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    • v.47 no.1
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    • pp.71-74
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    • 2014
  • For high-risk patients, endovascular aortic aneurysm repair (EVAR) is a good option but may lead to serious complications, which should be addressed immediately. A 75-year-old man with a history of abdominal surgery underwent EVAR for an aneurysm of the abdominal aorta and iliac arteries. During EVAR, iliac artery rupture and graft limb occlusion occurred, and they were successfully managed by the additional deployment of an iliac stent graft and balloon thrombectomy, respectively. We, herein, report a rare case of the simultaneous development of the two fatal complications treated by the endovascular technique.

Use of Embolic Protection Devices during Hybrid Thoracic Endovascular Aortic Repair for a Shaggy Aorta: A Case Report

  • Kim, Eun Chae;Lee, Jae Hang;Chang, Hyoung Woo;Kim, Dong Jung;Kim, Jun Sung;Lim, Cheong;Park, Kay-Hyun
    • Journal of Chest Surgery
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    • v.54 no.6
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    • pp.513-516
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    • 2021
  • An 87-year-old man presented with a saccular aneurysm at the proximal descending thoracic aorta. As computed tomography revealed a shaggy aorta, we planned hybrid thoracic endovascular aortic repair (TEVAR) with embolic protection devices (EPDs) in both internal carotid arteries to prevent a cerebrovascular accident. We inserted an Emboshield NAV6 Embolic Protection System (Abbott Vascular, Abbott Park, IL, USA) into both internal carotid arteries before performing the TEVAR procedure. The patient was discharged from the hospital on postoperative day 4 without any neurological complications.

Combined Bilateral Lung Transplantation and Off-Pump Coronary Artery Bypass

  • Do, Young Woo;Jung, Hee Suk;Lee, Chang Young;Lee, Jin Gu;Youn, Young-Nam;Paik, Hyo Chae
    • Journal of Chest Surgery
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    • v.49 no.6
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    • pp.461-464
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    • 2016
  • Coronary artery disease has historically been a contraindication to lung transplantation. We report a successful combined bilateral lung transplantation and off-pump coronary artery bypass in a 62-year-old man. The patient had a progressive decline in lung function due to idiopathic pulmonary fibrosis and a history of severe occlusive coronary artery disease.

Intracardiac Foreign Body (Bone Cement) after Percutaneous Vertebroplasty

  • Yang, Jun Ho;Kim, Jong Woo;Park, Hyun Oh;Choi, Jun Young;Jang, In Seok;Lee, Chung Eun
    • Journal of Chest Surgery
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    • v.46 no.1
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    • pp.72-75
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    • 2013
  • Percutaneous vertebroplasty is a relatively easy and minimally invasive procedure used in treating vertebral fractures. However, the procedure has many complications, one of which is bone cement leakage, which happens frequently. Leakage to the paravertebral venous system, in particular, may lead to especially devastating consequences. Here we report a case of a 65-year-old male patient with an intracardiac foreign body (bone cement) that generated a perforation on the right ventricle, and result in hemopericardium after percutaneous vertebroplasty. We performed open heart surgery to remove the foreign body.

Surgical Treatment of Killian-Jamieson Diverticulum

  • Kim, Dong-Chan;Hwang, Jae-Joon;Lee, Woo-Surng;Lee, Song-Am;Kim, Yo-Han;Chee, Hyun-Keun
    • Journal of Chest Surgery
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    • v.45 no.4
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    • pp.272-274
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    • 2012
  • Killian-Jamieson diverticulum is a rare diverticular disease. This disease differs from Zenker's diverticulum in its location and mechanism. Various treatment modality have been attempted, but traditional surgical treatment has been recommended for a symptomatic Killian-Jamieson diverticulum due to the concern of possible nerve injury. We performed surgical treatment by cervical incision. We report here on a case of Killian-Jamieson diverticulum and we briefly review the relevant literature.

Pseudoaneurysm with Arteriovenous Fistula after Arthroscopic Procedure: A Rare Complication of Arthroscopy

  • Jin, Moran;Lee, Yang-Haeng;Yoon, Young Chul;Han, Il-Yong;Park, Kyung-Taek;Wi, Jin Hong
    • Journal of Chest Surgery
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    • v.48 no.4
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    • pp.302-305
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    • 2015
  • Pseudoaneurysm with arteriovenous fistula is a rare complication of arthroscopy, and can be diagnosed by ultrasonography, computed tomography, magnetic resonance imaging, or angiography. This condition can be treated with open surgical repair or endovascular repair. We report our experience with the open surgical repair of a pseudoaneurysm with an arteriovenous fistula in a young male patient who underwent arthroscopy five months previously.