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Asian Cardiovascular & Thoracic Annals

Mahmoud Abu Abeeleh, Amjad Bani Hani, Ata Ghaith, Tareq Alodwan, Zuhair Bani Ismail, Musa Alshehabat
Ectopic parathyroid adenomas are considered the main cause of primary hyperparathyroidism. However, concurrent parathyroid and thymic pathologies are rarely diagnosed in the same patient. A 47-year-old man with history of diabetes mellitus, hypertension, and myasthenia gravis presented with persistent hypercalcemia. Laboratory investigations, computed tomography, and technetium-99 m sestamibi scintigraphy revealed ectopic parathyroid glands, a mediastinal mass, and an enlarged thymus. The patient underwent thymectomy and mass excision via a median sternotomy...
September 15, 2016: Asian Cardiovascular & Thoracic Annals
Daniel Pereda, Eduard Quintana, Carlos-A Mestres
No abstract text is available yet for this article.
September 15, 2016: Asian Cardiovascular & Thoracic Annals
Sameh I Sersar, Khalid A Albohiri, Hysam Abdelmohty
BACKGROUND: Retained foreign bodies in the chest may include shell fragments, bullets, shrapnel, pieces of clothing, bones, and rib fragments. The risks of removal of foreign bodies must be weighed against the complications of leaving them inside the chest. METHODS: We treated 90 cases of retained intrathoracic foreign bodies in patients admitted to 3 tertiary centers in Saudi Arabia between March 2015 and March 2016. Sixty patients were injured by shrapnel, 26 had one or more bullets, 3 had broken rib fragments, and one had a metal screw...
September 15, 2016: Asian Cardiovascular & Thoracic Annals
Masami Shingaki, Masaaki Kato, Manabu Motoki, Yoji Kubo, Toshihiko Isaji, Nobukazu Okubo
An 86-year-old man with an abdominal aortic aneurysm was diagnosed with type B aortic dissection accompanied by a patent false lumen that started at the distal arch of the thoracic aorta and terminated at the left common iliac artery. Meticulous preoperative assessment detected 3 large intimal tears in the descending aorta, abdominal aortic aneurysm, and left common iliac artery. We performed single-stage thoracic and abdominal endovascular aneurysm repair and concomitant axillary-axillary bypass. The abdominal aortic aneurysm with type B aortic dissection was successfully treated using a single-stage endovascular stent graft, without any complications due to the careful preoperative examinations...
September 15, 2016: Asian Cardiovascular & Thoracic Annals
J Trent Magruder, William Plum, Todd C Crawford, Joshua C Grimm, Marvin C Borja, Ronald D Berger, Harikrishna Tandri, Hugh Calkins, Duke E Cameron, Kaushik Mandal
BACKGROUND: We compared the incidence of late-onset atrial fibrillation in orthotopic heart transplant recipients and bilateral orthotopic lung transplant recipients. METHODS: We reviewed the records of all heart and lung transplant operations carried out in our institution between 1995 and 2015. We performed 1:1 propensity-matching based on patient age, sex, body mass index, and hypertension. Our primary outcome, late-onset atrial fibrillation, was defined as atrial fibrillation occurring after discharge following hospitalization for transplantation...
September 15, 2016: Asian Cardiovascular & Thoracic Annals
Katsuya Watanabe, Kimihisa Shiino, Munetaka Masuda
No abstract text is available yet for this article.
September 1, 2016: Asian Cardiovascular & Thoracic Annals
Takahiko Sakamoto, Mitsugi Nagashima, Takeshi Hiramatsu, Goki Matsumura, In-Sam Park, Kenji Yamazaki
BACKGROUND: This study aimed to evaluate Fontan circulation which was observed over 30 years. METHODS: Forty patients who underwent a Fontan operation between 1974 and 1986 and survived (group S, n = 20) or died in the late period (group LD, n = 20) were evaluated. The median age at operation was 10 years (range 2-32 years). The diagnoses were tricuspid atresia in 21, single ventricle in 9, and others in 10. The Fontan procedure was a right atrium-pulmonary artery graft in 2, atriopulmonary connection in 28, and right atrium-right ventricle anastomosis in 10 (Björk in 4, graft in 6)...
August 24, 2016: Asian Cardiovascular & Thoracic Annals
Mohammed Khalil, Michael Cowen, Mubarak Chaudhry, Mahmoud Loubani
BACKGROUND: There is a belief that in patients with suspected interstitial lung disease, multiple biopsies from different lobes are more likely to result in a diagnosis. We compared the results of single biopsies with those of multiple biopsies in terms of positive yield of histological diagnoses and the patients' postoperative outcomes. METHODS: Data of 115 patients who underwent video-assisted thoracoscopic lung biopsy, between 2009 and 2015, for suspected interstitial lung disease were analyzed retrospectively and grouped according to single or multiple lung biopsies...
August 17, 2016: Asian Cardiovascular & Thoracic Annals
Haruaki Hino, Takashi Nishimura, Atsuko Seki, Jun-Ichi Nitadori, Tomio Arai, Jun Nakajima
A 77-year-old woman with a 3-month history of muscle weakness was diagnosed with elderly-onset generalized myasthenia gravis (Myasthenia Gravis Foundation of America classification IIa) based on a high serum acetylcholine receptor antibody level (25.4 nmol·L(-1)) and neurological findings. Computed tomography detected a small nodule (diameter 15 mm) in the anterior mediastinum, which was suspected to be a thymoma. An extended thymectomy was performed. The pathological examination revealed a 6-mm-diameter thymoma, termed a microthymoma, accompanied with a unilocular thymic cyst without capsule formation (type B2 according to the World Health Organization classification)...
August 10, 2016: Asian Cardiovascular & Thoracic Annals
Norifumi Tsubokawa, Hiroaki Harada, Daiki Taniyama, Takahiro Uemura, Kazuya Kuraoka, Yoshinori Yamashita
Epithelioid sarcoma-like hemangioendothelioma is a rare vascular neoplasm that usually occurs in the distal extremities of young adults. Although the overall behavior of this neoplasm is usually indolent with a low risk of distant metastasis, the risk of local recurrence is significant. Therefore, initial surgical treatment with an adequate margin is important to improve the prognosis. However, epithelioid sarcoma-like hemangioendothelioma is frequently misdiagnosed. A preoperative misdiagnosis could result in resection without a sufficient margin...
August 4, 2016: Asian Cardiovascular & Thoracic Annals
Joanne M Jenkins, Rizwan Q Attia, Anna Green, Paul Cane, John Pilling
Pulmonary placental transmogrification is a rare lung lesion that microscopically resembles placenta with cystic spaces filled with papillary structures. Considered a histological variant of bullous emphysema, only 30 reported cases have been published in the world's literature. We report a rare case of pulmonary placental transmogrification in a 72-year-old man, in whom the clinical presentation of the disease mimicked lung carcinoma. Histopathology of the surgically resected segment showed a complex bulla with squamous metaplasia and placental transmogrification...
July 28, 2016: Asian Cardiovascular & Thoracic Annals
Ravindra Kumar Dewan, A Thomas Pezzella
Tuberculosis remains a major global medical challenge and concern. In the world's population of over 7.4 billion people, 8.6 million are estimated to be infected with Mycobacterium tuberculosis; another 2.2 billion have latent tuberculosis. There is an annual incidence of 16,000 new cases in the USA and 7-8 million new cases worldwide, of which 440,000 are multidrug-resistant or extensively multidrug-resistant, mainly in developing countries or emerging economies. According to the World Health Organization, the incidence of tuberculosis is 133 cases per 100,000 of the population; 3...
July 28, 2016: Asian Cardiovascular & Thoracic Annals
Katsunari Matsuoka, Mitsuhiro Ueda, Yoshihiro Miyamoto
Bronchial atresia is a rare congenital malformation that is often complicated by infectious disease; however, mycobacterial infection is rare. Here we report a case of Mycobacterium avium infection complicating congenital bronchial atresia. A 50-year-old woman consulted our institution for further investigation of a nodular lesion in an emphysematous lung due to congenital bronchial atresia. Because we were unable to rule out malignant disease, we performed video-assisted thoracoscopic surgery. After left S8 segmentectomy, the nodular lesion were diagnosed as Mycobacterial avium infection...
July 27, 2016: Asian Cardiovascular & Thoracic Annals
Ichiro Morita, Ryuutaro Isoda, Youko Hirabayashi, Yoshio Naomoto
We report here on a long-surviving patient with a vascular leiomyosarcoma arising in the right common carotid artery, and some possible reasons for the long-term survival. The patient was a 40-year-old woman who was diagnosed with a right common carotid aneurysm and underwent aneurysmectomy with graft replacement. Two years and nine months after her surgery, she developed a cerebral infarction and left hemiparesis due to graft occlusion, but later achieved functional recovery through physical rehabilitation...
July 26, 2016: Asian Cardiovascular & Thoracic Annals
Kipyo Hong, Mikyung Bae, Sora Han
BACKGROUND: The purpose of this study was to evaluate the efficacy of our subcostal closure technique in prevention of postthoracotomy pain syndrome. METHODS: From July 2012 to March 2015, 29 patients in whom a lobectomy was indicated underwent a thoracotomy. The thoracotomy wounds were closed using a subcostal closure technique (subcostal closure group) and outcomes were compared with 31 patients who underwent video-assisted thoracoscopic surgery (thoracoscopy group)...
September 2016: Asian Cardiovascular & Thoracic Annals
Jigar Patel, Rajesh Thosani, Jignesh Kothari, Pankaj Garg, Himani Pandya
BACKGROUND: The current era of fast-track extubation and faster recovery after cardiac surgery requires agents that provide perioperative sedation, suppress sympathetic response, reduce opioid requirement, and maintain hemodynamic stability. METHODS: In a prospective randomized double-blind study, 75 off-pump coronary artery bypass patients were divided into 3 groups of 25 each: group A had clonidine 1 µg·kg(-1), group B had clonidine 1 µg·kg(-1) and ketamine 1 mg·kg(-1), and group C had a saline placebo...
September 2016: Asian Cardiovascular & Thoracic Annals
Taimur Asif Ali, Urooj Salahuddin, Arfeel Shoukat, Noman Shahzad, Syed Saad Naeem, Mudassir Iqbal Dar, Saulat Hasnain Fatimi
INTRODUCTION: The effect of diabetes mellitus on morbidity and mortality in patients undergoing coronary artery bypass grafting has remained uncertain, and conflicting conclusions have been reported in clinical trials. Evidence suggests that coronary artery bypass in patients with diabetes mellitus carries a higher risk of stroke, renal failure, perioperative complications, and sternal wound infection. This study evaluated the frequency of acute renal dysfunction after coronary artery bypass in diabetic patients, and the associated risk factors...
September 2016: Asian Cardiovascular & Thoracic Annals
Toshiyuki Nagata, Yoshihiro Nakamura, Kota Kariatsumari, Tsunayuki Otsuka, Masaya Aoki, Masami Sato
BACKGROUND: During pulmonary resection, we sometimes encounter "pitfall branches" of the pulmonary artery, which could cause serious vessel injury. Current computed tomography and computer-processing technology can identify the pulmonary artery along the peripheral bronchus, thereby revealing the true rates of different pulmonary artery branching patterns. Knowledge of these branching patterns allows safe and definitive surgery. METHODS: In 186 cases of left lung resection performed at our institution from January 2006 to September 2011, two general thoracic surgeons and one radiologist independently reviewed computed tomography images and examined the branches of the pulmonary artery arising from the pars mediastinalis...
September 2016: Asian Cardiovascular & Thoracic Annals
Song Wan, Alex Pw Lee, Saina Attaran, Peter Sy Yu, Sylvia Sw Au, Micky Wt Kwok, Rainbow Wh Lau, Randolph Hl Wong, Innes Yp Wan, Siu-Keung Ng, Malcolm J Underwood
BACKGROUND: Commonly used complete mitral annuloplastic rings include saddle-shaped and semirigid rings, with no clear indication for either type. A semirigid ring may be preferred in patients whose native mitral saddle shape is well maintained. We present our experience of using semirigid rings for mitral valve repair. METHODS: We routinely measured the annular height-to-commissural width ratio by 3-dimensional transesophageal echocardiography prior to mitral repair...
September 2016: Asian Cardiovascular & Thoracic Annals
Metesh Nalin Acharya, Fabio De Robertis, Aron-Frederik Popov, Nikolaos Anastasiou
Usually slow-growing and benign, mature mediastinal teratomas are rare clinical entities. They may be complicated by rupture into the pleural or pericardial spaces, lungs, or bronchi. Complete surgical resection is the treatment of choice and is usually curative. We report the unusual case of a 24-year-old woman presenting 15 weeks postpartum with a huge ruptured mature mediastinal teratoma superinfected with Mycobacterium avium Catastrophic bleeding from the superior vena cava was encountered on mobilization of adhesions attached to it, requiring extracorporeal membrane oxygenator support for control...
September 2016: Asian Cardiovascular & Thoracic Annals
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