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Korean Journal of Thoracic and Cardiovascular Surgery

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https://www.readbyqxmd.com/read/30402399/thoracoscopic-patch-insulation-for-phrenic-nerve-stimulation-after-permanent-pacemaker-implantation
#1
Yoonjin Kang, Eung Rae Kim, Jae Gun Kwak, Woong-Han Kim
One of the complications of permanent pacemaker implantation is unintended phrenic nerve stimulation. A 15-year-old boy with a permanent pacemaker presented with chest discomfort due to synchronous chest wall contraction with pacing beats. Even after reprogramming of the pacemaker, diaphragmatic stimulation persisted. Therefore, we performed thoracoscopic phrenic nerve insulation using a Gore-Tex patch to insulate the phrenic nerve from the wire. A minimally invasive approach using a thoracoscope is a feasible option for retractable phrenic nerve stimulation after pacemaker implantation...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402398/a-rare-case-of-tetralogy-of-fallot-associated-with-pulmonary-artery-sling
#2
Seha Ahn, Cheul Lee
Pulmonary artery sling is a rare congenital cardiac anomaly, in which the left pulmonary artery originates from the right pulmonary artery and courses leftward between the trachea and the esophagus. Tetralogy of Fallot associated with pulmonary artery sling is even rarer, and only a few cases have been reported in the literature. We present a case of tetralogy of Fallot associated with pulmonary artery sling that was repaired successfully.
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402397/staged-repair-of-truncus-arteriosus-associated-with-complete-atrioventricular-septal-defect
#3
Mi Hee Lim, Si Chan Sung, Hyung Tae Kim, Kwang Ho Choi, Hyoung Doo Lee, Geena Kim
We report a case of successful repair of truncus arteriosus (TA) associated with complete atrioventricular septal defect (c-AVSD) using a staged approach. TA associated with c-AVSD is a very rare congenital cardiac anomaly. No report of successful staged repair in South Korea has yet been published. We performed bilateral pulmonary artery banding when the patient was 33 days old, and total correction using an extracardiac conduit was performed at the age of 18 months. The patient recovered uneventfully and is doing well...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402396/surgery-for-pulmonary-fungal-infections-complicating-hematological-malignancies
#4
Takashi Yamamichi, Hirotoshi Horio, Ayaka Asakawa, Masayuki Okui, Masahiko Harada
Background: The complication rate of fungal disease is higher among patients with hematological malignancies. We investigated the clinicobacteriological outcomes of resected pulmonary fungal infections complicating hematological malignancies. Methods: Between 2001 and 2017, 21 patients with pulmonary fungal infections complicating hematological malignancies underwent resection, and their clinical records and survival were retrospectively reviewed. Results: The median age of the patients was 47 years, and 13 were male...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402395/nonintubated-uniportal-video-assisted-thoracoscopic-surgery-a-single-center-experience
#5
Seha Ahn, Youngkyu Moon, Zeead M AlGhamdi, Sook Whan Sung
Background: We report our surgical technique for nonintubated uniportal video-assisted thoracoscopic surgery (VATS) pulmonary resection and early postoperative outcomes at a single center. Methods: Between January and July 2017, 40 consecutive patients underwent nonintubated uniportal VATS pulmonary resection. Multilevel intercostal nerve block was performed using local anesthesia in all patients, and an intrathoracic vagal blockade was performed in 35 patients (87...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402394/the-effect-of-saphenous-vein-ablation-on-combined-segmental-popliteal-vein-reflux
#6
Ki-Pyo Hong, Do-Kyun Kim
Background: This study examined the role of superficial vein surgery in patients with combined superficial venous reflux and segmental popliteal vein reflux. Methods: We retrospectively reviewed 42 limbs in 38 patients with combined superficial venous reflux and segmental popliteal vein reflux who underwent saphenous vein ablation between January 2014 and February 2017. Patients underwent outpatient follow-up duplex ultrasonography at 3, 6, and 12 months postoperatively...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402393/pinch-off-syndrome-a-rare-complication-of-totally-implantable-venous-access-device-implantation-a-case-series-and-literature-review
#7
Burak Mehmet Ilhan, İsmail Cem Sormaz, Rüştü Türkay
Background: Pinch-off syndrome (POS) is a rare complication after totally implantable venous access device (TIVAD) implantation. In cancer patients, it is important to prevent this rare complication and to recognize it early if it does occur. We present a case series of POS after TIVAD implantation and the results of a literature search about this complication. Methods: From July 2006 to December 2015, 924 permanent implantable central venous catheter implantation procedures were performed...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402392/extracorporeal-life-support-in-organ-transplant-donors
#8
Wonho Chang
Background: Extracorporeal life support (ECLS) can be applied in brain-dead donors for organ perfusion before donation, thereby expanding the donor pool. The aim of this study was to examine the benefits and early clinical outcomes of ECLS for organ preservation. Methods: Between June 2012 and April 2017, 9 patients received ECLS with therapeutic intent or for organ preservation. The following data were collected: demographics, purpose and duration of ECLS, cause of death, dose of vasoactive drugs, and need for temporary dialysis before organ retrieval...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402391/aortic-valve-replacement-for-aortic-stenosis-in-elderly-patients-75-years-or-older
#9
Bongyeon Sohn, Jae Woong Choi, Ho Young Hwang, Kyung Hwan Kim, Ki-Bong Kim
Background: This study evaluated the early and long-term outcomes of surgical aortic valve replacement (AVR) in elderly patients in the era of transcatheter aortic valve implantation. Methods: Between 2001 and 2018, 94 patients aged ≥75 years underwent isolated AVR with stented bioprosthetic valves for aortic valve stenosis (AS). The main etiologies of AS were degenerative (n=63) and bicuspid (n=21). The median follow-up duration was 40.7 months (range, 0.6-174 months)...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402390/comparison-of-surgical-outcomes-and-survival-between-octogenarians-and-younger-patients-after-pulmonary-resection-for-stage-i-lung-cancer
#10
Seokbeom Hong, Young Kyu Moon, Jae Kil Park
Background: Treatment strategies for octogenarians with lung cancer remain controversial. The purpose of this study was to compare surgical outcomes and survival between octogenarians and younger patients with stage IA and IB lung cancer. Methods: We reviewed the medical records of 34 consecutive octogenarians and 457 younger patients (<70 years) with stage I lung cancer who underwent surgical resection from January 2007 to December 2015. We analyzed the survival and surgical outcomes of the 2 groups according to the lung cancer stage (IA and IB)...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402389/reconstruction-of-chest-wall-defects-using-a-technique-involving-mesh-titanium-plates-and-a-pedunculated-muscle-flap
#11
Dave Koole, Michael Bemelman, Joost Schijen, Marnix de Fijter, Joël van der Niet
We herein present a new surgical reconstruction technique for large chest wall defects after resection of advanced chest wall tumors.
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30402388/essentials-of-physiotherapy-after-thoracic-surgery-what-physiotherapists-need-to-know-a-narrative-review
#12
REVIEW
Ahmad Mahdi Ahmad
Physiotherapy has recently become an essential part of enhanced recovery protocols after thoracic surgery. The evidence-based practice of physiotherapy is essential for the effective management of postoperative patients. Unfortunately, only a small body of literature has discussed the rationale of the physiotherapy interventions that are routinely implemented following thoracic surgery. Nonetheless, we can integrate the available knowledge into our practice until new evidence emerges. Therefore, in this review, the principles of physiotherapy after thoracic surgery are presented, along with a detailed description of physiotherapy interventions, with the goals of enhancing the knowledge and practical skills of physiotherapists in postoperative care units and helping them to re-evaluate and justify their traditional practices...
October 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30109211/lobectomy-due-to-pulmonary-vein-occlusion-after-radiofrequency-ablation-for-atrial-fibrillation
#13
Nikolaos A Papakonstantinou, Charalambos Zisis, Charikleia Kouvidou, Grigoris Stratakos
Radiofrequency ablation is an effective treatment for atrial fibrillation. Pulmonary vein stenosis/occlusion is one of its rare complications. Herein, the case of a 50-year-old man with hemoptysis and migratory pulmonary infiltrations after transcatheter radiofrequency ablation for atrial fibrillation is presented. Initially, pneumonia, interstitial pulmonary disease, or lung cancer was suspected, but wedge resection revealed hemorrhagic infiltrations. Chest computed tomography pulmonary angiography detected no left superior pulmonary vein due to its total occlusion, and left upper lobectomy was performed...
August 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30109210/favorable-aortic-remodeling-following-serial-false-lumen-procedures-in-a-case-of-chronic-type-iiib-dissection
#14
Ahmed Sameh Eleshra, Woon Heo, Kwang-Hun Lee, Shin-Young Lee, Ha Lee, Suk-Won Song
We report a case of acute type I aortic dissection in which an emergency graft replacement of the ascending aorta and innominate artery was performed. We performed false lumen thrombosis through hybrid thoracic endovascular aortic repair to seal the primary entry tear, followed by false lumen obliteration at the level of the descending thoracic aorta, abdominal aorta, and right common iliac artery. Over a period of 4.5 years, we used Amplatzer vascular plugs and coils based on our computed tomography angiography follow-up protocol...
August 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30109209/minimally-invasive-redo-mitral-valve-replacement-under-fibrillatory-arrest-in-a-patient-with-a-calcified-aorta-and-patent-previous-bypass-grafts
#15
Seung Hyun Kim, Hak Ju Kim, Ho Young Hwang
A 73-year-old woman who underwent combined bioprosthetic mitral valve replacement, tricuspid ring annuloplasty, and coronary artery bypass grafting 12 years previously visited our clinic due to aggravated dyspnea caused by structural valve deterioration of the mitral prosthesis. Because aortic or femoral artery cannulation and cross-clamping would have a high risk of stroke owing to severe calcification of the ascending aorta and ilio-femoral vessels, and because there was a risk of redo sternotomy due to the patent bypass grafts, a comprehensive approach including axillary artery cannulation, a minimally invasive right thoracotomy approach, and a clampless hypothermic fibrillatory arrest technique was used during redo mitral valve replacement...
August 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30109208/isolated-unilateral-absence-of-pulmonary-artery-associated-with-contralateral-lung-cancer
#16
Kun Woo Kim, Jae-Ik Lee, Kuk-Hui Son, Eun Young Kim, Kook-Yang Park, Chul-Hyun Park
Unilateral absence of a pulmonary artery (UAPA) is a rare congenital anomaly that may present with various symptoms, depending on the nature and severity of other cardiovascular anomalies. Furthermore, contralateral lung surgery in patients with UAPA is extremely rare, and clinical experience is limited. This report describes a case of surgical treatment of contralateral primary lung cancer in a patient with isolated UAPA. A 56-year-old man was diagnosed with primary lung cancer accompanied by isolated UAPA on the contralateral side...
August 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30109207/iatrogenic-tracheal-posterior-wall-perforation-repaired-with-bronchoscope-guided-knotless-sutures-through-tracheostomy
#17
Yong Chae Jung, Kiick Sung, Jong Ho Cho
A 68-year-old man presented with a posterior tracheal wall injury caused by percutaneous dilatational tracheostomy. The wound was immediately covered with an absorbable polyglycolic acid sheet. Ten days after the injury, the perforation was closed with knotless sutures using a Castroviejo needle-holder through the tracheostomy. The successful repair in this case indicates the feasibility of the knotless suture technique for perforations. The technique is described in detail in this report. The patient was weaned from the mechanical ventilator on postoperative day 25...
August 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30109206/treatment-of-fungal-empyema-combined-with-osteoradionecrosis-by-thoracoplasty-and-myocutaneous-flap-transposition
#18
Joon Seok Lee, In Kyu Park, Samina Park, Kwan Yong Hyun, Chang Hyun Kang, Young Tae Kim
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.
August 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30109205/comparison-of-radiofrequency-ablation-and-cryoablation-for-the-recovery-of-atrial-contractility-and-survival
#19
Kang Min Kim, Suryeun Chung, Sang Yoon Kim, Dong Jung Kim, Jun Sung Kim, Cheong Lim, Kay-Hyun Park
Background: Limited comparative data are available on the efficacy of cryoablation versus radiofrequency ablation in patients with atrial fibrillation. This study aimed to compare radiofrequency ablation and cryoablation with regard to clinical outcomes and the restoration of sinus rhythm or atrial contractility. Methods: A total of 239 patients who underwent surgical ablation between August 2003 and December 2016 at our institution were included. The patients were divided into 2 groups according to the energy device that was used (group A: n=140, radiofrequency ablator; group B: n=99, cryoablator)...
August 2018: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30109204/feasibility-and-safety-of-a-new-chest-drain-wound-closure-method-with-knotless-sutures
#20
Min Soo Kim, Sumin Shin, Hong Kwan Kim, Yong Soo Choi, Jhingook Kim, Jae Ill Zo, Young Mog Shim, Jong Ho Cho
Background: A method of wound closure using knotless suture material in the chest tube site has been introduced at our center, and is now widely used as the primary method of closing chest tube wounds in video- assisted thoracic surgery (VATS) because it provides cosmetic benefits and causes less pain. Methods: We included 109 patients who underwent VATS pulmonary resection at Samsung Medical Center from October 1 to October 31, 2016. Eighty-five patients underwent VATS pulmonary resection with chest drain wound closure utilizing knotless suture material, and 24 patients underwent VATS pulmonary resection with chest drain wound closure by the conventional method...
August 2018: Korean Journal of Thoracic and Cardiovascular Surgery
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