MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Annals of Thoracic and Cardiovascular Surgery' source. Tue, 07 Feb 2012 03:52:32 +0100 http://www.medworm.com/index.php?rid=5658931&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293305%26dopt%3DAbstract Authors: Chiba K, Abe H, Kitanaka Y, Makuuchi H Abstract Atrial myxoma is the most common benign tumor of the heart. Patients who have atrial myxoma usually present with cardiac obstruction, arrhythmia, or peripheral embolization. We encountered an unusual case of acute upper extremity ischemia due to a massive atrial myxoma in a young man. A 38-year-old man was admitted to our hospital with an acute onset of severe, right upper extremity pain and paralysis while working. Neurologic examination yielded normal results, but the patient showed no palpable right radial or ulnar artery. Routine sonographic evaluation revealed acute aortic embolism in his right brachial artery. Because of his young age and otherwise healthy condition, we decided to perform transthoracic echocardiography,... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658931 Tue, 31 Jan 2012 05:00:00 +0100 5658931 http://www.medworm.com/index.php?rid=5658930&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293306%26dopt%3DAbstract Conclusions: Urgent exploratory surgery with cardiopulmonary bypass is the key to salvage the patient. PMID: 22293306 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658930 Tue, 31 Jan 2012 05:00:00 +0100 5658930 http://www.medworm.com/index.php?rid=5658929&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293307%26dopt%3DAbstract We report a case of a 14-month-old boy with miliary tuberculosis and recurrent pneumothorax due to cavities in the left lung. This boy had no previous medical history and was referred to our hospital for a severe pneumonia. Initial chest radiograph showed bilateral miliary pattern. Direct microscopy of gastric lavage showed the presence of tubercle bacilli, providing definitive diagnosis. In spite of effective medication, his status rapidly worsened. A cardiac resuscitation was followed by intubation, and he required high-pressure ventilation for four weeks. He developed left pneumothorax, for which several drainages were performed. Computed tomography revealed a huge cavern system involving the entire lingula and surrounded by the left pneumothorax. Eventually, a massive enlargement of th... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658929 Tue, 31 Jan 2012 05:00:00 +0100 5658929 http://www.medworm.com/index.php?rid=5658928&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293308%26dopt%3DAbstract Authors: Fukunaga N, Yuzaki M, Nasu M, Okada Y Abstract Autosomal dominant polycystic kidney disease (ADPKD) is primarily associated with renal failure, but it also causes systemic diseases, including cysts of other systemic organs and cerebral or visceral aneurysm. To make matters worse, life-threatening aortic diseases are associated with ADPKD in some cases. However, only a few reports of ADPKD-associated with thoracic aortic dissection have been published. Herein, we present a case of dissecting aneurysm in a patient with hypertension and ADPKD. He had been followed up for type B aortic dissection for six years. Preoperative creatinine level ranged from 2.1 to 2.4 mg/dl. We performed replacement of the thoracic aorta with prosthetic graft successfully, and postoperatively, dial... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658928 Tue, 31 Jan 2012 05:00:00 +0100 5658928 http://www.medworm.com/index.php?rid=5658927&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293309%26dopt%3DAbstract Conclusions: We showed that fibulin-5 is reduced in patients with PSP who are younger than 25 years. PMID: 22293309 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658927 Tue, 31 Jan 2012 05:00:00 +0100 5658927 http://www.medworm.com/index.php?rid=5658926&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293310%26dopt%3DAbstract We present a case of an atypically located pericardial cyst in a patient who underwent myocardial revascularization. A 61-year-old man with acute myocardial infarction was scheduled for coronary artery bypass grafting (CABG). Preoperative chest computed tomography revealed a homogenous cystic lesion in the superior mediastinum. The mass was located between the ascending aorta, the superior vena cava, and the left innominate vein. It was growing to the anterior of the aorta and to the right anterior paratracheal area. The density of the mass was close to that of water; thus, the contrast medium failed to enhance its visualization. A concomitant resection of the mass and the CABG was scheduled. After a medial sternotomy and bypass graft harvest, a median pericardectomy was performed. The sur... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658926 Tue, 31 Jan 2012 05:00:00 +0100 5658926 http://www.medworm.com/index.php?rid=5658925&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293311%26dopt%3DAbstract Authors: Oto O, Metin SK, Guzeloglu M, Gulcu A, Karabay N, Gurel D, Maltepe F Abstract Vascular malformations located in the posterior mediastinum are extremely rare. Most of them are found coincidentally during routine examinations. Only a small percentage of these posterior mediastinal arteriovenous malformation cases may cause symptoms such as dyspnea due to compression of surrounding tissues. Radiologic imaging can be insufficient in some cases for differential diagnosis. Because of their vascular nature, diagnostic needle biopsy may have a high risk of bleeding. Open surgical resection is a safe treatment choice under many circumstances, and it helps the diagnosis as well. In this paper, a case of a 31-year-old male is presented with an incidentally diagnosed arteriovenous mal... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658925 Tue, 31 Jan 2012 05:00:00 +0100 5658925 http://www.medworm.com/index.php?rid=5658924&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293312%26dopt%3DAbstract We report a case of HeartMate II® left ventricular assist device (LVAD) implantation as a destination therapy in a patient with a patent ventriculoperitoneal (VP) shunt after being suffered from subarachnoid hemorrhage. Because the patient's VP shunt was running through her right anterior chest and abdominal wall, a driveline exit site was selected in her left upper quadrant to avoid unnecessary perioperative complication in relation to the patent VP shunt tube. Tailored driveline placement was a key element of this LVAD implantation in this already sick patient with multiple comorbidities. PMID: 22293312 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658924 Tue, 31 Jan 2012 05:00:00 +0100 5658924 http://www.medworm.com/index.php?rid=5658923&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293313%26dopt%3DAbstract In this report, we demonstrate the utility of SECUREA for complete thoracoscopic mediastinal lymph node dissection in patients with non-small cell lung cancer. PMID: 22293313 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658923 Tue, 31 Jan 2012 05:00:00 +0100 5658923 http://www.medworm.com/index.php?rid=5658922&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22293314%26dopt%3DAbstract Conclusion: We conclude that the aortic annulus diameter, measured by multidetector computed tomography, is the best modality to measure the aortic annulus diameter. PMID: 22293314 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5658922 Tue, 31 Jan 2012 05:00:00 +0100 5658922 http://www.medworm.com/index.php?rid=5534264&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22190413%26dopt%3DAbstract Authors: Suzuki T PMID: 22190413 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534264 Fri, 23 Dec 2011 15:06:02 +0100 5534264 http://www.medworm.com/index.php?rid=5534262&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22190422%26dopt%3DAbstract Authors: Hosoba S, Suzuki T, Takashima N, Kinoshita T, Kuryanagi S, Nota H, Asai T Abstract Coronary artery spasm after coronary artery bypass grafting is a rare cause of acute myocardial infarction. A 68-year-old man who successfully tolerated off-pump coronary artery bypass grafting had a life-threatening spasm at 16 hours postoperatively. Emergent coronary angiography was performed and demonstrated whole vessel spasm of the bilateral coronary arteries and completely patent grafts. Several transcatheter intracoronary injections of vasodilators failed to relieve the spasm completely. After observation in ICU for 4 days with intra-aortic balloon pumping and a high dose of catecholamine, cardiac function was re-established and the patient recovered. PMID: 22190422 [PubMed - as s... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534262 Thu, 22 Dec 2011 05:00:00 +0100 5534262 http://www.medworm.com/index.php?rid=5534261&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22190423%26dopt%3DAbstract Authors: Sugimura Y, Toyama M, Katoh M, Kotani M, Kato Y, Hisamoto K Abstract A 68-year-old man presented at the outpatient clinic with epigastric discomfort. He had suffered a myocardial infarction 10 years previously. Chest radiography and computed tomography showed a giant calcified aneurysm in the left ventricle. Electrocardiography indicated atrial fibrillation. Echocardiography showed moderate mitral regurgitation and enlarged left atrium. End-diastolic volume and ejection fraction were 164 ml and 31%, respectively. Coronary angiography revealed total occlusion of the left anterior descending artery and diffuse stenosis of the right coronary artery. Aneurysmectomy, mitral annuloplasty, maze procedure, and coronary artery bypass were performed. The patient was discharged 16 da... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534261 Thu, 22 Dec 2011 05:00:00 +0100 5534261 http://www.medworm.com/index.php?rid=5534260&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22190424%26dopt%3DAbstract Authors: Munakata M, Hatakeyama M, Ono Y Abstract A 74-year-old man underwent aortic valve replacement due to aortic regurgitation after two months of medication for congestive heart failure. At surgery, the cause of the aortic regurgitation appeared to be dehiscence of an aortic valve commissure. Dehiscence was closed with mattress sutures from outside of the sinus. Dehiscence of an aortic valve commissure is rare and difficult to be diagnosed preoperatively, and we carefully repaired it, and the patient had a good recovery. PMID: 22190424 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534260 Thu, 22 Dec 2011 05:00:00 +0100 5534260 http://www.medworm.com/index.php?rid=5534279&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22156277%26dopt%3DAbstract We report a case of primary angiosarcoma presenting as a hemorrhagic solitary nodule at the bifurcation of the left main bronchus, followed for two years before surgery. Bronchial arteriography revealed a tumor stain sign, and racemose hemangioma of the bronchial artery was excluded. The hemoptysis was not controlled by repeated bronchial artery embolization, and the patient underwent left pneumonectomy with routine mediastinal lymph node dissection. Histopathologically, the excised tissue revealed a highly-cellular growth of atypical spindle cells with a storiform pattern. These atypical cells showed relatively low mitotic activity; the MIB-1 index was 10%. The tumor was diagnosed as a primary angiosarcoma of the lung by the following immunohistological findings: positivity for factor VII... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534279 Fri, 09 Dec 2011 05:00:00 +0100 5534279 http://www.medworm.com/index.php?rid=5534278&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22156278%26dopt%3DAbstract We describe one patient (Case 1), in whom descending thoracic and abdominal aortic aneurysms were treated by endovascular aortic repair, and another (Case 2) with Crawford type II TAAA, who developed delayed neurological deficits that were treated with immediate COPS therapy (Modified Tarlov scale; Case1, improved from 2 to 4; Case 2, from 0 to 4). These findings indicate the benefit of COPS for treating delayed neurological deficits after descending thoracic and TAAA. PMID: 22156278 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534278 Fri, 09 Dec 2011 05:00:00 +0100 5534278 http://www.medworm.com/index.php?rid=5534277&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22156279%26dopt%3DAbstract We report a rare case of failed depiction of a patent right internal thoracic artery (RITA) to left anterior descending artery (LAD) bypass on 64-slice multidetector row computed tomographic (MDCT) angiography due to the presence of a large lateral costal artery. A 66-year-old male with acute coronary syndrome due to triple vessel disease underwent urgent coronary artery bypass grafting, in which bilateral ITA and saphenous vein grafts were used. Postoperative MDCT angiography showed an occluded RITA-LAD bypass, which was eventually shown to be patent by angiography. Angiography also revealed a large lateral costal artery that was considered to affect the flow to the LAD. Thus, coil embolization of the branch was attempted. However, it was abandoned because the patient suffered from severe... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534277 Fri, 09 Dec 2011 05:00:00 +0100 5534277 http://www.medworm.com/index.php?rid=5534276&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22156280%26dopt%3DAbstract Authors: Hori D, Noguchi K, Nomura Y, Tanaka H Abstract A 62-year-old man with a medical history of aortic valve replacement was referred to our hospital with high-grade fever. Blood culture was positive for Streptococcus dysgalactiae, and the echocardiogram showed edematous aortic annulus, suggesting a perivalvular abscess. Treatment with antibiotics was started, which showed progressive improvement. The echocardiogram at 2 weeks after admission showed progression of the perivalvular abscess, resulting in the formation of a perivalvular pseudoaneruysm, which revealed rapid enlargement. The patient underwent surgical resection of a 20-mm pseudoaneurysm, originating from the right and left coronary cusp. Complete resection of the infective tissue was performed, and an aortic root re... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534276 Fri, 09 Dec 2011 05:00:00 +0100 5534276 http://www.medworm.com/index.php?rid=5534272&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22156281%26dopt%3DAbstract Authors: Kansaku R, Kuwaki K, Amano A, Inaba H, Tambara K, Yamamoto T, Sakakibara N Abstract A 60-year-old man was admitted to our hospital because of aortic stenosis with a peak pressure gradient of 61 mmHg, moderate aortic regurgitation, and a dilatation of the ascending aorta of 50 mm in diameter, which had grown 5 mm in 2 years. Because of severe aortic stenosis with a bicuspid valve and fast progression of the ascending aorta in size, replacements of both the aortic valve and the ascending aorta were planned.He had experienced severe acute renal failure with hemolysis because of cold agglutinin one year before the operation. The hemoglobin had decreased to 4.3 g/dL during hemolytic attack. His titer of cold agglutinin was extremely high. The titer of cold agglutinin has kept a... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534272 Fri, 09 Dec 2011 05:00:00 +0100 5534272 http://www.medworm.com/index.php?rid=5534268&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22156282%26dopt%3DAbstract We report a case of an apico-aortic bioprothesis-valved conduit for a 70-year-old-woman with symptomatic, severe aortic stenosis and severe calcification of the ascending aorta. She had a history of mastectomy and radiation therapy for breast cancer and was suffering from radiodermatitis and chronic thoracic wall infection. Transthoracic echocardiography showed severe aortic valve stenosis with heavy calcification and high aortic valve pressure gradients. In patients with a chronically infected thoracic wall, median sternotomy is considered to be a high risk procedure, resulting in postoperative mediastiniti; therefore, we applied a technique in which we used an apico-aortic conduit via posterolateral thoracotomy. We underwent apico-aortic bypass with a hand-made composite graft: 19-mm bio... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534268 Fri, 09 Dec 2011 05:00:00 +0100 5534268 http://www.medworm.com/index.php?rid=5534267&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22156283%26dopt%3DAbstract Authors: Weymann A, Schmack B, Rosendal C, Karck M, Szabo G Abstract A 31-year-old woman was referred to our hospital due to progressive dyspnea and a family history of pulmonary embolism. Multislice computed tomography depicted massive bilateral pulmonary embolism, and transesophageal echocardiography demonstrated a serpentine structure in both atria with the appearance of a thrombus. Furthermore, a highly mobile mass trapped in her patent foramen ovale was identified. She underwent emergency cardiac embolectomy and was discharged from our hospital with conventional anticoagulant therapy. PMID: 22156283 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534267 Fri, 09 Dec 2011 05:00:00 +0100 5534267 http://www.medworm.com/index.php?rid=5534266&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22156284%26dopt%3DAbstract We report a previously healthy 21-year-old man who developed disseminated varicella zoster infection complicated with encephalitis, acute renal insufficiency, liver dysfunction, and an apparent pustular skin superinfection with Staphylococcus aureus. He later developed an extensively destructive endocarditis affecting a congenital bicuspid aortic valve, accompanied with leaflet perforation, complete atrio-ventricular (AV) block, and invasion of vegetation to both left and right atrium; the endocarditis was attributed to the same skin pathogen, S. aureus. He underwent radical debridement of the aortic valve, membranous ventricular septum, and mitral anterior fibrous trigone, followed by reconstruction of intracardiac defects with 2 autologous pericardial patches and aortic valve replacement... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534266 Fri, 09 Dec 2011 05:00:00 +0100 5534266 http://www.medworm.com/index.php?rid=5534265&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22156285%26dopt%3DAbstract The "Loop with Anchor" Technique to Repair Mitral Valve Prolapse. Ann Thorac Cardiovasc Surg. 2011 Dec 9; Authors: Isoda S, Osako M, Kimura T, Mashiko Y, Yamanaka N, Nakamura S, Maehara T Abstract The current surgical technique of using an artificial chord (composed of expanded polytetrafluoroethylene [ePTFE] sutures) to repair mitral prolapse is technically difficult to perform. Slippery knot tying and the difficulty of changing the chordae length after the hydrostatic test are frustrating problems. The loop technique solves the problem of slippery knot tying but not the problem of changing the chordae length. Our "loop with anchor" technique consists of the following elements: construction of an anchor at the papillary muscle; determining the loop length; tying the loop t... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5534265 Fri, 09 Dec 2011 05:00:00 +0100 5534265 http://www.medworm.com/index.php?rid=5493196&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22130188%26dopt%3DAbstract Authors: Nishiyama N, Nagano K, Izumi N, Tei K, Hanada S, Komatsu H, Suehiro S Abstract Wedge resection for tissue diagnosis of indeterminate lung tumors that is strongly suspected of being lung cancer, is sometimes difficult, and lobectomy, followed by a thorough pathological examination, is required. In the present report, four cases are presented, and the following indications, which have never been discussed before, are recommended for lobectomy without a pre-resectional diagnosis. First, where larger tumors are involved, and lobectomy is expected to result in a more favorable patient status and second, where the lesions are deeply located near major pulmonary vessels, or the patient is not a candidate for wedge resection or segmental resection. In each case, tolerance to surge... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5493196 Wed, 30 Nov 2011 05:00:00 +0100 5493196 http://www.medworm.com/index.php?rid=5493195&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22130189%26dopt%3DAbstract Authors: Kurisu K, Hisahara M Abstract Spontaneous ductal aneurysm is rare in adults, although it is diagnosed sporadically, even in the elderly. Commonly, patients with a ductal aneurysm undergo an aneurysmectomy followed by patch-plasty through a lateral thoracotomy. However in older patients, more extensive surgery is often required due to more developed atherosclerotic lesions, requiring total arch replacement. Here, we describe the repair of a ductal aneurysm through a hemi-clamshell incision in an elderly patient. This method enabled excellent exposure of the entire aneurysm and, most importantly, adaptability in performing either an aneurysmectomy followed by patch closure, or total aortic arch replacement, dependent on the extent of the atherosclerotic disease once surgical... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5493195 Wed, 30 Nov 2011 05:00:00 +0100 5493195 http://www.medworm.com/index.php?rid=5493194&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22130190%26dopt%3DAbstract Authors: Seok Y, Lee E, Cho S Abstract A 5-year-old girl presented to our hospital with prolonged pneumonic symptoms over 3 months. After a complete work-up, she was diagnosed with endobronchial mucoepidermoid carcinoma and treated with a left upper sleeve lobectomy. The patient is cured and doing well, 8 months after the surgical resection. PMID: 22130190 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5493194 Wed, 30 Nov 2011 05:00:00 +0100 5493194 http://www.medworm.com/index.php?rid=5493193&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22130191%26dopt%3DAbstract Authors: Ujiie H, Okada D, Nakajima Y, Yoshino N, Akiyama H Abstract We experienced an extremely rare case of primary pulmonary clear cell tumor. The patient was a 57-year-old female who was suggested to have a nodular shadow in the right lower lung field. In chest CT, a well-defined 14-mm node was observed in the right median lobe. For diagnosis and treatment, thoracoscopic resection of the right pulmonary median lobe was performed. The tumor was white, solid tumor. The pathological findings showed an increase in solid, clear cells with clear and comparatively abundant cytoplasm. Immunohistochemical staining showed HMB45 (+), vimentin (+). The tumor was diagnosed as a primary pulmonary clear cell tumor. PMID: 22130191 [PubMed - as supplied by publisher] (Source: Annals of Thor... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5493193 Wed, 30 Nov 2011 05:00:00 +0100 5493193 http://www.medworm.com/index.php?rid=5493192&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22130192%26dopt%3DAbstract Authors: Isoda S, Osako M, Kimura T, Mashiko Y, Yamanaka N, Nakamura S, Maehara T Abstract A 24-year-old man presented with chest pain. He was diagnosed as having a type A acute aortic dissection and an annulo-aortic aneurysm. After emergency surgery for an aortic root replacement, his electrocardiogram showed ST-segment depression and T-wave inversion. Echocardiography showed asynergy of the left ventricle without coronary ostial pathology. Heart catheterization revealed no coronary stenosis, but the true lumen of the residual ascending aorta had extreme diastolic narrowing due to flap suffocation. This resulted in coronary malperfusion. The pullback pressure curve confirmed the mechanism. The patient underwent a surgical re-intervention for a total arch repair, which diminished t... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5493192 Wed, 30 Nov 2011 05:00:00 +0100 5493192 http://www.medworm.com/index.php?rid=5419644&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082807%26dopt%3DAbstract Authors: Leng XF, Xian L, Qin JJ, Lei BF Abstract Solitary fibrous tumor of the pleura (SFTP) is a rare tumor especially presents malignant features. Such symptoms of hemoptysis and dyspnea were rarely seen and take 5% and 4% respectively in malignant SFTP. A 26-year-old Chinese man, presenting with hemoptysis in the emergency room, was hospitalized because of dyspnea. The X-ray examination revealed a tumor in the right chest cavity. The patient refused treatment, and the tumor grew rapidly, which complicated the symptoms of the patient. En-bloc excision of tumor plus the involved lung was performed. There was at least a 5000-ml mixture of blood and tumor tissue in the right chest cavity because of continuous bleeding, leading to a tumor capsule split. Histopathology and Immunohist... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419644 Tue, 15 Nov 2011 05:00:00 +0100 5419644 http://www.medworm.com/index.php?rid=5419643&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082808%26dopt%3DAbstract Authors: Matsuyama K, Nakayama T, Hagiwara H PMID: 22082808 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419643 Tue, 15 Nov 2011 05:00:00 +0100 5419643 http://www.medworm.com/index.php?rid=5419642&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082809%26dopt%3DAbstract We present a 43-year-old patient who was diagnosed with a solitary plasmacytoma in the lung. Primary plasmacytoma of the lung is exceedingly rare, and the treatment is surgical excision. This malignancy advances to multiple myeloma in a minority of patients. Multiple myeloma is a plasma cell malignancy that typically presents in the bone marrow. PMID: 22082809 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419642 Tue, 15 Nov 2011 05:00:00 +0100 5419642 http://www.medworm.com/index.php?rid=5419641&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082810%26dopt%3DAbstract Conclusions: Formation of a stable leaflet coaptation was associated with a dynamic change of the intercommissural dimension during the cardiac cycle and resulted in a reliable, annuloplasty strip, representing a new concept in annuloplasty. PMID: 22082810 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419641 Tue, 15 Nov 2011 05:00:00 +0100 5419641 http://www.medworm.com/index.php?rid=5419640&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082811%26dopt%3DAbstract Conclusions: Our study demonstrated that VATS segmentectomy with SNB was useful for deciding intraoperatively to perform segmentectomy with an accurate lymph node status. PMID: 22082811 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419640 Tue, 15 Nov 2011 05:00:00 +0100 5419640 http://www.medworm.com/index.php?rid=5419639&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22082812%26dopt%3DAbstract Conclusions: The box pulmonary vein isolation procedure can terminate chronic AF associated with solitary mitral valve disease, and maintain a sinus rhythm for more than 6 years in 70% of chronic AF patients. This study implicates the pulmonary veins and posterior left atrium in maintaining chronic AF associated with mitral valve disease. PMID: 22082812 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419639 Tue, 15 Nov 2011 05:00:00 +0100 5419639 http://www.medworm.com/index.php?rid=5379629&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22033238%26dopt%3DAbstract Authors: Kazui T, Niinuma H, Yamasaki M, Abe K, Watanabe S, Kawazoe K Abstract Septal hyper-contractility is thought to be the principal cause of significant left ventricular outflow tract obstruction (LVOT) and systolic anterior motion (SAM) of the mitral valve by making the distance between the mitral valve and papillary muscle shorter. A seven-year-old patient with severe hypertrophic obstructive cardiomyopathy underwent direct interventricular septal myectomy/myotomy using the resection/crush method to modify hyper-contractility. The procedure successfully reduced the pressure gradient from 180 mmHg to 7.6 mmHg, and systolic anterior movement of the mitral leaflet disappeared. Mitral regurgitation improved from grade 2 to grade 0. Postoperative echocardiographic vector velocity... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379629 Fri, 28 Oct 2011 04:00:00 +0100 5379629 http://www.medworm.com/index.php?rid=5379628&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22033239%26dopt%3DAbstract Authors: Yoshino N, Okada D, Ujiie H, Akiyama H, Nishimura Y, Koizumi K, Shimizu K Abstract Here, we describe our experience in treating a patient with mediastinal hemangioma, a rare neoplasm. An abnormal shadow was noted in the thoracic region of a 54-year-old woman at a health checkup, and she was referred to our hospital. A neurogenic tumor was suspected based on the findings of the chest X-ray and computed tomography scan. Thoracoscopic tumorectomy was performed. The tumor surface was smooth with a reddish-dark reddish color, and capillary blood vessels showed marked growth around the tumor. The tumor was composed of medium or large blood vessels with a relatively thick vascular wall containing smooth muscle. On immunostaining, anti-CD34 antibody and Factor VIII were positive a... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379628 Fri, 28 Oct 2011 04:00:00 +0100 5379628 http://www.medworm.com/index.php?rid=5379627&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22033240%26dopt%3DAbstract Authors: Guler M, Yamak B Abstract A 54-year old man underwent coronary artery bypass graft for occlusion of three coronary arteries. There was no hematological abnormality detected preoperatively and the patient had normal coagulation tests and platelet count before the operation. During the first 24 hours after the operation, hemorrhagic drainage from the chest tubes was 700 ml ,and on postoperative day 1, he underwent reoperation. There was no further drainage from the chest tubes after re-operation but hematocrit level continued to fall. After having ruled out the thoracic source of bleeding, abdominal computed tomography was performed and confirmed intraperitoneal fluid accumulation and determined splenic rupture. The patient underwent emergent splenectomy and discharged from ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379627 Fri, 28 Oct 2011 04:00:00 +0100 5379627 http://www.medworm.com/index.php?rid=5379626&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22033241%26dopt%3DAbstract Authors: Iwata T, Miura T, Inoue K, Hanada S, Inoue H, Miyamoto Y Abstract A 66-year-old man presented with a one month history of hoarseness. Left recurrent nerve palsy and a left upper mediastinal mass were observed by an otorhinolaryngologist who referred the patient to our department. Chest computed tomography showed a superior mediastinal mass, which seemed to involve the left common carotid and left subclavian arteries from the greater curvature of the aortic arch. The innominate vein was compressed, and collateral circulation was well developed. The left upper lobe of the lung was also seemed involved. A mediastinal biopsy conducted via left thoracoscopy revealed a malignant spindle cell tumor. The mediastinum was irradiated (40 Gy), and surgical extirpation was subsequently... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379626 Fri, 28 Oct 2011 04:00:00 +0100 5379626 http://www.medworm.com/index.php?rid=5379625&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22033242%26dopt%3DAbstract We report a case of a 54-year-old man with lower leg ischemia due to type B aortic dissection, who was successfully treated with stent implantation plus balloon fenestration. This case suggests that balloon fenestration plus stent implantation should be considered when static obstruction in the aortic branches is accompanied by dynamic obstruction in the descending aorta. PMID: 22033242 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379625 Fri, 28 Oct 2011 04:00:00 +0100 5379625 http://www.medworm.com/index.php?rid=5379624&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22033243%26dopt%3DAbstract Conclusion: Chest wall reconstruction using Gore-Tex(®) dual mesh demonstrated acceptable durability. PMID: 22033243 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379624 Fri, 28 Oct 2011 04:00:00 +0100 5379624 http://www.medworm.com/index.php?rid=5326570&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22001212%26dopt%3DAbstract We report on a 68-year-old male with a multistation mediastinal lymph node adenocarcinoma, who had no primary lesions occurring within 48 months. After diagnosis by lymph node biopsy via right-sided thoracoscopy, the bilateral mediastinal lymphadenopathy responded to platinum-based chemotherapy. At 30 months after completion of chemotherapy, left mediastinal lymphadenopathy recurred. Left anterior mediastinal dissection via left-sided thoracoscopy was successful. After surgery, the patient did well with no primary lesions for more than a year. The etiology of mediastinal lymph node carcinoma of unknown origin is discussed. PMID: 22001212 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5326570 Mon, 17 Oct 2011 04:00:00 +0100 5326570 http://www.medworm.com/index.php?rid=5326569&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22001213%26dopt%3DAbstract Conclusion: Following a myocardial infarction, a careful preoperative examination and proper way to diagnose are essential on patients with nonspecific complains or asymptomatic. Despite the risk of high mortality, patients may survive when they are diagnosed and undergo surgery at the right time. PMID: 22001213 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5326569 Mon, 17 Oct 2011 04:00:00 +0100 5326569 http://www.medworm.com/index.php?rid=5326568&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22001214%26dopt%3DAbstract Authors: Goto T, Hamaguchi R, Maeshima A, Oyamada Y, Kato R Abstract Mycobacterium chelonae lung infection is rare and has long been recognized as an enigmatic infection resistant to medical therapy. Recently, we encountered a patient who underwent pulmonary resection for Mycobacterium chelonae infection. A 46-year-old man with no medical history was found to have an abnormal shadow in the left upper lung field on chest X-ray. Computed tomography showed a nodular shadow in the left upper lobe and disseminated shadows around it. Mycobacterium chelonae was detected from cultures of the sputum, bronchial washings, bronchoscopic biopsy specimens, and gastric fluid, and pulmonary infection with Mycobacterium chelonae was diagnosed. The shadow did not decrease in size despite antibiotic ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5326568 Mon, 17 Oct 2011 04:00:00 +0100 5326568 http://www.medworm.com/index.php?rid=5326567&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22001215%26dopt%3DAbstract We report a rare case of classic pulmonary blastema (CPB) without recurrence for 3 years after the operation. A 70-year-old man presented with cough and sputum for a month. Chest computed tomography (CT) showed a 5cm-sized mass in the right middle lobe. Bronchoscopic examination was performed, and the mass was suspected as adenocarcinoma of the lung. Right middle lobectomy and lymph node dissection were performed. The pathologic histology diagnosis was classic pulmonary blastoma, a subtype of biphasic pulmonary blastoma. PMID: 22001215 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5326567 Mon, 17 Oct 2011 04:00:00 +0100 5326567 http://www.medworm.com/index.php?rid=5326566&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22001216%26dopt%3DAbstract We report on a successful mitral valve (MV) repair and modified Cox maze procedure in a 35-year-old male patient with acromegaly, associated with severe mitral regurgitation and atrial fibrillation. He underwent a transsphenoidal adenomectomy, 7 months after the cardiac operation, and IGF-I level was normalized postoperatively. Valvular disease in patients with acromegaly is associated with hormonal activity, and control of growth hormone and insulin-like growth factor I excesses is important in the long-term durability of mitral valve repair. PMID: 22001216 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5326566 Mon, 17 Oct 2011 04:00:00 +0100 5326566 http://www.medworm.com/index.php?rid=5279416&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959190%26dopt%3DAbstract Authors: Predina JD, Anolik RB, Judy B, Akers S, Freiman D, Ahmad N, Singhal S Abstract Intramural esophageal dissection is a rare disorder that should be considered in patients presenting with chest pain, dysphagia, and hematemesis. Although most commonly occurring in elderly women with impaired coagulation, esophageal dissection has also been observed in other demographics including in those with eosinophilic esophagitis. In our report, we present the case of a 19-year-old man who was found to have an intramural esophageal dissection in the setting of undiagnosed eosinophilic esophagitis. There have been multiple, proposed management strategies; however, we implemented a nonoperative approach and obtained successful results. Intramural esophageal dissection is an important diagno... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279416 Thu, 29 Sep 2011 04:00:00 +0100 5279416 http://www.medworm.com/index.php?rid=5279415&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959191%26dopt%3DAbstract Authors: Pejhan S, Rahmanijoo N, Farzanegan R, Rahimi M Abstract Arteriovenous fistuli are congenital malformations. Usually symptoms depend on size of the lesion. Lesions smaller than 2 cm are often asymptomatic. The most common symptoms are dyspnea, palpitation and fatigue. Cyanosis is indicative of right to left shunt. Helical computed tomography (CT) scan is a helpful diagnostic tool in this case. Surgery is the treatment of choice in patients with isolated lesions. Embolization is a selective method in patients with multiple or bilateral lesions. The patient was a 13-year-old boy complaining of cyanosis of lips and nails as well as dyspnea for 5 years. Definite diagnosis of pulmonary arteriovenous malformation (PAVM) in the right middle lobe was based on CT angiography. The pa... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279415 Thu, 29 Sep 2011 04:00:00 +0100 5279415 http://www.medworm.com/index.php?rid=5279414&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959192%26dopt%3DAbstract Authors: Najib MQ, Ng D, Vinales KL, Chaliki HP Abstract The occurrence of aorto-right ventricular (aorto-RV) fistula after prosthetic aortic valve replacement is rare. Transthoracic echocardiography (TTE) with color-flow Doppler, transesophageal echocardiography (TEE), or both may be required for diagnosis. A 42-year-old woman sought care for palpitations and dyspnea due to atrial flutter 2 weeks after prosthetic aortic valve replacement and graft replacement of the ascending aorta. TTE and TEE revealed left-to-right shunt due to aorto-RV fistula. PMID: 21959192 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279414 Thu, 29 Sep 2011 04:00:00 +0100 5279414 http://www.medworm.com/index.php?rid=5279413&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959193%26dopt%3DAbstract We report a 10-year-old boy with FOP who underwent surgical management combined with non-steroidal anti-inflammatory drugs (NSAIDs). PMID: 21959193 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279413 Thu, 29 Sep 2011 04:00:00 +0100 5279413 http://www.medworm.com/index.php?rid=5279412&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959194%26dopt%3DAbstract We report an unusual case of a female patient with a history of left pneumonectomy and chronic atrial fibrillation many years earlier, and who subsequently developed tricuspid annular dilatation, resulting in severe isolated primary tricuspid regurgitation despite normal pulmonary artery pressures and left ventricular systolic function. She required multiple hospitalizations for right heart failure and continued to be NYHA class IV despite receiving maximal medical management. She finally underwent an isolated tricuspid valve ring annuloplasty, which gave her symptomatic relief. Postoperatively, she improved to NYHA class 1-II still with chronic atrial fibrillation and mild to moderate tricuspid regurgitation at the time of her death 9 years later from pneumonia. PMID: 21959194 [PubMed... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279412 Thu, 29 Sep 2011 04:00:00 +0100 5279412 http://www.medworm.com/index.php?rid=5279411&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959195%26dopt%3DAbstract Authors: Goto T, Maeshima A, Akanabe K, Hamaguchi R, Wakaki M, Oyamada Y, Kato R Abstract A 44-year-old woman was found to have an abnormal shadow on a chest X-ray during a regular health checkup, and visited our department. Chest computed tomography showed multiple nodular shadows in both lungs. The patient had no history of neoplasm except for myomectomy for uterine leiomyoma 6 years previously. Eighteen months later, the nodules showed a gradual increase in size, and video-assisted thoracoscopic biopsy of a nodule was performed. Histopathologically, the pulmonary nodule was composed of benign smooth muscle cells proliferating in fascicles, consistent with the diagnosis of benign metastasizing leiomyoma. Benign metastasizing leiomyoma is defined as a histologically benign uterine... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279411 Thu, 29 Sep 2011 04:00:00 +0100 5279411 http://www.medworm.com/index.php?rid=5279410&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959196%26dopt%3DAbstract Authors: Vassileva CM, Shabosky J, Boley T, Hazelrigg S Abstract A 25-year-old woman with a history of chronic bronchitis since age 12 and 3-4 previous episodes of pneumonia presented to the emergency room with cough and shortness of breath. A CT scan of her chest revealed findings consistent with Morgagni hernia with herniation of omental fat, causing near complete compressive atelectasis of the right middle lobe. The diaphragmatic defect was successfully treated with a laparoscopic repair. The patient was discharged home on the first postoperative day after tolerating regular diet. PMID: 21959196 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279410 Thu, 29 Sep 2011 04:00:00 +0100 5279410 http://www.medworm.com/index.php?rid=5279409&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959197%26dopt%3DAbstract Authors: Dregelid E Abstract High operative mortality of infected thoracoabdominal aortic aneurysms (ITAA) is partly attributable to ischemic injury during aortic clamping. A case is presented of an 88-year old man who was admitted with imminent rupture of an ITAA. Axillobifemoral bypass grafting had been performed after removal of an infected abdominal aortic prosthesis six years earlier. In situ graft replacement was performed during 70 minutes of aortic clamping just below the pulmonary hilum without causing any but transient renal ischemic injury. Since the infrarenal aorta was absent after previous removal of an infected aortic prosthesis, the axillobifemoral bypass provided sufficient blood supply to intestines, kidneys and spinal medulla via arterial collaterals. Blood suppl... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279409 Thu, 29 Sep 2011 04:00:00 +0100 5279409 http://www.medworm.com/index.php?rid=5279408&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959198%26dopt%3DAbstract Conclusion: Elevation of HGF in plasma may be an important prognostic factor for early metastatic disease in patients with primary lung cancer. Moreover, inhibition of HGF elevation may have therapeutic effects on early distant metastasis of lung cancer. PMID: 21959198 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279408 Thu, 29 Sep 2011 04:00:00 +0100 5279408 http://www.medworm.com/index.php?rid=5279407&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21959199%26dopt%3DAbstract Conclusion: Lung decortications, re-expanding the affected lung, ensures symptom remission and improves quality of life of patients with trapped lung after coronary bypass grafting in the long-term. PMID: 21959199 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5279407 Thu, 29 Sep 2011 04:00:00 +0100 5279407 http://www.medworm.com/index.php?rid=5229859&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21921358%26dopt%3DAbstract Conclusion: Rates of operative mortality and morbidity following cardiac surgery with concomitant pulmonary resection were favorable, and early to midterm results were acceptable. PMID: 21921358 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5229859 Thu, 15 Sep 2011 04:00:00 +0100 5229859 http://www.medworm.com/index.php?rid=5229858&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21921359%26dopt%3DAbstract Conclusions: Our surgical strategy for AAAD seems to be pertinent with acceptable short- and long-term results. Since we lost 8 patients due to rupture of false lumen postoperatively, careful follow-up for a residual false lumen may improve the patients' prognosis. PMID: 21921359 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5229858 Thu, 15 Sep 2011 04:00:00 +0100 5229858 http://www.medworm.com/index.php?rid=5229856&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21921360%26dopt%3DAbstract Conclusion: Direct re implantation of the left coronary artery to the aorta and restoration of a composite tunnel from aortic and pulmonary artery walls are equally effective techniques with an acceptable operative mortality, excellent cardiac recovery, and intermediate survival. PMID: 21921360 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5229856 Thu, 15 Sep 2011 04:00:00 +0100 5229856 http://www.medworm.com/index.php?rid=5229846&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21921361%26dopt%3DAbstract We report two cases of non-obstructive mesenteric ischemia (NOMI), a rare but potentially lethal complication after cardiovascular surgery, which was successfully managed. In both cases (a 74-year-old chronic hemodialysis patient who underwent emergency aortic valve replacement and coronary artery bypass graft (CABG), and a 74-year-old patient who underwent emergency abdominal aortic aneurysm operation), NOMI occurred early postoperatively (on day 8 and 22, respectively). They suffered from severe abdominal pain, confusion, and metabolic acidosis. Contrast-enhanced multi-detector CT (MDCT) scan and subsequent selective mesenteric angiography revealed characteristic signs of NOMI, for which selective papaverine infusion through the angiography catheter was performed. It was effective in bot... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5229846 Thu, 15 Sep 2011 04:00:00 +0100 5229846 http://www.medworm.com/index.php?rid=5192881&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881316%26dopt%3DAbstract Authors: Komatsu T Abstract In Japanese surgical society, there have been urgent discussions as to the decrease in the number of junior doctors who want to be surgical specialists. This problem seems to have originated from the loss of attractiveness of surgery. One of the counter-measures to regain the attractiveness of surgical specialties might be a well-organized training system, for which the Japanese Board of General Thoracic Surgery (JBGTS), as well as those of other surgical subspecialties, has struggled. Fortunately, I had an opportunity of general thoracic surgery training in Canada, and had a chance to reflect on the thoracic training programs of both countries. Based on my experience as a thoracic fellow in Canada, I would like to introduce the Canadian way of thoracic ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192881 Sun, 04 Sep 2011 17:00:08 +0100 5192881 http://www.medworm.com/index.php?rid=5192880&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881317%26dopt%3DAbstract Authors: Shimizu H, Yozu R Abstract The aortic root has a unique 3-dimensional configuration and the distinctive function of supporting the aortic valve and blood vessels. The sinuses of Valsalva are crucial to create appropriate eddy currents that are important in initiating and coordinating aortic valve closure and promoting coronary artery blood flow. Most aneurysms in the aortic root are associated with degenerative changes in the elastic media rather than atherosclerosis. Valve-sparing root repair has become widely accepted, although the Bentall procedure remains the gold standard. Because reimplantation using the Valsalva graft allows root geometry to be retained and theoretically and practically prevents recurrent aortic valve regurgitation, it is considered the most reliabl... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192880 Sun, 04 Sep 2011 17:00:08 +0100 5192880 http://www.medworm.com/index.php?rid=5192879&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881318%26dopt%3DAbstract Authors: Iwata T, Yasuoka T, Hanada S, Suehiro Y, Sakaki M, Nishibayashi A, Miura T Abstract A method of videothoracoscopy-assisted extended thymectomy procedure performed through a movable small access window is introduced. The access window can be moved stepwise and longitudinally alongside full sternotomy to be upon the dissection site. The majority of the thymectomy procedure can be directly viewed and operated from the moving window. However, partial and complete thoracoscopic maneuvers are required for dissection of the lateral-most region near the phrenic nerve and the upper poles of the thymus, respectively. PMID: 21881318 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192879 Sun, 04 Sep 2011 17:00:08 +0100 5192879 http://www.medworm.com/index.php?rid=5192878&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881319%26dopt%3DAbstract Conclusions: Ki-67 LI after VATS segmentectomy was a prognostic factor of disease-free survival in NSCLC and the treatment of choice for patients with positive LI may be considered, in addition to adjuvant chemotherapy, or lobectomy. PMID: 21881319 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192878 Sun, 04 Sep 2011 17:00:08 +0100 5192878 http://www.medworm.com/index.php?rid=5192877&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881320%26dopt%3DAbstract Conclusion: This study presents several complex reconstructions of supraaortic branches, which were indicated in cases with severe stenoses of supraaortic branches. Even though treatment strategies were complex the peri- and postoperative complication rates are quite low. These therapeutic strategies were necessary to avoid severe neurological complications in these patients. PMID: 21881320 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192877 Sun, 04 Sep 2011 17:00:08 +0100 5192877 http://www.medworm.com/index.php?rid=5192876&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881321%26dopt%3DAbstract Conclusions: Continuous veno-venous hemodiafiltration with PMMA-CVVH without ECMO achieved a surprisingly Zero mortality. PMID: 21881321 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192876 Sun, 04 Sep 2011 17:00:08 +0100 5192876 http://www.medworm.com/index.php?rid=5192875&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881322%26dopt%3DAbstract Conclusions: Results of the Maze procedure for atrial fibrillation without mitral valve disease were acceptable. The Maze procedure could be a beneficial option for these patients to avoid adverse events of atrial fibrillation. PMID: 21881322 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192875 Sun, 04 Sep 2011 17:00:08 +0100 5192875 http://www.medworm.com/index.php?rid=5192874&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881323%26dopt%3DAbstract Conclusion: Our study has confirmed that an infusion of hANP during CABG in patients with CKD not only improves perioperative renal function, but also prevents the progression of CKD. PMID: 21881323 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192874 Sun, 04 Sep 2011 17:00:08 +0100 5192874 http://www.medworm.com/index.php?rid=5192873&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881324%26dopt%3DAbstract Authors: Morimoto K, Nishimura K, Miyasaka S, Maeta H, Taniguchi I Abstract Patients who undergo thoracic aortic surgery with deep hypothermia frequently have postoperative respiratory failure as a complication. Severe lung injury in these patients results in a fatal outcome. A specific neutrophil elastase inhibitor, sivelestat sodium hydrate, is an innovative therapeutic drug for acute lung injury. We evaluated the protective effects of sivelestat sodium hydrate on severe lung injury after thoracic aortic surgery with deep hypothermia. From January 2002 to July 2007, 71 consecutive patients underwent thoracic aortic surgery with deep hypothermia. Of these patients, 22 had postoperative respiratory failure with PaO(2)/FiO(2) ratios of less than 150. They were randomly assigned to o... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192873 Sun, 04 Sep 2011 17:00:08 +0100 5192873 http://www.medworm.com/index.php?rid=5192872&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881325%26dopt%3DAbstract Conclusion: Our study indicated that preoperative statin therapy seems to reduce AF development after CABG. PMID: 21881325 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192872 Sun, 04 Sep 2011 17:00:08 +0100 5192872 http://www.medworm.com/index.php?rid=5192871&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881326%26dopt%3DAbstract Conclusion: Intracardiac transplantation of unselected, autologous BMC is safe and feasible. In adjunct with coronary revascularization it leads to an improvement of ventricular geometry and function. Moreover, it reduces myocardial scar proportion and heart failure symptoms. PMID: 21881326 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192871 Sun, 04 Sep 2011 17:00:08 +0100 5192871 http://www.medworm.com/index.php?rid=5192870&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881327%26dopt%3DAbstract Authors: Iwata T, Nagano T, Tomita M, Suehiro Y, Nakatsuka S, Kimura H, Sakaki M Abstract This is the first report of adalimumab-associated pulmonary cryptococcosis. A 56-year-old female with rheumatoid arthritis without a history of pulmonary disease was simultaneously administered adalimumab (40 mg/2 wks), methotrexate (4 mg/wk), and isoniazid (200 mg/day). Five months later, chest radiography revealed a small spiculated pulmonary nodule, and the laboratory test results, including levels of tumor markers and plasma β-D-glucan, were within normal ranges. Since the lesion continued to grow, even after discontinuing adalimumab, it was surgically resected. Grocott staining of the tissue sample revealed black-brown fungi, identified as Cryptococcus neoformans in culture. The patient ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192870 Sun, 04 Sep 2011 17:00:08 +0100 5192870 http://www.medworm.com/index.php?rid=5192869&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881328%26dopt%3DAbstract We present the case of a 67-year-old male smoker with a posterior mediastinal hemangioma. Radiological findings revealed a dumbbell-shaped tumor with a neuroforaminal extension in the right paravertebral space. Under the preoperative diagnosis of a neurogenic tumor, surgery was performed using a combined anterior and posterior approach. During the thoracotomy, the tumor was found to be a hemangioma. We ligated the involved vessels before performing laminectomy, thus ensuring that complete tumor resection was achieved without massive bleeding in the spinal canal. Dumbbell-shaped hemangiomas are rare, and preoperative confirmation of the diagnosis is challenging. Thoracotomy before laminectomy is optimal for the resection of dumbbell-shaped tumors of the mediastinum, especially with marked v... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192869 Sun, 04 Sep 2011 17:00:08 +0100 5192869 http://www.medworm.com/index.php?rid=5192868&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881329%26dopt%3DAbstract Authors: Kamath SS, Mason K Abstract An adolescent female was admitted to the pediatric intensive care unit in septic shock. She developed multisystem organ dysfunction including pancreatitis with myocardial dysfunction and hemodynamic instability unresponsive to medical management necessitating veno-arterial extracorporeal support. Streptococcus Constellata and Fusobacterium necrophorum were isolated from blood cultures. This is the first report of extra-corporeal cardiac support in fusobacterium sepsis. PMID: 21881329 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192868 Sun, 04 Sep 2011 17:00:08 +0100 5192868 http://www.medworm.com/index.php?rid=5192867&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881330%26dopt%3DAbstract We report this case to emphasize that a cursory clinico-radiological interpretation can dissuade surgical intervention in these patients. PMID: 21881330 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192867 Sun, 04 Sep 2011 17:00:08 +0100 5192867 http://www.medworm.com/index.php?rid=5192866&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881331%26dopt%3DAbstract We present a surgical case of solitary pulmonary metastasis from carcinoma of the papilla of Vater. A 51-year-old man underwent pylorus-preserving pancreaticoduodenectomy for Vater carcinoma. During follow-up, chest computed tomography revealed a nodular shadow in the right lung. The pathological examination demonstrated the appearance of the pulmonary tumor resembled that of the previously resected Vater carcinoma, and both tumors showed similar immunostaining properties, leading to the pathological diagnosis of pulmonary metastasis from carcinoma of the papilla of Vater. Isolated pulmonary metastasis from carcinoma of the papilla of Vater is extremely rare, but surgery could be the treatment of choice. PMID: 21881331 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascula... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192866 Sun, 04 Sep 2011 17:00:08 +0100 5192866 http://www.medworm.com/index.php?rid=5192865&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881332%26dopt%3DAbstract We report our experience with an unusual case of sclerosing hemangioma (SH) that formed a pedunculated mass protruding into the thoracic cavity. A pulmonary tumor was found in a 60-year-old female during the medical examination. Computed tomography showed a 19 × 17-mm nodule with a clear border and smooth margin contiguous with the diaphragm in the right S8 segment. Uneven enhancement following contrast medium administration was observed. We performed a 3-port thoracoscopic wedge resection of the right lower lobe. We observed a yellow pedunculated tumor protruding from the diaphragmatic surface of the right lower lobe. The surface of the tumor was smooth and encapsulated. Microscopically, we diagnosed it as a SH. SHs usually exist adjacent to the visceral pleura, but rarely form peduncula... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192865 Sun, 04 Sep 2011 17:00:08 +0100 5192865 http://www.medworm.com/index.php?rid=5192864&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881333%26dopt%3DAbstract Authors: Aoyagi S, Fukunaga S, Kosuga T, Akashi H Abstract A 73-year-old woman was referred for treatment of left atrial (LA) myxoma. At surgery, a myxoma was attached to the left atrial side of the fossa ovalis in the atrial septum by a stalk and was transmurally excised with a margin of the atrial septum. The atrial septum was closed without any prosthetic materials under mild to moderate tension. Although she was asymptomatic, postoperative transesophageal echocardiography (TEE) revealed an abnormal cavity, containing heterogeneous echogenesity without blood flow, in the posterior LA wall. Magnetic resonance imaging (MRI) demonstrated a mass without significant enhancement. It was considered to be an intramural hematoma, and the diagnosis of LA dissection was made. Follow-up ech... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192864 Sun, 04 Sep 2011 17:00:08 +0100 5192864 http://www.medworm.com/index.php?rid=5192863&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881334%26dopt%3DAbstract Authors: Misawa S, Sakano Y, Muraoka A, Yasuda Y, Misawa Y Abstract A 75-year-old woman, who had been treated for rheumatic arthritis, was transferred to our hospital because of acute abdomen and continuous fever for several weeks. She had peritonitis, and abdominal computed tomography detected a thrombus occluding the proximal superior mesenteric artery and infarctions of the kidneys and spleen. Echocardiography showed a large vegetation on the anterior leaflet of the mitral valve. The necrotic small bowel and ascending colon were resected, and mitral valve replacement was performed 5 days later. She suffered from hyperbilirubinemia and pneumonia for several weeks after the operation but recovered successfully thereafter. PMID: 21881334 [PubMed - in process] (Source: Annals of... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192863 Sun, 04 Sep 2011 17:00:08 +0100 5192863 http://www.medworm.com/index.php?rid=5192862&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881335%26dopt%3DAbstract We describe the case of a 69 year-old woman with a dilated ascending aorta, who presented with aortic valve regurgitation due to a quadricuspid aortic valve (QAV). There are only a few reports in the literature describing aortic replacement and subsequent aortic valve replacement for a malfunctioning QAV. We discuss the pathogenesis of the dilated ascending aorta in this patient and the indication for ascending aorta replacement in such cases. PMID: 21881335 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192862 Sun, 04 Sep 2011 17:00:08 +0100 5192862 http://www.medworm.com/index.php?rid=5192861&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881336%26dopt%3DAbstract We describe four patients who underwent thrombectomy or bypass surgery for acute aortic occlusion with concomitant internal iliac artery occlusion. Two patients (82- and 75-year-old men), who had insufficient reperfusion of bilateral internal iliac arteries after treatment (thrombectomy alone and axillobifemoral bypass, respectively), died on postoperative day three of uncontrollable hyperkalemia and multiple organ failure, respectively (mortality: 50%). The third patient (74-year-old man), in whom the left internal iliac artery was reperfused after an axillobifemoral bypass, underwent right lower limb amputation but survived. The fourth patient (63-year-old man) with sufficient internal iliac artery reperfusion bilaterally after aortobifemoral and right internal iliac artery reconstructio... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192861 Sun, 04 Sep 2011 17:00:08 +0100 5192861 http://www.medworm.com/index.php?rid=5192860&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881337%26dopt%3DAbstract Authors: Hata M, Sezai A, Yoshitake I, Wakui S, Takasaka A, Ino T, Shiono M Abstract An 80-year-old woman was hospitalized in a state of shock accompanied by blood acidosis due to type A acute aortic dissection complicated by respiratory, liver, and kidney failure. A warning was given to her family that lack of intervention may possibly lead to an early death, and permission for the intervention was obtained. After undergoing a "less invasive quick replacement (LIQR)," a newly modified procedure that we had developed, the patient improved gradually, went home without any complications, and continues to be well. Emergency surgery for octogenarians remains controversial, particularly for patients with a preoperative, compassionate indication. Here, we report a survival case for an em... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192860 Sun, 04 Sep 2011 17:00:08 +0100 5192860 http://www.medworm.com/index.php?rid=5192859&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881338%26dopt%3DAbstract Authors: Yamabi H, Imanaka K, Sato H, Matsuoka T Abstract Stanford type A aortic dissection frequently deforms the aortic root and causes aortic regurgitation (AR). On the rare occasion, massive AR can occur due to circumferential intimal disruption and prolapse of the cylinder-shaped intimal flap into the left ventricle. Because of the critical, general, and hemodynamic state of such patients, surgery for this condition carries a high risk. A 62-year-old woman suffered acute chest pain and fell into cardiogenic shock. Computed tomography and transthoracic echocardiography failed to identify the etiology of this rapid hemodynamic collapse. Transesophageal echocardiography (TEE) demonstrated circumferential intimal disruption, 3 centimeters above the aortic valve annulus; a very loc... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192859 Sun, 04 Sep 2011 17:00:08 +0100 5192859 http://www.medworm.com/index.php?rid=5192858&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881339%26dopt%3DAbstract Conclusions: The 2009 system provides better patient selection for surgery and prognostic distinction between each stage except for stages IB and IIA, and stages IIIB and IV, compared with the 1997 system. Unification of T2a and T2b tumors to T2 tumors can improve prognostic distinction between stages IB and IIA. PMID: 21881339 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192858 Thu, 25 Aug 2011 23:00:00 +0100 5192858 http://www.medworm.com/index.php?rid=5192857&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881340%26dopt%3DAbstract Conclusion: We concluded that ≤75% LAD stenosis significantly influences ITA stenosis, without associated regional myocardial ischemia of the LAD territory. Non-invasive 320-ADCT and adenosine Tl-201-MPS for ITA evaluation may be useful for long-term follow-up of patients after CABG. PMID: 21881340 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192857 Thu, 25 Aug 2011 23:00:00 +0100 5192857 http://www.medworm.com/index.php?rid=5192856&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881341%26dopt%3DAbstract Authors: Kobayashi S, Inoue T, Karube Y, Hayama M, Oyaizu T, Honma K, Chida M Abstract A mediastinal Mullerian cyst was initially reported as a new category of congenital cyst by Hattori, et al. in 2005. We treated a 53-year-old female referred to us with a posterior mediastinal tumor found at the Th5 prevertebral level by chest-computed tomography during a medical check-up. She had a history of mediastinal teratoma, which was removed at the age of 35. Chest magnetic resonance imaging revealed homogenous, high-intensity signals in T2-weighted images. The lesion was resected using a thoracoscopic procedure, and histologic and immunohistochemical staining revealed a ciliated cyst of Mullerian origin. The newly established mediastinal Mullerian cyst should be included in the different... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192856 Thu, 25 Aug 2011 23:00:00 +0100 5192856 http://www.medworm.com/index.php?rid=5192855&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881342%26dopt%3DAbstract Authors: Sakuraba M, Miyasaka Y, Kodu Y, Suzuki K Abstract Many approaches for resection of the superior mediastinal tumors have been reported. We introduce an approach, which we call the cervical anterior approach. This approach is only cervical and does not require a sternotomy. Merits of this approach include the ability to remove the tumor without opening the mediastinal or parietal pleura, as well as obviating draining the thoracic cavity. The tumor is also directly visible, and the surgeon can avoid injury to the great vessels. This approach is recommended when the tumor is located superior to the third thoracic vertebra level, when it borders the great vessels, and when it does not border the trunk of the brachial plexus or nerve root. This approach is easy and safe for surg... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192855 Thu, 25 Aug 2011 23:00:00 +0100 5192855 http://www.medworm.com/index.php?rid=5192854&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881343%26dopt%3DAbstract Authors: Sakaguchi Y, Isowa N Abstract Mediastinal seminoma is a rare malignant tumor, and the current strategy for primary mediastinal seminomas is making a prompt diagnosis and achieving an appropriate chemotherapy. However, consensus regarding the optimal post-chemotherapy management has not been reached. We experienced a case of 26-year-old man who was diagnosed mediastinal seminoma and evaluated the response to induction chemotherapy with fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT). Complete surgical excision of the tumor was performed. Pathologic findings of the surgical specimen showed no viable cells in the tumor. PMID: 21881343 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192854 Thu, 25 Aug 2011 23:00:00 +0100 5192854 http://www.medworm.com/index.php?rid=5192853&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881344%26dopt%3DAbstract In this report, we present perioperative management of our patient who underwent coronary artery bypass grafting and mitral valve replacement. PMID: 21881344 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192853 Thu, 25 Aug 2011 23:00:00 +0100 5192853 http://www.medworm.com/index.php?rid=5192852&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881345%26dopt%3DAbstract We report an extremely rare case of deformity of the pulmonary sinus of Valsalva with pulmonary valvular stenosis 42 years after a pulmonary annular-sparing operation for tetralogy of Fallot. Aortic regurgitation with deformity of the sinus is also noted. At the previous operation, the right ventricular outflow tract was augmented by a prosthetic subvalvular patch. Through the years, the pulmonary valve and sinus were distorted because the patch was pulled over toward the right ventricle. PMID: 21881345 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192852 Thu, 25 Aug 2011 23:00:00 +0100 5192852 http://www.medworm.com/index.php?rid=5192851&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881346%26dopt%3DAbstract Conclusion: OLVP improved NYHA functional classes, and also improved the regional wall function at the basal level of the left ventricle. In contrast, lone PMA did not improve or impair the regional wall function at any of the levels. PMID: 21881346 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192851 Tue, 16 Aug 2011 23:00:00 +0100 5192851 http://www.medworm.com/index.php?rid=5192850&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881347%26dopt%3DAbstract Conclusion: We recommend that, patients only become respiratory stable with minimum intervention and then be referred to centers with sufficient experience in airway surgery. PMID: 21881347 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192850 Tue, 16 Aug 2011 23:00:00 +0100 5192850 http://www.medworm.com/index.php?rid=5192849&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881348%26dopt%3DAbstract We report a case of diaphragmatic hernia, which occurred 88 months after initial CABG. A 64-year-old obese man underwent surgical repair of a diaphragmatic hernia. At initial surgery, the diaphragm was incised vertically and re-sutured, leaving a route for GEA graft. Both the stomach and the lateral segment of the liver were dislocated in the pericardial space. The diaphragmatic defect was closed with a polytetrafluoroethylene patch. PMID: 21881348 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192849 Tue, 16 Aug 2011 23:00:00 +0100 5192849 http://www.medworm.com/index.php?rid=5192848&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881349%26dopt%3DAbstract We report a case of PVE which was difficult to diagnose. A 36-year-old man, who had undergone an aortic valve replacement (AVR) 7 years prior, was hospitalized with a high fever of unknown origin. We could not detect a stuck valve, vegetations or abscesses using echocardiography, and the peak aortic transvalvular pressure gradient had increased to 81 mmHg. We suspected PVE and initiated intravenous antibiotic therapy immediately. On day 5, echocardiography demonstrated an abnormal shadow directly under the prosthesis, and we definitively diagnosed PVE and performed an operation. Intraoperatively, the prosthesis was not vegetative, but the left ventricular outflow tract was filled with vegetation that was nearly obstructing it. After dissecting the infectious focus, we performed a re-AVR. P... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192848 Tue, 16 Aug 2011 23:00:00 +0100 5192848 http://www.medworm.com/index.php?rid=5192846&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881350%26dopt%3DAbstract We describe a case in which this endovascular technique was successfully performed for closure of a PDA with aneurismal change in a high-risk patient. This approach may comprise the armamentarium for treating this pathology in adults. PMID: 21881350 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192846 Tue, 16 Aug 2011 23:00:00 +0100 5192846 http://www.medworm.com/index.php?rid=5192840&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881351%26dopt%3DAbstract We report a case of 77-year-old woman suffering from breathlessness on exertion and dry cough. Chest computed tomography (CT) showed diffuse ground-glass shadows. A video-assisted thoracoscopic lung biopsy resulted in the diagnosis of diffuse large B-cell lymphoma (DLBCL). Gene rearrangement analysis using polymerase chain reaction (PCR) technique was performed on the cells in bronchoalveolar lavage (BAL) fluid, and showed the clonality of the immunoglobulin heavy chain (IgH) gene, supporting the diagnosis. DLBCL should be considered in the differential diagnosis of diffuse ground-glass shadows in the chest CT, and gene rearrangement analysis may have an impact on the diagnosis of pulmonary DLBCL. PMID: 21881351 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardio... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192840 Tue, 16 Aug 2011 23:00:00 +0100 5192840 http://www.medworm.com/index.php?rid=5192837&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881352%26dopt%3DAbstract Conclusion: In the case of an acute aortic dissection with acute abdomen, emergency laparoscopy is a precious surgical technique to identify criteria that can lead to therapeutic decisions, including timing. PMID: 21881352 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192837 Tue, 16 Aug 2011 23:00:00 +0100 5192837 http://www.medworm.com/index.php?rid=5192836&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881353%26dopt%3DAbstract Conclusion: In the present study, left ventricular hypertrophy and on arterial compliance were inhibited by a decrease in angiotensin II and aldosterone due to the change-over to olmesartan. In the future, protective effects on organs will be clarified by long-term observations. PMID: 21881353 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192836 Tue, 26 Jul 2011 23:00:00 +0100 5192836 http://www.medworm.com/index.php?rid=5192835&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881354%26dopt%3DAbstract Conclusion: Both tumor size and SUVmax are possible predictors of early recurrence after curative resection in patients with pulmonary adenocarcinoma. Although it is impossible to determine the SUVmax as an independent prognostic factor, the SUVmax may be one of the predictors of early hematogenous recurrence in surgically treated pulmonary adenocarcinoma. PMID: 21881354 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192835 Tue, 26 Jul 2011 23:00:00 +0100 5192835 http://www.medworm.com/index.php?rid=5192834&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881355%26dopt%3DAbstract Conclusions: AMI complicated by cardiogenic shock and left main coronary artery disease can be effectively treated with emergency CABG, with acceptable mortality and morbidity. Emergency CABG for MIs within 8 hours can improve survival in patients with left main shock syndrome. PMID: 21881355 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192834 Tue, 26 Jul 2011 23:00:00 +0100 5192834 http://www.medworm.com/index.php?rid=5192832&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881356%26dopt%3DAbstract Conclusion: This meta-analysis of published data concerning NSCLC patients indicated significantly better survival for women. PMID: 21881356 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192832 Tue, 26 Jul 2011 23:00:00 +0100 5192832 http://www.medworm.com/index.php?rid=5192831&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881357%26dopt%3DAbstract We present a 12-year-old girl with a teratoma with malignant transformation (TMT) of the mediastinum. Computed tomography showed a cystic mass (5.0 cm × 4.0 cm) with a thick solid portion, in the anterior mediastinum. Six months later, the solid portion of the mass had enlarged, and surgical resection was performed. The resected tumor was 7.0 × 5.0 × 4.0 cm in size. The cystic portion was a mature teratoma, and the solid portion predominantly comprised a viable embryonal rhabdomyosarcoma. There were no immature teratomatous elements or other germ-cell components. The histopathologic diagnosis was a mature teratoma with embryonal rhabdomyosarcoma, a so-called TMT. The tumor recurred, despite adjuvant chemotherapy. The patient died of progressive disease 16 months postoperatively. To the ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192831 Tue, 26 Jul 2011 23:00:00 +0100 5192831 http://www.medworm.com/index.php?rid=5192829&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881358%26dopt%3DAbstract Authors: Yoshimoto K, Yoshida J, Ishii G, Nishimura M, Hishida T, Nagai K Abstract Abnormal nodules were found in the left lung of a 52-year-old woman in segments 6 and 10 on a chest CT. These nodules showed no changes for 18 months, and we discontinued follow-up. Almost 5 years later, an abnormal shadow was found in her left lower lung field on a medical check-up chest X-ray. Chest CT revealed that the left segments 6 and 10 nodules had grown. We diagnosed these lesions as synchronous double primary lung cancers in the same lobe based on the disease history and performed a left lower lobectomy and lymph node dissection. Pathological examination of both tumors revealed adenocarcinoma of a mixed subtype with papillary and bronchioloalveolar carcinoma. Epidermal growth factor recepto... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192829 Tue, 26 Jul 2011 23:00:00 +0100 5192829 http://www.medworm.com/index.php?rid=5192827&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881359%26dopt%3DAbstract Authors: Sezai A, Akiyama K, Fukushima S, Kashiwazaki S, Shiono M, Horikoshi A, Nakamura T, Hemmi A Abstract A 71-year-old woman with idiopathic thrombocytopenic purpura (ITP), who had been treated with steroid and cyclosporine, was admitted in an emergency with fever and dyspnea. The diagnosis was mitral regurgitation due ton infective endocarditis. Although she received treatments for infection and cardiac failure, the cardiac failure could not be controlled. After high-dose γ-globulin therapy, an emergency operation was performed during the active phase of infective endocarditis. Rapid platelet transfusion was administered after weaning from extracorporeal circulation. She recovered and was discharged without postoperative bleeding and re-infection.The treatment course of elect... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192827 Tue, 26 Jul 2011 23:00:00 +0100 5192827 http://www.medworm.com/index.php?rid=5192826&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881360%26dopt%3DAbstract Authors: Gunluoglu G, Olcmen A, Sokucu SN, Akin H, Dincer I Abstract Castleman's disease (CD) is a rare disease with unknown aetiology. It is characterised by benign lymph node hyperplasia that may involve all lymph nodes. The most common locations are the mediastinum and abdomen. CD arising from intrapulmonary lymph nodes has been reported in five cases, in the English language literature to date. Tumours in these patients are usually resected during lung surgery. An asymptomatic 29-year-old male patient was evaluated due to a mass lesion with a diameter of 55 mm located in the infrahilar region of the right lung with a high degree of contrast enhancement on thoracic computed tomography (CT). Vascularity of this central lesion was excluded by pulmonary angiography. Thoracotomy was... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192826 Tue, 26 Jul 2011 23:00:00 +0100 5192826 http://www.medworm.com/index.php?rid=5192825&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881361%26dopt%3DAbstract We report a 67-year-old woman with rheumatic, severe mitral regurgitation and mitral stenosis associated with MDS who underwent a mitral valve (MV) repair. Commissurotomy was performed in the anterior commissure. Autologous pericardial patch treated with glutaraldehyde solution was prepared. The anterior leaflet was completely detached from the posterior to the anterior commissure. The anterior leaflet was augmented by autologous pericardial patch treated with glutaraldehyde solution and three pairs of artificial chordae were implanted. Postoperative transesophageal echocardiography showed an increase in the MV orifice and less than trivial mitral regurgitation. Two years after the operation, the patient has normal sinus rhythm with no deterioration of the MV lesion by transthoracic echoca... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192825 Tue, 26 Jul 2011 23:00:00 +0100 5192825 http://www.medworm.com/index.php?rid=5192824&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881362%26dopt%3DAbstract Authors: Furukawa M, Oto T, Yamane M, Toyooka S, Kiura K, Miyoshi S Abstract Bullous emphysema is an important risk factor for lung cancer. Here, we report the case of a 56-year-old man who underwent surgical treatment for primary lung cancer arising from the wall of a bulla. Chest computed tomography (CT) had revealed a nodule arising from the bulla wall. This nodule showed positive uptake of (18)fluorodeoxyglucose (FDG) during positron emission tomography (PET)-CT. However, repeat CT performed after 2 months showed a spontaneous decrease in the tumor size. Exploratory resection revealed non-small cell lung cancer, which was confirmed by the findings of intraoperative frozen-section analysis; therefore, right upper lobectomy and mediastinal lymph node dissection were performed. Th... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192824 Tue, 26 Jul 2011 23:00:00 +0100 5192824 http://www.medworm.com/index.php?rid=5192823&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881363%26dopt%3DAbstract We report our experience of long-term extracorporeal membrane oxygenator (ECMO) support to resuscitate a 62-year-old man who had critical three-vessel disease of coronary artery complicating intractable hibernating myocardium (HM) and sudden cardiogenic shock. Intra-aortic balloon pump and ECMO were deployed to restore the circulatory support while emergent revascularization surgery was performed.The patient was weaned from ECMO successfully after 15 days of support and discharged with recovered left ventricular function. ECMO is effective in resuscitation of patients with cardiogenic shock and HM. To our knowledge the present case necessitated the longest term of ECMO support to get rid of HM. PMID: 21881363 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovas... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192823 Tue, 26 Jul 2011 23:00:00 +0100 5192823 http://www.medworm.com/index.php?rid=5192822&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881364%26dopt%3DAbstract We report two cases of successful OPCAB as re-do surgery in which the right gastroepiploic artery (RGEA) was grafted to the right coronary artery. The first case was a 58-year-old woman, who underwent CABG 10 years ago. OPCAB (RGEA to right coronary artery) was performed since myocardial perfusion scintigraphy revealed ischemia in the inferior wall. The second case was a 67-year-old man who had hypertension, hyperlipidemia, peripheral arterial disease, and was undergoing dialysis (for 6 years). Six years previously, he developed a mycotic aneurysm of the right coronary artery and underwent open-heart surgery. He often had episodes of angina at night or during dialysis, and then developed congestive heart failure and was hospitalized. Since ischemia was considered to be in the inferior wall... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192822 Tue, 26 Jul 2011 23:00:00 +0100 5192822 http://www.medworm.com/index.php?rid=5192821&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881365%26dopt%3DAbstract Authors: Goto T, Maeshima A, Akanabe K, Oyamada Y, Kato R Abstract A 78-year-old man underwent right lower lobectomy for lung cancer. Histopathological examination led to the diagnosis of adenosquamous cell carcinoma. The background lung adjacent to the pleura showed idiopathic pulmonary fibrosis of microscopic usual interstitial pneumonia pattern, although preoperative computed tomography showed no apparent findings of interstitial pneumonia. The patient showed an acute exacerbation of idiopathic pulmonary fibrosis on the third postoperative day. We herein report a case of acute exacerbation of idiopathic pulmonary fibrosis of microscopic usual interstitial pneumonia pattern after lung cancer surgery. PMID: 21881365 [PubMed - as supplied by publisher] (Source: Annals of Thorac... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192821 Tue, 26 Jul 2011 23:00:00 +0100 5192821 http://www.medworm.com/index.php?rid=5192820&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881366%26dopt%3DAbstract We describe a case of AS with ischemic heart disease of a patient who underwent a successful surgical treatment, AVR combined with the endoventricular patch technique. The patient was an 82-year-old woman who suffered from heart failure, New York Heart Association (NYHA) class III. The heart failure derived from AS and ischemic heart disease with severely compromised LV function. She underwent AVR combined with the endoventricular patch technique and the postoperative course was uneventful. She has been well with NYHA class I for about 5 years after the operation without heart failure. PMID: 21881366 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192820 Tue, 26 Jul 2011 23:00:00 +0100 5192820 http://www.medworm.com/index.php?rid=5192819&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881367%26dopt%3DAbstract Authors: Yanase Y, Muraki S, Koyanagi T, Watanabe N, Kurimoto Y Abstract Twelve years after receiving a renal transplant, a 50-year-old woman developed asthmatic symptoms. Chest CT revealed a descending thoracic aortic aneurysm. She had undergone percutaneous coronary intervention to treat the left anterior descending artery 10 years earlier. Coronary artery angiography revealed restenosis of the left anterior descending artery (99%, #6 in-stent). Because cardiopulmonary bypass may cause problems for transplanted kidney, we performed off-pump coronary artery bypass grafting (left internal thoracic artery to left anterior descending artery) and thoracic endovascular graft placement to treat the aortic aneurysm. Considering that the artery of the transplanted kidney was attached to t... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192819 Tue, 26 Jul 2011 23:00:00 +0100 5192819 http://www.medworm.com/index.php?rid=5192818&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881368%26dopt%3DAbstract Authors: Iida M, Hata H, Kimura H Abstract A 54-year-old man presented with neck pain and hoarseness. Angiography showed a rare right subclavian artery aneurysm, enlargement of the ascending aortic aneurysm, and axillary artery stenosis. These aneurysms would normally be treated with end-to-end anastomosis, but due to the complexity of the lesion in this case, we performed more extensive surgery. This consisted of successful reconstruction of the subclavian artery and replacement of the ascending aorta and aortic arch. PMID: 21881368 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192818 Tue, 26 Jul 2011 23:00:00 +0100 5192818 http://www.medworm.com/index.php?rid=5192817&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881369%26dopt%3DAbstract Authors: Kanzaki M, Kikkawa T, Obara T, Onuki T Abstract Lymphangioma is a well-known benign tumor and its cystic abnormalities of the lymph vessels are predominantly congenital. Cystic lymphangioma usually occurs in the neck, axillary region, and rarely in the mediastinum, which frequently occurs in children and young adults. A 20-year-old woman had symptoms of palpitation, cough, and dyspnea during the recent 1 month. Both chest comuted tomography and magnetic resonance imaging of the chest revealed a well-defined, 13 × 10-cm cystic lesion in the anterior mediastinum. The patient underwent bilateral video-assisted thoracoscopic excision of the cyst and lymphangioma was confirmed based on histopathologic examination. Here, we report a rare case of isolated mediastinal cystic lymp... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192817 Tue, 26 Jul 2011 23:00:00 +0100 5192817 http://www.medworm.com/index.php?rid=5192816&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881370%26dopt%3DAbstract We present a case of a patient with an unusual pulmonary vein variation. Preoperative review of the patient's three-dimensional 64-row multidetector computed tomography imaging allowed us precise simulation and good orientation of the patient's vascular variant anatomy during surgery. Upper lobectomy through thoracoscopic approach was performed successfully in the case where the middle lobe vein might have been divided without preoperative anatomical evaluation by 3D CT images.(Released on June 14, 2011, at ATCS Home Page as Online Advance Publication ahead of J-STAGE.). PMID: 21881370 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192816 Tue, 12 Jul 2011 23:00:00 +0100 5192816 http://www.medworm.com/index.php?rid=5192815&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881371%26dopt%3DAbstract Conclusions: Intensive physical therapy appeared to increase oxygen saturation, reduce hospital stay, and change the ventilation/perfusion distribution. It had a significant, positive effect on the exercise capacity of patients. PMID: 21881371 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192815 Tue, 12 Jul 2011 23:00:00 +0100 5192815 http://www.medworm.com/index.php?rid=5192814&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881372%26dopt%3DAbstract Conclusions: The current literature suggests that PTE for patients with CTEPH is associated with acceptable perioperative morbidity and mortality rates and improved hemodynamic indices and survival when viewed against the prognosis associated with historical controls using medical therapy. PMID: 21881372 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192814 Tue, 12 Jul 2011 23:00:00 +0100 5192814 http://www.medworm.com/index.php?rid=5192813&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881373%26dopt%3DAbstract Conclusions: Dynamic cell culture with 24 h pre-seeding is effective for constructing ideal biografts. PMID: 21881373 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192813 Tue, 12 Jul 2011 23:00:00 +0100 5192813 http://www.medworm.com/index.php?rid=5192812&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881374%26dopt%3DAbstract Conclusions: The higher the serum IL-6 levels on POD 1, the higher the risk of early postoperative recurrence, even when curative pulmonary resection can be accomplished in lung cancer patients. PMID: 21881374 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192812 Tue, 12 Jul 2011 23:00:00 +0100 5192812 http://www.medworm.com/index.php?rid=5192811&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881375%26dopt%3DAbstract Conclusions: Robotic surgery achieves at least the same level of operation technique for pneumonectomy and lymph node dissection under standard open thoracotomy, and it seemed as safe and easily performed as conventional VATS. The training program using pigs was effective and holds promise as a system to train thoracic surgeons in robotic lung surgery. PMID: 21881375 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192811 Tue, 12 Jul 2011 23:00:00 +0100 5192811 http://www.medworm.com/index.php?rid=5192810&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881376%26dopt%3DAbstract We report a 56-year-old woman with hypertension on telmisartan and hydrochlorothiazide, who developed symptomatic hypercalcemia for a month. Initial serum calcium was 15.6 mg/dL, together with inappropriately elevated intact PTH at 437 pg/mL. Coincidentally, an anterior mediastinal mass on chest imaging was found. Biopsy of the mass revealed parathyroid tissue. She was treated sequentially with saline rehydration and frusemide calciuresis, intravenous pamidronate and calcitonin, which lowered her calcium to 11.1 mg/dL. Normocalcemia was finally achieved following surgical extirpation of the mass. Histology confirmed an intrathymic parathyroid cyst. Definitive treatment by resection of the mass is potentially curative. PMID: 21881376 [PubMed - as supplied by publisher] (Source: Annals o... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192810 Tue, 12 Jul 2011 23:00:00 +0100 5192810 http://www.medworm.com/index.php?rid=5192809&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881377%26dopt%3DAbstract Authors: Goto T, Maeshima A, Kato R Abstract A 44-year-old woman underwent surgery for lung cancer. Although preoperative computed tomography did not reveal a tiny nodule, pathological examination of the background lung showed that type II pneumocyte-like tumor cells grew papillary in an area of approximately 2.3 × 1.2 mm. This lesion exhibited hemorrhage, hemosiderosis, calcification, and varying degrees of fibrosis, leading to the diagnosis of sclerosing hemangioma. This is the first reported case of microscopic sclerosing hemangioma undetectable by chest computed tomography. PMID: 21881377 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192809 Tue, 12 Jul 2011 23:00:00 +0100 5192809 http://www.medworm.com/index.php?rid=5192808&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881378%26dopt%3DAbstract Authors: Wexler S, Yamane K, Fisher KW, Diehl JT, Hirose H Abstract A 76-year-old female, with a history of asthma and tracheal bronchitis, presented with a non-ST elevation, myocardial infarction. Chest x-ray on admission showed a widened mediastinum, which was further evaluated with a computed tomography (CT) scan. It disclosed a giant substernal goiter compressing the trachea and the ascending aorta. Cardiac catheterization showed significant coronary disease unsuitable for percutaneous intervention; thus, the patient was scheduled for coronary artery bypass grafting. Single stage thyroidectomy immediately followed by coronary artery bypass was performed. After surgery, her upper airway symptoms were improved, and no cardiac events were noted. Collaboration between otolaryngolog... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192808 Tue, 12 Jul 2011 23:00:00 +0100 5192808 http://www.medworm.com/index.php?rid=5192807&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881379%26dopt%3DAbstract We present a case of an aortocaval fistula with acute right heart failure. The condition was accurately diagnosed before operation by physical examination, echo, and especially by computed tomography (CT), thereby enabling proper planning of the operative strategy. At surgery, not only the infrarenal aorta and common iliac arteries on both sides but the inferior vena cava and iliac veins on both sides were also controlled to avoid massive venous bleeding through the fistula. Aortocaval fistula repair was easy, and conventional bifurcated Dacron graft replacement for abdominal aortic aneurysm was successfully performed. Innovative CT images give us prompt preoperative diagnoses and elaborate surgical strategies. PMID: 21881379 [PubMed - as supplied by publisher] (Source: Annals of Thora... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192807 Tue, 12 Jul 2011 23:00:00 +0100 5192807 http://www.medworm.com/index.php?rid=5192806&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881380%26dopt%3DAbstract Authors: Kaneda T, Saga T, Nishino T, Fujii K, Shintaro Y Abstract Infectious endocarditis patients occasionally need emergency cardiac surgery even if they have a tracheostoma. However, a median full-sternotomy approach carries increased risk for sternal infection and lethal mediastinitis in cardiac surgery for patients with tracheostomas. We successfully performed valve replacement procedures using a lower partial median sternotomy approach in 6 infectious endocarditis patients with tracheostomas. There were neither operative deaths nor complications related to wound infection in these cases. The partial sternotomy approach represents a safe alternative in cardiac surgery for acute infectious endocarditis patients with tracheostomas who need emergent surgery. PMID: 21881380 [... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192806 Tue, 12 Jul 2011 23:00:00 +0100 5192806 http://www.medworm.com/index.php?rid=5192805&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881381%26dopt%3DAbstract This study describes the clinical presentation, management and outcome of 4 patients (mean age: 35 years) with ANM. All patients were operated on by a trans-cervical approach, and only one patient was operated on by a trans-thoracic one. After surgery, patients were transferred to the intensive care unit and underwent daily washing and debridement with antibiotic treatments. Odontogenic infection (2 cases), pharyngeal perforation and cervical esophageal perforation were the causes of the ANM. Infection of cervical space (perivisceral spaces) and superior Mediastinum were found in all patients, and Infection below the carina was found in two. All patients were discharged with a good, general condition after an average of 24 days. Early diagnosis of ANM with clinical presentation and on-time... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192805 Tue, 12 Jul 2011 23:00:00 +0100 5192805 http://www.medworm.com/index.php?rid=5192804&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881382%26dopt%3DAbstract Authors: Maeda S, Takahashi S, Koike K, Sato M Abstract A 46-year-old woman was referred to our hospital because of back pain and an abnormality on chest imaging. Chest computed tomography showed a well-delineated tumor in the left paravertebral space. Histological analysis of the resected tumor revealed perivascular pseudorosettes, and immunoreactivity for glial fibrillary acidic protein established the diagnosis of ependymoma. A few cases have been reported in the ovary, broad ligament, sacrococcygeal region, lungs, and mediastinum, but the pathogenesis has not yet been clarified. Female predominance in these tumors and organogenesis of the sites may suggest a key to the pathogenesis. PMID: 21881382 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovas... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192804 Tue, 12 Jul 2011 23:00:00 +0100 5192804 http://www.medworm.com/index.php?rid=5192803&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881383%26dopt%3DAbstract We report the case of a 33-year old man who had severe DSS accompanied with moderate aortic insufficiency. He underwent successful surgery including relief of DSS and aortic valve repair. Although careful follow-up is mandatory for recurrent AR and DSS, our approach was thought to be feasible for a young adult patient with DSS complicated with AR. PMID: 21881383 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192803 Tue, 12 Jul 2011 23:00:00 +0100 5192803 http://www.medworm.com/index.php?rid=5192802&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881384%26dopt%3DAbstract Authors: Cetinkaya E, Gunluoglu G, Eyhan S, Gunluoglu MZ, Dincer SI Abstract Hamartoma is rarely found to be localized in the trachea. In the literature, only about ten cases have been reported. A 52-year-old male who was being treated for asthma for 15 years applied to our hospital with a progressive dyspnea complaint. During his physical examination, stridor was heard, after which a computed tomography of his chest revealed a tracheal mass. Fiberoptic bronchoscopy revealed a mass which obstructed 80% of the tracheal lumen attached to the posterior tracheal wall with a broad base. The mass was removed surgically with segmentary resection of the trachea. histopathological examination of the lesion indicated that it was a hamartoma. Hamartomas can localize in the trachea very rarely... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192802 Tue, 12 Jul 2011 23:00:00 +0100 5192802 http://www.medworm.com/index.php?rid=5192801&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881385%26dopt%3DAbstract Authors: Kin H, Koizumi J, Yoshioka K, Okabayashi H Abstract A 72-year-old man presented with a papillary fibroelastoma on the non-coronary cusp of the aortic valve. He was asymptomatic, with a history of hypertension and paroxysmal atrial fibrillation. Echocardiography revealed a mobile, round mass (13 × 15 mm) on the non-coronary cusp of the aortic valve. Scanning with 320-slice multi-detector row computed tomography (MDCT) also revealed a mass on the non-coronary cusp of the aortic valve. The tumor was subsequently excised from the aortic valve. In this case, the MDCT images were extremely clear and provided useful information like that obtained with echocardiography. PMID: 21881385 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192801 Tue, 12 Jul 2011 23:00:00 +0100 5192801 http://www.medworm.com/index.php?rid=5192800&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21881386%26dopt%3DAbstract Authors: Suzuki R, Watanabe T, Matsukawa M, Hiroshige K, Sata S, Koyanagi T Abstract With the use of the superior transseptal approach during mitral valve surgery, good exposure of the mitral valve can be achieved with simple traction sutures, which minimize the risk of deformation of the mitral valve. For this reason, we routinely perform mitral valvoplasty using the superior transseptal approach; however, we, occasionally encounter cases that develop postoperative atrial dysrhythmia. We have therefore, devised a very simple technique for preservation of the sinus node artery in the superior transseptal approach, which is effective for reducing the incidence of postoperative sinus node dysfunction. In this technique, during incision of the dome of the left atrium, the sinus node a... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5192800 Tue, 12 Jul 2011 23:00:00 +0100 5192800 http://www.medworm.com/index.php?rid=5052022&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21739769%26dopt%3DAbstract Authors: Bagheri R, Haghi SZ, Rahim MB, Attaran D, Toosi MS Pleural malignant mesothelioma is an uncommon but extremely invasive tumor which originates from mesothelial cells and usually occurs after prolonged exposure to asbestos. Different types of surgical and oncological therapeutic methods have been used resulting in various outcomes. The aim of this study was to evaluate, clinicopathologically, 40 patients with pleural malignant mesothelioma and the main factors influencing their prognosis. PMID: 21739769 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5052022 Thu, 31 Mar 2011 23:00:00 +0100 5052022 http://www.medworm.com/index.php?rid=4863078&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597404%26dopt%3DAbstract Authors: Tedoriya T PMID: 21597404 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863078 Thu, 31 Mar 2011 23:00:00 +0100 4863078 http://www.medworm.com/index.php?rid=4863077&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597405%26dopt%3DAbstract Authors: Yasuda T, Shiozaki H The pedicled colon segment is widely accepted as a substitute to the gastric tube in esophageal reconstruction of cases where the stomach is not available. The usefulness of reconstruction with a pedicled jejunum has also been reported in recent years. In order to make a long jejunal graft, at least the second and third jejunal vessels have to be severed. However, this leads to a decrease of circulation in the pedicled jejunum. This poor circulation was primarily responsible for the high rates of gangrene and mortality (22.2% and 46.5%, respectively) in the beginnings of jejunal reconstruction. Advances in microsurgery have now enabled surgeons to overcome these disadvantages, as a result, both the rates of gangrene and mortality have decreased to almost z... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863077 Thu, 31 Mar 2011 23:00:00 +0100 4863077 http://www.medworm.com/index.php?rid=4863076&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597406%26dopt%3DAbstract Conclusion: The level of ERCC1 expression in tumors a strong predictor of survival in resected NSCLC patients untreated without pre- or post-operative chemotherapy and/or radiotherapy. PMID: 21597406 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863076 Thu, 31 Mar 2011 23:00:00 +0100 4863076 http://www.medworm.com/index.php?rid=4863075&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597407%26dopt%3DAbstract Conclusions: PACE is an organ-sparing therapy with satisfactory long-term results. It can safely replace the surgical resection of PAVMs. PMID: 21597407 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863075 Thu, 31 Mar 2011 23:00:00 +0100 4863075 http://www.medworm.com/index.php?rid=4863074&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597408%26dopt%3DAbstract Conclusions: In the complete resection of bulky N2 NSCLC in patients with lymph nodes measuring more than 2 cm in short-axis diameter, single-station node involvement suggests a favorable outcome and long-term survival, compared to patients with multi-station involvement. PMID: 21597408 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863074 Thu, 31 Mar 2011 23:00:00 +0100 4863074 http://www.medworm.com/index.php?rid=4863073&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597409%26dopt%3DAbstract Conclusion: Piracetam had no cerebroprotective effect in patients undergoing open heart surgery. Unlike the patients who underwent coronary surgery, piracetam did not reduce the early postoperative decline of neuropsychological abilities in heart valve patients. PMID: 21597409 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863073 Thu, 31 Mar 2011 23:00:00 +0100 4863073 http://www.medworm.com/index.php?rid=4863072&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597410%26dopt%3DAbstract Conclusion: Even with high morbidity in the early post-operative period, surgery, in addition to medical therapy, offers higher cure rates than only medical therapy; however, meticulous preoperative evaluation of patients is needed. PMID: 21597410 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863072 Thu, 31 Mar 2011 23:00:00 +0100 4863072 http://www.medworm.com/index.php?rid=4863071&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597411%26dopt%3DAbstract Conclusion: The cryosurgical left-sided maze procedure is a safe, simple, and excellent operation for medically refractory atrial fibrillation. PMID: 21597411 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863071 Thu, 31 Mar 2011 23:00:00 +0100 4863071 http://www.medworm.com/index.php?rid=4863070&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597412%26dopt%3DAbstract Conclusions: The PPM after MVR was not related to the late survival or the incidence of MACE based on both r- and m-EOAI. The patient group of PPM defined by r-EOAI tended to be male and that defined by m-EOAI tended to be bioprosthetic. PMID: 21597412 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863070 Thu, 31 Mar 2011 23:00:00 +0100 4863070 http://www.medworm.com/index.php?rid=4863069&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597413%26dopt%3DAbstract Conclusions: By measuring graft resistance and compliance, this new device is useful for evaluating graft performance during CABG. PMID: 21597413 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863069 Thu, 31 Mar 2011 23:00:00 +0100 4863069 http://www.medworm.com/index.php?rid=4863068&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597414%26dopt%3DAbstract We report a case of a 48-year-old man with a history of violent coughing fits and general fatigue underwent urgent surgery for cardiac tamponade, and who was later diagnosed with metastatic intracardiac squamous cell carcinoma of the esophagus. After admittance to Munakata Suikokai General Hospital, Fukuoka, Japan, echocardiography showed extensive pleural and pericardial effusion and a mass, 4 by 2 cm, with a solid echo pattern in the right ventricular cavity. The working diagnosis was primary malignant cardiac tumor of unknown origin with multiple metastases. To prevent sudden death due to obliteration of the outflow tract of the right ventricle, we performed urgent surgery for cardiac tamponade. Histological examination of the resected tumor revealed squamous cell carcinoma. Fiberoptic ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863068 Thu, 31 Mar 2011 23:00:00 +0100 4863068 http://www.medworm.com/index.php?rid=4863067&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597415%26dopt%3DAbstract We report 2 cases of pulmonary MM, the first involving primary MM of the lung and the second involving late recurrence 8 years after the initial surgery. Bronchoscopic punch biopsy identified MM in both cases. In the first case, work-up of the patient did not reveal any anomalies other than those in the primary site. In the second case, the patient had a history of thumb amputation for MM 8 years ago. For pulmonary MM, extrapulmonary origin of the tumor must be excluded by detailed examination because melanomas involving the lung are almost always metastatic. Whether the diagnosis is primary or metastatic disease, the potential for recurrence should be considered even in patients with a long disease-free survival. PMID: 21597415 [PubMed - in process] (Source: Annals of Thoracic and Car... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863067 Thu, 31 Mar 2011 23:00:00 +0100 4863067 http://www.medworm.com/index.php?rid=4863066&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597416%26dopt%3DAbstract Authors: Goto T, Maeshima A, Akanabe K, Hamaguchi R, Wakaki M, Oyamada Y, Kato R Pleomorphic adenoma usually occurs in the salivary glands but rarely in the trachea or bronchi. A 71-year-old man had abnormal shadows on a chest X-ray. Chest CT revealed one tumor in the right basal segment of the lung and another, in the left main bronchus. Bronchoscopic biopsy of the right tumor revealed well-differentiated squamous cell carcinoma. Right lower lobectomy and lymph node dissection were performed (pT2N0M0, stage IB). At the orifice of the left main bronchus, bronchoscopy identified a polypoid lesion nearly obstructing the airway. The lesion was resected with hot snare ablation. The histological examination revealed a mixture of epithelial and myxoid mesenchymal elements, characterized by d... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863066 Thu, 31 Mar 2011 23:00:00 +0100 4863066 http://www.medworm.com/index.php?rid=4863064&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597417%26dopt%3DAbstract We present a rare case of adenosquamous carcinoma of the lung in a patient with complete situs inversus. The patient was a 76-year-old woman with the chief complaint of hemosputum. Chest X-ray and computed tomography (CT) scans of the thorax showed a mirror image of the organs and vessels and revealed a tumor 3.5 cm in diameter, in the left lower lung field. She was referred and admitted to KKR Hokuriku Hospital, Kanazawa, Japan to undergo surgery. Bronchoscopy showed a mirror image of the usual arrangement of the bronchi, and 5 segmental branches in the left lower bronchi. During surgery, care was exercised when intubation with the Univent® bronchial tube for one-lung ventilation. On thoracotomy, the gross appearance of the left lung and the arrangement of the pulmonary vessels and the b... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863064 Thu, 31 Mar 2011 23:00:00 +0100 4863064 http://www.medworm.com/index.php?rid=4863061&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597418%26dopt%3DAbstract Authors: Suemitsu R, Takeo S, Yamaguchi M, Hamatake M A 63-year-old male with lung cancer underwent a left upper lobectomy and mediastinal lymph node dissection through a median sternotomy. Postoperatively, he received 4 cycles of adjuvant chemotherapy with cisplatin and gemcitabin. Chest computed-tomography (CT) scan after the adjuvant chemotherapy showed a large cystic mass originating from the tracheal bifurcation. Fiberoptic bronchoscopy (FOB) revealed chylomediastinum during the aspiration biopsy of the mass. The chylous effusion was first removed by aspiration under FOB, though 2 weeks later the patient returned with a fever, and the CT lead us to suspect mediastinitis. After performing primary surgery for the removal of chylomediastinum, there was no recurrence thus we concluded... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863061 Thu, 31 Mar 2011 23:00:00 +0100 4863061 http://www.medworm.com/index.php?rid=4863060&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597419%26dopt%3DAbstract Authors: Nakashima S, Watanabe A, Hashimoto M, Mishina T, Obama T, Higami T Adults who have undergone surgical repair of congenital diaphragmatic hernia have a prolonged illness. They usually have severe adhesions around the intrathoracic hernial sac; therefore, the adhesion itself as well as misidentification of the hernial defect can make surgical repair difficult, even in open surgery. Here, we present the successful video-assisted thoracoscopic surgical repairs of Bochdalek and Morgagni hernias in patients with severe adhesions of the hernial sac (peritoneum) to the parietal pleura lying over the thoracic wall and diaphragm. An 18-year-old woman with a Bochdalek hernia and a 28-year-old woman with a Morgagni hernia underwent thoracoscopic division of severe adhesions, proper minith... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863060 Thu, 31 Mar 2011 23:00:00 +0100 4863060 http://www.medworm.com/index.php?rid=4863058&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597420%26dopt%3DAbstract Authors: Okamoto Y, Shindo S, Matsumoto M A 72-year-old man with a history of old myocardial infarction was admitted to our hospital for surgical treatment of a ruptured abdominal aortic aneurysm. His hemodynamics was stable. He had left lumbar pain on moving his left leg and constipation for ten days without abdominal pain and high fever. Elevation of fat density around the aneurysm and ureter involvement were noted on the computed tomography. These characteristic image findings indicated inflammatory aortic aneurysm. During operation, an infrarenal abdominal aortic aneurysm with an 8 cm maximum diameter was noted. This aneurysm was firm and thick and adhered to some organs due to inflammation. An 5 × 5 cm punched-out defect was found on the lateral wall of the aneurysm. We replaced ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863058 Thu, 31 Mar 2011 23:00:00 +0100 4863058 http://www.medworm.com/index.php?rid=4863056&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597421%26dopt%3DAbstract Authors: Abe T, Hatano Y, Terada T, Nonaka T, Noda R, Kato N, Sakurai H A 60-year-old woman was referred to the Department of Cardiovascular Surgery of Social Insurance Chukyo Hospital for the rupture of a postinfarction papillary muscle. The rupture was in the posterior part of the anterolateral papillary muscle, in which more than two-thirds of its posterior leaflet was prolapsed. Mortality from the surgical repair of a papillary muscle rupture is quite high. For this case, we resuspended the uninfarcted papillary muscle heads case to preserve mitral ventricular continuity because the mitral annulus was quite small and more than two-thirds of the posterior leaflet were detached from the papillary muscle. The post-operative course of the patient was uneventful. Resuspension of uninfar... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863056 Thu, 31 Mar 2011 23:00:00 +0100 4863056 http://www.medworm.com/index.php?rid=4863054&cid=s_37523_157_f&fid=37523&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21597422%26dopt%3DAbstract Authors: Ando T, Makuuchi H, Kitanaka Y, Koizumi H Human immunodeficiency virus (HIV) infection has an impact on all systems of the body, including the cardiovascular system. A 54-year-old man presented with abdominal pain. Enhanced computed tomography revealed rupture of a pseudoaneurysm of the abdominal aorta. After surgery, the patient tested positive for HIV. Histological examination of the resected aorta showed leukocytoclastic vasculitis, a characteristic feature of HIV-related vasculitis. PMID: 21597422 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery) Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4863054 Thu, 31 Mar 2011 23:00:00 +0100 4863054