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. Sat, 20 Mar 2010 16:28:57 +0100 http://www.medworm.com/index.php?rid=3322712&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%3D20190701%26dopt%3DAbstract Authors: Natsugoe S PMID: 20190701 [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=3322712 Tue, 02 Mar 2010 19:36:51 +0100 3322712 http://www.medworm.com/index.php?rid=3322711&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%3D20190702%26dopt%3DAbstract Authors: Misawa Y There is some controversy regarding the choice of prosthetic valves in patients with heart disease and concomitant end-stage renal disease requiring chronic dialysis. Dialysis patients tend to have a short life expectancy. In Japan, the 1-year survival of the dialysis patients was 80% in the 1980s, but exceeds 85% in the 2000s. The 5-year survival has been 54%-60% for the past 20 years. In addition, the 10-year and 15-year survivals have been 35%-42% and 23%-31%, respectively. However, in the United States, the 5-year survival had only improved to 35% among patients who started dialysis between 1996 and 2000, and the life expectancies of chronic dialysis patients in their sixth, seventh and eighth decades is 5.3-6.2 years, 3.8-4.5 years, and 2.7-3.2 years, respectivel... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3322711 Tue, 02 Mar 2010 19:36:49 +0100 3322711 http://www.medworm.com/index.php?rid=3322710&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%3D20190703%26dopt%3DAbstract Conclusion: After omental flap transposition, %VC and VO decreased. (Ann Thorac Cardiovasc Surg 2010; 16: 9-15). PMID: 20190703 [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=3322710 Tue, 02 Mar 2010 19:36:46 +0100 3322710 http://www.medworm.com/index.php?rid=3322709&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%3D20190704%26dopt%3DAbstract Conclusions: In a Randomized Controlled Trial of Sealing with a Sheet-type Collagen vs. a Combined Approach of Fixing a Collagen Sponge, Using Fibrin Glue for Closure of Air Leaks, the use of Integran(R), a sheet-type absorbable topical collagen hemostat, is feasible to prevent pulmonary fistula after lung surgery. It is also affordable and safe because it is not a blood product. (Ann Thorac Cardiovasc Surg 2010; 16: 16-20). PMID: 20190704 [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=3322709 Tue, 02 Mar 2010 19:36:40 +0100 3322709 http://www.medworm.com/index.php?rid=3322708&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%3D20190705%26dopt%3DAbstract Conclusions: In the months following the operation, the incidence of the late onset of a pulmonary fistula was higher when the harmonic scalpel was used. It was believed that the small bronchial stump could not tolerate the airway pressure because the thick coagulation necrosis delayed healing of the postoperative wound. It was necessary to ligate the stump of a small bronchus, even though the stump had been temporally closed by coagulation necrosis with the electrocautery or harmonic scalpel during the operation. (Ann Thorac Cardiovasc Surg 2010; 16: 21-25). PMID: 20190705 [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=3322708 Tue, 02 Mar 2010 19:36:37 +0100 3322708 http://www.medworm.com/index.php?rid=3322707&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%3D20190706%26dopt%3DAbstract Conclusion: The initial and short-term clinical success rates were 100%; regarding the short-term, aneurysm-related death could be avoided. However, during long-term follow-up, aneurysm-related events did occur. Follow-up should be performed over a long period. (Ann Thorac Cardiovasc Surg 2010; 16: 26-30). PMID: 20190706 [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=3322707 Tue, 02 Mar 2010 19:36:34 +0100 3322707 http://www.medworm.com/index.php?rid=3322706&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%3D20190707%26dopt%3DAbstract Conclusion: Because of the high recurrence rates of thromboembolism, it seems necessary to severe anticoagulant therapy. Upper extremity thromboembolism should also be considered as one manifestation of a systemic embolism. (Ann Thorac Cardiovasc Surg 2010; 16: 31-34). PMID: 20190707 [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=3322706 Tue, 02 Mar 2010 19:36:31 +0100 3322706 http://www.medworm.com/index.php?rid=3322705&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%3D20190708%26dopt%3DAbstract Authors: Masuhara H, Watanabe Y, Fujii T, Shiono N, Hamada S, Hara M, Teramoto C, Yoshihara K, Koyama N The patient was a 59-year-old female. Because of massive hemoptysis, she was brought to our emergency center by ambulance. Thoracic computed tomography led to a diagnosis of an infectious thoracic aortic pseudoaneurysm accompanied by an aortobronchopulmonary fistula. Emergency surgery followed. Also noted was an advanced hepatic dysfunction, assessed as Child-Pugh score B, caused by an alcoholic liver disease. A localized affected area made it possible for us to perform an aneurysmectomy using a temporary bypass rather than assisted circulation. A patch plasty using expanded polytetrafluoroethylene completed the procedure. Streptococcus agalactiae (GBS) was detected in a sample obtai... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3322705 Tue, 02 Mar 2010 19:36:28 +0100 3322705 http://www.medworm.com/index.php?rid=3322704&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%3D20190709%26dopt%3DAbstract We describe two patients on HD undergoing thoracoscopic resection for lung cancer. For the thoracoscopic operation, anatomies of the patients were confirmed by three-dimensional multidetector computed tomography (3D-MDCT). The first patient underwent a right lower lobectomy thoracoscopically, and the second patient underwent a resection of the superior segment of the right lower lobe thoracoscopically. They were discharged on postoperative days 10 and 4, respectively. A review of the literature reveals that morbidity and mortality for pulmonary resection on HD are 74% and 11%, respectively. Thoracoscopic operations for lung cancer patients on HD may minimize the operative invasiveness. Preoperative 3D-MDCT angiography was useful because it supports understanding of the patient's personal a... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3322704 Tue, 02 Mar 2010 19:36:26 +0100 3322704 http://www.medworm.com/index.php?rid=3322703&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%3D20190710%26dopt%3DAbstract We present the case of a 45-year-old woman with MNPH without evidence of either. A preoperative high-resolution chest computed topographic scan demonstrated a ground-glass opacity 8 mm in diameter that revealed the possibility of atypical adenomatous hyperplasia (AAH) or bronchioloalveolar carcinoma (BAC). Therefore an S3 segmentectomy of the right lung was performed, and the specimens revealed the characteristic histological and immunohistological features of MNPH. Solitary MNPH is extremely rare and requires to be distinguished from AAH or BAC on a computed tomographic scan; therefore surgical resection may be required to definitely rule out malignancy. (Ann Thorac Cardiovasc Surg 2010; 16: 45-47). PMID: 20190710 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Su... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3322703 Tue, 02 Mar 2010 19:36:23 +0100 3322703 http://www.medworm.com/index.php?rid=3322702&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%3D20190711%26dopt%3DAbstract We report a 65-year-old man with fulminant myocarditis undergoing percutaneous cardiopulmonary support (PCPS) and left ventricular assist device (LVAD). PCPS and intra-aortic balloon pumping was initially introduced for cardiogenic shock in the emergency department. We switched to LVAD because cardiac function did not recover despite PCPS for 5 days. Cardiac function then gradually improved, and the device was successfully weaned after 11 days of the LVAD support. He was discharged on postoperative day 63 with no complications. We here report the appropriate timing of LVAD application for fulminant myocarditis. (Ann Thorac Cardiovasc Surg 2010; 16: 48-51). PMID: 20190711 [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=3322702 Tue, 02 Mar 2010 19:36:20 +0100 3322702 http://www.medworm.com/index.php?rid=3322701&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%3D20190712%26dopt%3DAbstract We report here a successful case of recovery from cardiogenic shock resulting from ischemic cardiomyopathy, treated by using a left ventricular assist device (LVAD). The LVAD was successfully explanted at the time of simultaneous coronary artery bypass grafting and left ventricular restoration after recovery from end-organ dysfunction by LVAD support. (Ann Thorac Cardiovasc Surg 2010; 16: 52-54). PMID: 20190712 [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=3322701 Tue, 02 Mar 2010 19:36:17 +0100 3322701 http://www.medworm.com/index.php?rid=3322700&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%3D20190713%26dopt%3DAbstract We describe a young woman who refused surgery but was followed by serial computed tomographic scans. Over a 2-year period there was a gradual decline in the size of the lesion and eventual complete resolution. This describes the first reported case of spontaneous pericardial cyst resolution. In select cases a conservative management may be appropriate; however, larger studies are warranted to verify these findings. (Ann Thorac Cardiovasc Surg 2010; 16: 55-56). PMID: 20190713 [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=3322700 Tue, 02 Mar 2010 19:36:15 +0100 3322700 http://www.medworm.com/index.php?rid=3322699&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%3D20190714%26dopt%3DAbstract Authors: Mishima T, Yamamoto K, Sugimoto T, Sakakibara K, Uehara A, Yoshii S Aortic regurgitation is occasionally caused by fibrous strands and more rarely by downward displacement of the aortic annulus. The present report describes an 18-year-old man with aortic regurgitation resulting from an anterior-posterior type of bicuspid aortic valve with fibrous strands and downward displacement of the anterior aortic annulus. A pair of fibrous strands at the anterior cusp of the bicuspid valve lifted the free margin of the cusp, and the anterior cusp originated from the intraventricular septum. We considered that the aortic regurgitation was due to poor coaptation of the cusps because of these two conditions. After resection of the cusps and the strands, the aortic valve was replaced at the ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3322699 Tue, 02 Mar 2010 19:36:12 +0100 3322699 http://www.medworm.com/index.php?rid=3322698&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%3D20190715%26dopt%3DAbstract We report here a 72-year-old man with multiple infected aortic aneurysms in whom a staged in situ graft replacement for the aortic arch and pararenal abdominal aorta was successfully performed. A rifampicin-bonded graft seemed to be effective in preventing postoperative infection. Perioperative control of infection played a key role in the patient's surviving this critical condition. (Ann Thorac Cardiovasc Surg 2010; 16: 60-62). PMID: 20190715 [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=3322698 Tue, 02 Mar 2010 19:36:09 +0100 3322698 http://www.medworm.com/index.php?rid=3322697&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%3D20190716%26dopt%3DAbstract Authors: Fujii T, Watanabe Y, Shiono N, Ozawa T, Hamada S, Masuhara H, Teramoto C, Hara M, Katayanagi T, Sasaki Y, Koyama N The occurrence of mediastinitis following synthetic vascular replacement surgery is still associated with an unfavorable prognosis in the treatment of thoracic aortic diseases. This time we report a Bentall procedure that we reperformed to treat an aortic root pseudoaneurysm, which developed after a postoperative mediastinitis. This followed the first Bentall procedure, which was treated by debridement of the focus of infection, continuous lavage, and a two-step rectus abdominis muscle flap implantation. Implantation of a rectus abdominis muscle flap is effective in controlling infection in the treatment of mediastinitis after heart surgery. However, after synthet... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3322697 Tue, 02 Mar 2010 19:36:05 +0100 3322697 http://www.medworm.com/index.php?rid=3188525&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%3D20081742%26dopt%3DAbstract Authors: Udagawa H PMID: 20081742 [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=3188525 Tue, 01 Dec 2009 00:00:00 +0100 3188525 http://www.medworm.com/index.php?rid=3188524&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%3D20081743%26dopt%3DAbstract Authors: Dohmen PM, Konertz W Since the first heterotopic implanted biological heart valve in 1956 by Murray, many improvements have been made. For allografts, different methods have been evaluated and modified to stabilize and preserve tissue. Xenografts were fixated to cross-link the connective tissue and to overcome immunogenic reactions. Nevertheless, glutaraldehyde fixation leads to structural deterioration, which can be partially reduced by different kinds of antimineralization treatments. Because of preservation and fixation, allografts and xenografts become nonviable bioprostheses with a lack of remodeling, regeneration, and growth. Tissue engineering is a possible key to overcome these disadvantages because it will provide a living tissue with remodeling, regeneration, and gro... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3188524 Tue, 01 Dec 2009 00:00:00 +0100 3188524 http://www.medworm.com/index.php?rid=3188523&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%3D20081744%26dopt%3DAbstract Conclusions: VATS for fibropurulent thoracic empyema is effective and less invasive, and it may be important as a bridge between minimally invasive and conventional open thoracic surgical management. PMID: 20081744 [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=3188523 Tue, 01 Dec 2009 00:00:00 +0100 3188523 http://www.medworm.com/index.php?rid=3188521&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%3D20081745%26dopt%3DAbstract Conclusion: Transsternal thymectomy for MG is safe and effective. Those patients with severe symptoms and a shorter duration of illness showed more benefits from thymectomy. PMID: 20081745 [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=3188521 Tue, 01 Dec 2009 00:00:00 +0100 3188521 http://www.medworm.com/index.php?rid=3188520&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%3D20081746%26dopt%3DAbstract Conclusion: For NVE, good operative results were obtained after complete resection of infected valve annulus and valve replacement. For PVE, new surgical treatments, such as the translocation method or Ross procedure, should be induced for further improvement of surgical results. PMID: 20081746 [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=3188520 Tue, 01 Dec 2009 00:00:00 +0100 3188520 http://www.medworm.com/index.php?rid=3188519&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%3D20081747%26dopt%3DAbstract Conclusions: In AADA involving aortic root, a partial remodeling technique may be considered the surgical treatment of choice at our institution in suitable patients. PMID: 20081747 [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=3188519 Tue, 01 Dec 2009 00:00:00 +0100 3188519 http://www.medworm.com/index.php?rid=3188518&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%3D20081748%26dopt%3DAbstract Conclusion: This study revealed that stabbings are the most frequent causes of these injuries in Iran, in spite of the management of patients in level 3 trauma centers; the rate of amputation is acceptable. However, this study does not provide limb functions of the patients. PMID: 20081748 [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=3188518 Tue, 01 Dec 2009 00:00:00 +0100 3188518 http://www.medworm.com/index.php?rid=3188517&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%3D20081749%26dopt%3DAbstract Authors: Tomita SS, Wojtczak H, Pickard R, Vazquez WD Congenital cystic disease of the lung and mediastinum encompasses a continuum of entities, and a histological overlap of many of these anomalies is acknowledged. Moreover, it is possible for different lesions to coexist in the same patient. Careful evaluation prior to surgical resection will alert the surgeon to the possible presence of multiple lesions in one patient. PMID: 20081749 [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=3188517 Tue, 01 Dec 2009 00:00:00 +0100 3188517 http://www.medworm.com/index.php?rid=3188516&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%3D20081750%26dopt%3DAbstract Authors: Yoshino N, Yamagishi S, Kubokura H, Mikami I, Hirata T, Koizumi K, Okano T, Futagami A, Kawamoto M, Shimizu K We herein describe a patient we encountered in whom mediastinal lymph node metastasis of lung cancer with an unknown primary lesion was complicated by both an endocrine abnormality and acanthosis nigricans. A 66-year-old male visited a local hospital and was diagnosed as having acanthosis nigricans. The patient was referred to our hospital for further examination. Computed tomography scans of the chest and the abdomen showed no adverse findings except for an enlargement of the mediastinal lymph node. No malignant lesions were detected in examinations of the upper gastrointestinal tract. Based on the above findings, the lesion was thus considered to possibly be mediasti... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3188516 Tue, 01 Dec 2009 00:00:00 +0100 3188516 http://www.medworm.com/index.php?rid=3188513&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%3D20081751%26dopt%3DAbstract We report a resected case of solitary fibrous tumor of the pleura presenting dry cough induced by postural position. PMID: 20081751 [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=3188513 Tue, 01 Dec 2009 00:00:00 +0100 3188513 http://www.medworm.com/index.php?rid=3188512&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%3D20081752%26dopt%3DAbstract Authors: Takami K, Omiya H, Higashiyama M, Maeda J, Okami J, Oda K, Tsujinaka T, Kodama K A 32-year-old female case of large thymic hyperplasia with hyperthyroidism is reported. A computed tomography (CT) examination disclosed a large mediastinal mass (16 x 11 cm) with a heterogeneous internal structure containing both soft tissue density areas and fat density areas. The mass was histologically diagnosed as thymic lymphoid hyperplasia. The thymic mass enlarged during hyperthyroidism and then regressed markedly after treatment with antithyroid drugs. After the thymic mass decreased by about one third of its maximum volume, the mass stopped regressing and has remained the same size for more than 6 years. A CT scan showed a decrease in the soft tissue density area and predominance of the ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3188512 Tue, 01 Dec 2009 00:00:00 +0100 3188512 http://www.medworm.com/index.php?rid=3188511&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%3D20081753%26dopt%3DAbstract Conclusion: LVAS combined with RVAS-ECMO in right and left atrial cannulation is a useful option for patients with severe pulmonary damage. PMID: 20081753 [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=3188511 Tue, 01 Dec 2009 00:00:00 +0100 3188511 http://www.medworm.com/index.php?rid=3188510&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%3D20081754%26dopt%3DAbstract We describe a 67-year-old man with a history of stroke who was found to have a mass at the left atrial ridge, at the free wall of the left atrium between the left atrial appendage and the pulmonary vein. The mass was removed surgically and pathological analysis showed fibroelastoma. A literature search showed that fibroelastoma in the left atrial ridge frequently causes embolic stroke. PMID: 20081754 [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=3188510 Tue, 01 Dec 2009 00:00:00 +0100 3188510 http://www.medworm.com/index.php?rid=3188509&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%3D20081755%26dopt%3DAbstract We report a successful repair of an abdominal aortic aneurysm (AAA) in a renal transplant recipient using a femoral V-A bypass to protect the renal allograft during aortic cross-clamping. A 49-year-old male patient with renal failure had received a second allogenic renal transplantation in the right iliac fossa in 2002. Four years later, computed tomography showed an enlargement of the AAA extending to the distal aorta with involvement of the common iliac arteries. He received resection and graft replacement of the AAA through a midline laparotomy using a femoral V-A bypass without cold perfusion or local hypothermia. The postoperative course was uneventful, and he was discharged on the 16th postoperative day with no impairment of renal function. To protect the renal allograft injury durin... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3188509 Tue, 01 Dec 2009 00:00:00 +0100 3188509 http://www.medworm.com/index.php?rid=3188508&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%3D20081756%26dopt%3DAbstract Authors: Osaka S, Maeda H, Umezawa H, Goshima M, Hattori T, Wakui S, Nakamura T, Negishi N A 58-year-old man was found by abdominal echography to have a pancreatic cyst while undergoing a health examination. Later, a multidetector CT and enhanced CT revealed a splenic artery aneurysm. After consultation he was admitted to our hospital for surgery. Multislice CT and magnetic resonance angiography demonstrated a saccular aneurysm, 22 mm in size, located in the proximal portion of the splenic artery. It was resected, and the splenic artery was reconstructed by an end-to-end anastomosis. The patient's postoperative course was favorable, and, after improvement, he was discharged on the 7th postoperative day. As Doppler ultrasound echography is being increasingly used during health examinati... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=3188508 Tue, 01 Dec 2009 00:00:00 +0100 3188508 http://www.medworm.com/index.php?rid=2985508&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%3D19901879%26dopt%3DAbstract Authors: Law S PMID: 19901879 [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=2985508 Thu, 01 Oct 2009 00:00:00 +0100 2985508 http://www.medworm.com/index.php?rid=2985507&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%3D19901880%26dopt%3DAbstract Authors: Akutsu Y, Matsubara H PMID: 19901880 [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=2985507 Thu, 01 Oct 2009 00:00:00 +0100 2985507 http://www.medworm.com/index.php?rid=2985506&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%3D19901881%26dopt%3DAbstract Authors: Feldman M, Shah M, Elefteriades JA PMID: 19901881 [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=2985506 Thu, 01 Oct 2009 00:00:00 +0100 2985506 http://www.medworm.com/index.php?rid=2985505&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%3D19901882%26dopt%3DAbstract CONCLUSIONS: Occult tuberculous pleurisy is significantly common in patients with pleural effusion ADA levels of 50 IU/L or less and who may otherwise be diagnosed with nonspecific pleurisy. PMID: 19901882 [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=2985505 Thu, 01 Oct 2009 00:00:00 +0100 2985505 http://www.medworm.com/index.php?rid=2985504&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%3D19901883%26dopt%3DAbstract CONCLUSIONS: Morbidity and mortality are high in patients with lung cancer associated with postobstructive pneumonia. Morbidity demonstrates significant association with low predicted postoperative forced expiratory volume in one second and hemoglobin concentration, indicating the need for preoperative transfusion in severe anemia or bronchoplasty if possible. Poor nutritional state before surgery possibly derived from cachexia may influence not only morbidity and mortality, but also prognosis. PMID: 19901883 [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=2985504 Thu, 01 Oct 2009 00:00:00 +0100 2985504 http://www.medworm.com/index.php?rid=2985503&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%3D19901884%26dopt%3DAbstract CONCLUSIONS: Immunohistochemical staining with Ki-67 in NSCLC correlates with maxSUV. Measurement of the maxSUV by PET is a simple and noninvasive method to determine the biological cancer cell proliferation potential. PMID: 19901884 [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=2985503 Thu, 01 Oct 2009 00:00:00 +0100 2985503 http://www.medworm.com/index.php?rid=2985502&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%3D19901885%26dopt%3DAbstract CONCLUSION: Ischemia and/or reperfusion deplete myocardial cAMP, leading to impaired Ca2+ handling and further to cardiac dysfunction. High-dose PDEIII inhibitor in TWBCP may replenish myocardial cAMP and promote rapid and sustained cardiac functional recovery with various cellular protective effects after open-heart surgery. PMID: 19901885 [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=2985502 Thu, 01 Oct 2009 00:00:00 +0100 2985502 http://www.medworm.com/index.php?rid=2985501&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%3D19901886%26dopt%3DAbstract CONCLUSION: We postulate that the surgical principle involved in treating aortic dissection is a resection of the aortic segment containing the initial intimal tear and graft replacement, especially in acute dissection. Our results showed that total arch replacement through a median sternotomy and left anterolateral thoracotomy seem to be helpful for extended replacement of the thoracic aorta, as well as in the distal reoperation for dissecting type A. Moreover, our results suggested that perfusion from bilateral axillary arteries is useful to prevent cerebral damage. PMID: 19901886 [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=2985501 Thu, 01 Oct 2009 00:00:00 +0100 2985501 http://www.medworm.com/index.php?rid=2985500&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%3D19901887%26dopt%3DAbstract Authors: Yoshino N, Kubokura H, Yamauchi S, Oaki Y, Koizumi K, Shimizu K A 16-year-old male patient was admitted to the hospital for a medical workup to examine an anterior mediastinal tumor in April 2000. A tumor excision and a right lower lung lobe nodule resection were performed in June 2000. The tumor tissue showed a cobblestone-like proliferation of atypical cells containing a discrete nucleolus that were aligned in an epithelial fashion against mainly lymphocytic inflammatory cells in the background; also shown were undifferentiated tumor cells with epithelioid characteristics. Immunohistochemical staining for CD5, CD99, and KIT (CD117) revealed that the tumor cells were CD5-negative and that some of the lymphocytes infiltrating the tumor tissue stained positive for CD99 and nega... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2985500 Thu, 01 Oct 2009 00:00:00 +0100 2985500 http://www.medworm.com/index.php?rid=2985499&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%3D19901888%26dopt%3DAbstract Authors: Nakamura H, Miwa K, Adachi Y, Fujioka S, Haruki T, Taniguchi Y It is very rare for both myasthenia gravis and aplastic anemia to be complicated with a thymoma. A 74-year-old female was diagnosed to have aplastic anemia with pancytopenia and systemic myasthenia gravis with severe restrictive respiratory dysfunction. Chest CT showed a 5-cm diameter thymoma. After platelets and packed red blood cells were transfused before surgery, an extended thymothymectomy was performed with a bilateral thoracoscopic approach. The thymoma was noninvasive, stage I, and was classified as B1 according to the World Health Organization classification. After the operation, the patient was managed on artificial ventilation with no complications. The myasthenia gravis remitted with the concomitant adm... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2985499 Thu, 01 Oct 2009 00:00:00 +0100 2985499 http://www.medworm.com/index.php?rid=2985498&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%3D19901889%26dopt%3DAbstract Authors: Mori T, Nomori H, Yoshioka M, Ikeda K, Shibata H, Ohba Y, Yoshimoto K, Iyama K A 50-year-old female complained of back pain. Computed tomography showed a well-defined spindle-shaped mass 3.4 x 1.0 cm in size in the left paravertebral posterior mediastinum at the Th 3-4 level. The tumor was completely resected via thoracoscopic surgery, which showed no invasion into the surrounding tissue. It consisted of a cyst with a tiny mural solid element. By means of histological and immunohistochemical examinations, we diagnosed the tumor as ependymoma, and the patient remains alive 59 months after resection. As far as we know, 8 reported cases with primary mediastinal ependymoma have been reported. They had the following specific characteristics: (1) All patients were adult females; (2)... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2985498 Thu, 01 Oct 2009 00:00:00 +0100 2985498 http://www.medworm.com/index.php?rid=2985497&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%3D19901890%26dopt%3DAbstract We present a case of contralateral hematoma after left posterolateral thoracotomy as a rare and enigmatic complication. PMID: 19901890 [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=2985497 Thu, 01 Oct 2009 00:00:00 +0100 2985497 http://www.medworm.com/index.php?rid=2985496&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%3D19901891%26dopt%3DAbstract We present a case of successful rigid bronchoscopic repair of a complete right pneumonectomy stump dehiscence using a custom-built stent made of a sculpted silicone Y stent sutured to a new cuff-link-shaped DJ-Fistula stent. This resulted in rapid symptom resolution, weaning from mechanical ventilation and discharge home in a patient with bronchogenic carcinoma, respiratory failure, and significant other comorbidities that precluded repeat thoracotomy. PMID: 19901891 [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=2985496 Thu, 01 Oct 2009 00:00:00 +0100 2985496 http://www.medworm.com/index.php?rid=2985495&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%3D19901892%26dopt%3DAbstract Authors: Fukui S, Mitsuno M, Yamamura M, Tanaka H, Ryomoto M, Nishi H, Tsujiya N, Kajiyama T, Miyamoto Y A 66-year-old man with severe aortic stenosis had previously undergone esophagectomy with retrosternal gastric tube (GT) reconstruction for esophageal cancer. A chest computed tomography scan demonstrated severe aortic calcification, and we treated him with median sternotomy. A small upper laparotomy was made, and the surface of the GT was detected. The posterior and right sides of the GT were dissected, and the pericardium was then opened. An aortic cross clamp was performed in the least calcified lesion of the ascending aorta, and an aortotomy was performed just above the sinotubular junction. The aortic valve was successfully replaced with a mechanical valve. PMID: 19901892 [... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2985495 Thu, 01 Oct 2009 00:00:00 +0100 2985495 http://www.medworm.com/index.php?rid=2985494&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%3D19901893%26dopt%3DAbstract We report successful surgical management of a 26-year-old man with a ball-shaped thrombus of the tricuspid valve. He had been treated with prednisolone for IgA nephropathy and undergone surgical closure of an isolated ventricular septal defect (VSD). No symptoms, coagulative disorders, or pulmonary embolisms were found. Preoperative echocardiography showed a ball-shaped mass that had originated from the anterior leaflet of the tricuspid valve; it also revealed a small residual VSD. A histological examination revealed the mass to be an organized thrombus with no tumor components. This was a rare case of excision of an organized thrombus of the tricuspid valve. The findings suggest that the thrombus formation may have been associated with the small shunt and/or prednisolone. PMID: 199018... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2985494 Thu, 01 Oct 2009 00:00:00 +0100 2985494 http://www.medworm.com/index.php?rid=2985493&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%3D19901894%26dopt%3DAbstract We report the present case of IE complicated by T. asahii fungemia, which is rare in patients other than malignant blood disease or tumor patients, showing a poor prognosis in which survival was achieved by surgery. PMID: 19901894 [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=2985493 Thu, 01 Oct 2009 00:00:00 +0100 2985493 http://www.medworm.com/index.php?rid=2985492&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%3D19901895%26dopt%3DAbstract Authors: Yamamoto M, Nishimori H, Fukutomi T, Wariishi S, Hirohashi K, Sasaguri S Coronary artery disease (CAD) coexists in 40% of cases with abdominal aortic aneurysm (AAA). Previous reports have demonstrated the progression of myocardial ischemia after AAA repair and an increased rate of AAA rupture after coronary artery bypass grafting (CABG). We herein describe the case of a 63-year-old man who underwent CABG combined with AAA repair to prevent perioperative cardiovascular events. Computed tomography revealed an AAA 49 mm in diameter. Coronary angiography demonstrated single-vessel CAD localized to the right coronary artery. The patient underwent percutaneous coronary intervention before aortic surgery. On follow-up coronary angiography, restenosis was detected in the stent. In a s... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2985492 Thu, 01 Oct 2009 00:00:00 +0100 2985492 http://www.medworm.com/index.php?rid=2810343&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%3D19763050%26dopt%3DAbstract Authors: Kajiyama Y PMID: 19763050 [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=2810343 Fri, 31 Jul 2009 23:00:00 +0100 2810343 http://www.medworm.com/index.php?rid=2810342&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%3D19763051%26dopt%3DAbstract Authors: Yagui-Beltrán A, M Jablons D Lung cancer remains the main cause of all cancer deaths in the United States. The prognosis for non-small cell lung cancer, despite advances in current therapies, is disappointing. Fortunately, we are steadily gaining significant insights into the heterogeneous molecular pathogenesis of lung cancer, which seems to occur in a stepwise manner, mainly secondary to tobacco smoking. With the emerging power of gene expression signatures for individual lung tumors and with the advancing field of stem cell biology and the paradigm of cancer stem cells, we are most certainly paving the way to developing novel tools for the early detection, chemoprevention, and treatment of these vastly morbid pathologies with enormous global burden. We will explore som... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2810342 Fri, 31 Jul 2009 23:00:00 +0100 2810342 http://www.medworm.com/index.php?rid=2810341&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%3D19763052%26dopt%3DAbstract CONCLUSION: An evaluation of pulmonary adenocarcinoma by Noguchi classification can be accurately performed even after CTNB. PMID: 19763052 [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=2810341 Fri, 31 Jul 2009 23:00:00 +0100 2810341 http://www.medworm.com/index.php?rid=2810340&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%3D19763053%26dopt%3DAbstract CONCLUSIONS: The LVR for akinetic ventricular wall shows very satisfactory early and long-term results. The LVR, with or without concomitant procedures, has considerable benefits for operative therapy. PMID: 19763053 [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=2810340 Fri, 31 Jul 2009 23:00:00 +0100 2810340 http://www.medworm.com/index.php?rid=2810339&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%3D19763054%26dopt%3DAbstract CONCLUSION: In those patients who underwent LVR because of ischemic cardiomyopathy, the administration of milrinone achieved safe perioperative management for stable hemodynamics and reduced the postoperative doses of dobutamine and epinephrine. PMID: 19763054 [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=2810339 Fri, 31 Jul 2009 23:00:00 +0100 2810339 http://www.medworm.com/index.php?rid=2810338&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%3D19763055%26dopt%3DAbstract CONCLUSIONS: Early tracheal extubation can be successfully performed in most patients receiving on-pump CABG. The management of higher-risk patients and efforts to reduce operation time and blood loss are keys to success for early tracheal extubation. PMID: 19763055 [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=2810338 Fri, 31 Jul 2009 23:00:00 +0100 2810338 http://www.medworm.com/index.php?rid=2810337&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%3D19763056%26dopt%3DAbstract CONCLUSION: Early postoperative recovery from elective isolated CABG in dialysis patients delayed a day against nondialysis patients. The delay was considered a result of the inevitable dialysis on POD 1. PMID: 19763056 [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=2810337 Fri, 31 Jul 2009 23:00:00 +0100 2810337 http://www.medworm.com/index.php?rid=2810336&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%3D19763057%26dopt%3DAbstract Authors: Turna A, Ozgül A, Kahraman S, Gürses A, Fener N, Yilmaz V Primary pulmonary teratoma is a very rare disease. Most follow a benign course and are incidental findings during routine chest X-rays. Hair found in sputum or in bronchus detected during bronchoscopy is also a rare condition and is usually caused by mediastinal teratoma. This case report is of a 36-year-old man who presented with halitosis. A fiber-optic bronchoscopy revealed coarse hair originated from the right upper lobe. The patient was successfully treated by right upper lobectomy, and pathology confirmed primary pulmonary teratoma. We recommend that "bronchotrichosis" could be used as a new term for such a sign. PMID: 19763057 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surg... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2810336 Fri, 31 Jul 2009 23:00:00 +0100 2810336 http://www.medworm.com/index.php?rid=2810335&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%3D19763058%26dopt%3DAbstract Authors: Taniguchi Y, Haruki T, Fujioka S, Adachi Y, Miwa K, Nakamura H A 67-year-old male was admitted to our hospital because of pulmonary metastasis from colo-rectal cancer. Chest computed tomography revealed three tumor shadows just under the pleura. Because the tumors were adjacent to each other, we performed an en bloc pulmonary resection. Pathologically, two of the tumors were diagnosed as pulmonary metastases; the remaining tumor, however, was diagnosed as a subpleural intrapulmonary lymph node (IPLN) metastasis. Metastasis to the IPLN is rare, but when the IPLN is located adjacent to a pulmonary metastasis, as observed in this case, it may be possible. PMID: 19763058 [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=2810335 Fri, 31 Jul 2009 23:00:00 +0100 2810335 http://www.medworm.com/index.php?rid=2810334&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%3D19763059%26dopt%3DAbstract In this study, the authors discuss the management of this kind of complication and the value of a combined surgical approach (conventional, with a minimal access surgery procedure such as VATS) in the treatment of thoracic vascular injuries related to the insertion of a percutaneous CVC. To the best of our experience, this is the first time in which this combination of procedures has been reported in the literature. PMID: 19763059 [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=2810334 Fri, 31 Jul 2009 23:00:00 +0100 2810334 http://www.medworm.com/index.php?rid=2810333&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%3D19763060%26dopt%3DAbstract We report a patient who underwent mitral valve replacement despite acute-stage cerebral hemorrhage related to a complication of infective endocarditis (IE) and rupture of intracerebral mycotic aneurysm, achieving survival. The patient was a 24-year-old female. She consulted our hospital because of a fever and was diagnosed with IE and a cerebral hemorrhage. A blood culture test on admission revealed methicillin-sensitive Staphylococcus aureus. Transthoracic echocardiography revealed giant vegetation in the left atrium. Besides the management of an acute-stage cerebral hemorrhage, medical therapy for IE was performed. However, a severe infection was refractory, and mitral-regurgitation-related heart failure deteriorated. Despite acute-stage cerebral hemorrhage, mitral valve replacement was ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2810333 Fri, 31 Jul 2009 23:00:00 +0100 2810333 http://www.medworm.com/index.php?rid=2810332&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%3D19763061%26dopt%3DAbstract We report a surgical case of infected thoracic aortic aneurysm. Before arrival of the cryopres-erved aortic allograft, the patient had hemoptysis resulting from aneurysm rupture. Therefore endovascular stent grafting was urgently performed three days prior to in situ allograft implantation. Palliative stent grafting prevented circulatory collapse and stabilized the patient until successful allograft implantation. PMID: 19763061 [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=2810332 Fri, 31 Jul 2009 23:00:00 +0100 2810332 http://www.medworm.com/index.php?rid=2810331&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%3D19763062%26dopt%3DAbstract CONCLUSION: This new application method for fibrin glue, the rub-and-spray method, revealed significant hemostatic effectiveness, even in hemostatically difficult surgery of acute aortic dissection that requires systemic heparinization and prolonged cardiopulmonary bypass with deep hypothermia. PMID: 19763062 [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=2810331 Fri, 31 Jul 2009 23:00:00 +0100 2810331 http://www.medworm.com/index.php?rid=2810330&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%3D19763063%26dopt%3DAbstract Authors: Ji B, Miao N, Lai YQ, Luo Y PMID: 19763063 [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=2810330 Fri, 31 Jul 2009 23:00:00 +0100 2810330 http://www.medworm.com/index.php?rid=2603140&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%3D19597386%26dopt%3DAbstract Authors: Arai H PMID: 19597386 [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=2603140 Sun, 31 May 2009 23:00:00 +0100 2603140 http://www.medworm.com/index.php?rid=2603139&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%3D19597387%26dopt%3DAbstract Authors: Ikeda N, Nagase S, Ohira T Several prospective randomized trials for patients with completely resected stages II and IIIA nonsmall cell lung cancer have confirmed a survival benefit with cisplatin-based adjuvant chemotherapy. The Lung Adjuvant Cisplatin Evaluation, which is based on pooled analyses of five randomized trials, has demonstrated a 4.2% absolute survival benefit at 5 years. The stage is the benchmark standard used to decide the indication for adjuvant chemotherapy; however, it is important to identify and select the patients who would benefit from adjuvant chemotherapy and to choose the optimal regimen for each case. The translational research was performed using specimens obtained in the above adjuvant trials also to obtain information concerning biomarkers and su... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2603139 Sun, 31 May 2009 23:00:00 +0100 2603139 http://www.medworm.com/index.php?rid=2603138&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%3D19597388%26dopt%3DAbstract CONCLUSION: This distinctive environment allows our group to provide the appropriate care for our adult congenital heart disease patients in a well-integrated discipline. The frequent clinical exposure to both adult and pediatric cardiothoracic procedures has helped in facilitating the provision of optimum care to the patients with adult congenital heart disease. PMID: 19597388 [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=2603138 Sun, 31 May 2009 23:00:00 +0100 2603138 http://www.medworm.com/index.php?rid=2603137&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%3D19597389%26dopt%3DAbstract CONCLUSIONS: When patients were allocated to the on-pump group or the off-pump group based on our criteria, excellent results were achieved with acceptable morbidity. An individualized off-pump approach in an AITACR program appears reasonable and safe with excellent early neurological outcomes. PMID: 19597389 [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=2603137 Sun, 31 May 2009 23:00:00 +0100 2603137 http://www.medworm.com/index.php?rid=2603136&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%3D19597390%26dopt%3DAbstract CONCLUSION: MV repair is effective to improve long-term prognosis of high-risk patients of severe MR with severe LV dysfunction. PMID: 19597390 [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=2603136 Sun, 31 May 2009 23:00:00 +0100 2603136 http://www.medworm.com/index.php?rid=2603135&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%3D19597391%26dopt%3DAbstract CONCLUSIONS: The coexistence of ischemic mitral regurgitation with LV dilatation required more aggressive surgical approaches for the patients with more impaired LV function. More intensive postoperative management is required for patients with enlarged hearts and renal dysfunctions. PMID: 19597391 [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=2603135 Sun, 31 May 2009 23:00:00 +0100 2603135 http://www.medworm.com/index.php?rid=2603134&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%3D19597392%26dopt%3DAbstract We report an extremely rare case of chronic expanding hematoma with a bronchopleural fistula and empyema space in a 66-year-old man with a history of tuberculous pleurisy admitted because of fever and bloody sputa. Computed tomography and a magnetic resonance imaging revealed a huge mass and an air space in the right thorax. A fiber-optic bronchoscope examination showed hemorrhagic effusion from the apical bronchus of the right lower lobe. First, open-window thoracostomy was undertaken to control the septic state and to prevent aspiration of infected pleural fluid. At operation, air leakage was found at the most superior portion in the rear of the thoracic empyema space; this was thought to be from the bronchopleural fistula. Enterococcus casseliflavus was detected in cultures for bacteria... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2603134 Sun, 31 May 2009 23:00:00 +0100 2603134 http://www.medworm.com/index.php?rid=2603133&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%3D19597393%26dopt%3DAbstract Authors: Iwata T, Nishiyama N, Nagano K, Izumi N, Tsukioka T, Hanada S, Kimura T, Kudoh S, Hirata K, Suehiro S Gradually growing cystic lesion of the lung is commonly encountered in daily clinical practice. Thin-walled cavitary lung cancer is a rare entity; however, it could be a pitfall in the diagnosis of such radiographically benign-looking lesions, especially without an obvious solid, nodular, or tumorous appearance in the lesion. We herein report a rare case of lung cancer successfully treated by surgical resection that appeared as a gradually growing cystic lesion mimicking benign emphysematous disease, with a review of the literature. A 68-year-old man with a 24-year history of hypothyroidism presented with an abnormal cystic shadow in the left lung on routine chest X-ray. Twelv... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2603133 Sun, 31 May 2009 23:00:00 +0100 2603133 http://www.medworm.com/index.php?rid=2603132&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%3D19597394%26dopt%3DAbstract Authors: Takagi M, Kuwano K, Watanabe K, Akiba T A 69-year-old woman underwent resection of a solitary fibrous tumor (SFT) of the left pleura in April 1997 and of locally recurrent SFT in the left thoracic cavity in September 2003. A postoperative follow-up chest CT scan in March 2005 revealed pleural thickening at two sites of the left thoracic cavity. A further chest CT scan performed in September of the same year showed the enlarging tendency of the lesions, suggesting SFT recurrence, for which surgery was performed in January 2006. The two resected tumors were benign SFT, and were diagnosed as locally recurrent SFT in the left thoracic cavity. It has been reported that despite its benign histopathology, pleural SFT recurs more than once after surgery, and the interval between recur... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2603132 Sun, 31 May 2009 23:00:00 +0100 2603132 http://www.medworm.com/index.php?rid=2603131&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%3D19597395%26dopt%3DAbstract We report a very rare and successful surgery for primary malignant tumor of the sternum. A 73-year-old male, previously healthy, was admitted to our hospital because a chest computed tomography scan detected an abnormal shadow that suggested a sternal tumor destroying part of the sternum body. Aspiration needle biopsy demonstrated a primary sternal chondrosarcoma measuring 3 x 4 cm in diameter. The sternum below the second intercostal space was resected along with a 1-cm width of cartilage below the third rib on each side. Sternal reconstruction was performed with Composix mesh, titanium mesh, and Marlex mesh, using a right pectoralis major muscle flap translation. The patient was extubated just after surgery, and the postoperative course was uneventful. This procedure may be useful for re... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2603131 Sun, 31 May 2009 23:00:00 +0100 2603131 http://www.medworm.com/index.php?rid=2603130&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%3D19597396%26dopt%3DAbstract We describe a 68-year-old man with primary lung cancer, misdiagnosed as pulmonary thromboembolism, with growth into the lumen of the pulmonary artery (PA). The tumor was surgically unresectable because of difficulty with the bronchoplasty; however, it was progressing rapidly and obstructing the main PA. We urgently performed a partial resection of this tumor and occluded the left PA ostium with autologous pericardium to avoid spread into the main PA. PMID: 19597396 [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=2603130 Sun, 31 May 2009 23:00:00 +0100 2603130 http://www.medworm.com/index.php?rid=2603129&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%3D19597397%26dopt%3DAbstract Authors: Tomita M, Shimizu T, Hara M, Ayabe T, Matsuzaki Y, Onitsuka T We herein report two cases of pulmonary metastasis from renal cell carcinoma with 17-year disease-free intervals. Despite long disease-free intervals, their clinical course after pulmonary resection was different. An 82-year-old man (case 1) and a 73-year-old man (case 2), with histories of having undergone left nephrectomy for clear-cell-type renal cell carcinoma 17 years ago, were found to have right pulmonary nodules, which were detected incidentally by chest roentgenograms. A chest computed tomography revealed the presence of nodules in the right lung. They underwent surgical pulmonary resection 17 years after nephrectomy. These tumors were diagnosed as metastatic renal cell carcinoma. Currently, the case 1 pati... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2603129 Sun, 31 May 2009 23:00:00 +0100 2603129 http://www.medworm.com/index.php?rid=2603128&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%3D19597398%26dopt%3DAbstract Authors: Fallouh HB, Venugopal PS, Chambers AJ, Govewalla P, Maruyama Y, Bhusari S A 62-year-old female patient developed a significantly enlarged left breast 6 hours after sternotomy for a coronary artery bypass graft operation. This was the result of subpectoral bleeding caused by a sternal wire. PMID: 19597398 [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=2603128 Sun, 31 May 2009 23:00:00 +0100 2603128 http://www.medworm.com/index.php?rid=2603127&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%3D19597399%26dopt%3DAbstract We report a rare case of coronary-pulmonary artery fistula with a coronary artery aneurysm for which surgery was followed by an uneventful postoperative course. PMID: 19597399 [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=2603127 Sun, 31 May 2009 23:00:00 +0100 2603127 http://www.medworm.com/index.php?rid=2603126&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%3D19597400%26dopt%3DAbstract Authors: Inoue H, Ueno M, Yamamoto H, Matsumoto K, Tao K, Sakata R Coronary artery aneurysm (CAA) is an uncommon disease with an incidence of 1%-5% in evaluated patients. Atherosclerosis is its most common etiology in adults, occurring in 50% of cases. Also, CAA is associated with predisposing factors such as Kawasaki disease, stent-angioplasty, and notably, coronary artery fistula. Most CAAs are asymptomatic but occasionally lead to life-threatening conditions, such as rupture, infection, and myocardial ischemia. Thus caution is urged for cardiac surgeons. We here report on seven surgical cases of CAA with coronary artery fistula in our institute, focusing on their surgical treatment. PMID: 19597400 [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=2603126 Sun, 31 May 2009 23:00:00 +0100 2603126 http://www.medworm.com/index.php?rid=2603125&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%3D19597401%26dopt%3DAbstract We report a quite rare case of unruptured, isolated giant aneurysm of the sinus of Valsalva resulting from medial mucoid degeneration in a young adult woman. A 29-year-old Japanese female diagnosed as having an aneurysm of the sinus of Valsalva and severe aortic regurgitation with no clinical findings of Marfan's syndrome or Ehlers-Danlos syndrome. A modified Bentall's operation was performed successfully, and she was discharged with no complications. A pathological examination revealed marked medial mucoid degeneration of the aneurismal wall. In the literature, most giant aneurysms resulting from mucoid degeneration were found in African young adult females. In this case, there was much mucoid degeneration in the media with no focal destruction of elastic fibers, which was distinct from c... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2603125 Sun, 31 May 2009 23:00:00 +0100 2603125 http://www.medworm.com/index.php?rid=2603124&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%3D19597402%26dopt%3DAbstract Authors: Sugiyama M, Yoshino I, Shoji F, Hamatake M, Yohena T, Osoegawa A, Maehara Y A 61-year-old male was found to have a tracheal tumor, which was noted at the time of screening by a chest X-ray study. The tumor arose from the membranous portion 4 cm above the carina and was proven by biopsy to be a leiomyoma. Because the disease is a benign tumor, all methods for resection, including bronchoscopic techniques, were thus considered. We performed an endotracheal operation via a window made by an incision of the cartilagenous portion, and removed the tumor through an anterior approach. This type of endotracheal operation is one of the surgical procedures for the removal of benign tracheal tumors. PMID: 19597402 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Su... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2603124 Sun, 31 May 2009 23:00:00 +0100 2603124 http://www.medworm.com/index.php?rid=2524263&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%3D19471217%26dopt%3DAbstract A case report of valve dysfunction associated with abrasion of the Delrin disk used in early Björk-Shiley mitral valves requiring resurgery. Ann Thorac Cardiovasc Surg. 2009 Apr;15(2):126-8 Authors: Masumoto H, Shimamoto M, Yamazaki F, Nakai M, Fujita S, Miura Y, Itonaga T, Ito H A 39-year-old woman had undergone mitral valve replacement (MVR) (29-mm Björk-Shiley Delrin disk) at 6 years of age. Severe mitral regurgitation, aortic regurgitation, and left ventricular dilatation were detected by echocardiography in October 2006, and MVR (ON-X 25 mm) and aortic valve replacements (St. Jude Medical Regent, 21 mm) were performed in December. The Delrin disk of the previous prosthetic valve, located at the position of the mitral valve, was markedly abraded, broadening the cl... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2524263 Tue, 31 Mar 2009 23:00:00 +0100 2524263 http://www.medworm.com/index.php?rid=2524261&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%3D19471218%26dopt%3DAbstract Authors: Kitagawa Y PMID: 19471218 [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=2524261 Tue, 31 Mar 2009 23:00:00 +0100 2524261 http://www.medworm.com/index.php?rid=2524259&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%3D19471219%26dopt%3DAbstract Authors: Kang N, Wan S, Ng CS, Underwood MJ The periannular extension of infection is one of the most dangerous complications in patients with infective endocarditis (IE) and can significantly impact on the prognoses of these patients. The accurate detection and delineation of periannular complications are crucial in patient management, which may also provide guidance for surgical intervention. Echocardiography is the preferred imaging examination in both native and prosthetic valvular infections. However, it remains a great challenge for surgeons to successfully treat infections from panresistant organisms. Although staphylococci are reported to be the most common cause of aorto-cavitary fistulae, the association between this pathogen and clinical characteristics and patient outcome r... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2524259 Tue, 31 Mar 2009 23:00:00 +0100 2524259 http://www.medworm.com/index.php?rid=2524257&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%3D19471220%26dopt%3DAbstract CONCLUSION: The criteria for operation for cT1N0M0 NSCLC based on HR/TSCT and FDG PET findings are the following: (1) a tumor less than 1 cm in size and either a GGO type or whose PET grade is 0 (wedge resection); (2) a tumor greater than 1 cm in size and whose PET grade is 0 or 1 (segmentectomy with lymph node dissection); or (3) a tumor whose PET grade is 2 (lobectomy with systemic lymph node dissection). PMID: 19471220 [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=2524257 Tue, 31 Mar 2009 23:00:00 +0100 2524257 http://www.medworm.com/index.php?rid=2524255&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%3D19471221%26dopt%3DAbstract CONCLUSION: Because we are able to establish tissue specimens by minimally invasive methods in most SVCS cases and because chemoradiation may preclude obtaining an exact pathological diagnosis, we suggest performing diagnostic interventions prior to chemoradiation in patients with SVC syndrome and without emergent clinical conditions. PMID: 19471221 [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=2524255 Tue, 31 Mar 2009 23:00:00 +0100 2524255 http://www.medworm.com/index.php?rid=2524253&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%3D19471222%26dopt%3DAbstract CONCLUSIONS: The clinical outcomes of patients with LMT disease requiring PCPS is not satisfactory. In order to improve clinical outcomes of these patients, a strategy involving a timely insertion of LVAS before the onset of complications might be necessary. PMID: 19471222 [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=2524253 Tue, 31 Mar 2009 23:00:00 +0100 2524253 http://www.medworm.com/index.php?rid=2524251&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%3D19471223%26dopt%3DAbstract CONCLUSIONS: It was suggested that the application of aortic clamping or cardiopulmonary bypass was not a risk factor of cerebral emboli when the ascending aorta was evaluated using the EAS. Furthermore, the application of aortic clamping with free grafts may provide eligible bypass graft patterns, leading to sufficient graft patency. PMID: 19471223 [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=2524251 Tue, 31 Mar 2009 23:00:00 +0100 2524251 http://www.medworm.com/index.php?rid=2524249&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%3D19471224%26dopt%3DAbstract CONCLUSION: Conventional reoperative AVR is associated with an enhanced perioperative risk. Therefore these patients should be referred early for reoperation to avoid high-risk emergency operations with a significantly increased mortality. PMID: 19471224 [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=2524249 Tue, 31 Mar 2009 23:00:00 +0100 2524249 http://www.medworm.com/index.php?rid=2524247&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%3D19471225%26dopt%3DAbstract We report a case of pleomorphic carcinoma of the lung that showed a rapid growth. The patient was a 77-year-old female with an abnormality detected in her chest radiograph during a screening examination, but a definite diagnosis could not be obtained based on a needle biopsy guided by CT. After one month, the tumor had continued to grown rapidly and lung cancer was strongly suspected, so the patient underwent surgery. The intraoperative diagnosis demonstrated it to be a pleomorphic carcinoma of the lung in which a squamous element and a sarcomatous element were mixed; and a right lower lobectomy and lymphadenectomy were performed. In a pathological examination after surgery, the tumor was found to be composed of a sarcomatous element that had a high MIB-1 index of 30%, and this was believe... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2524247 Tue, 31 Mar 2009 23:00:00 +0100 2524247 http://www.medworm.com/index.php?rid=2524245&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%3D19471226%26dopt%3DAbstract Authors: Mizuguchi S, Inoue K, Kida A, Isota M, Hige K, Aoyama T, Ishikawa T A massive hemothorax from a ruptured bronchial artery aneurysm (BAA) is very rare. Only 12 cases of ruptured mediastinal BAA have been reported. This case study describes a 77-year-old female with bronchiectasis who presented with anemia, hypertension, hemothorax, and a mediastinal mass. A chest tube was inserted through which 2 liters of unclotted blood was drained from the left pleural cavity. An enhanced computed tomography scan revealed a ruptured 3-cm diameter mediastinal aneurysm of a bronchial artery supplying the left lower lobe. Transcatheter artery embolization (TAE) with multiple microcoils was performed successfully. Although the patient needed a transfusion, the subsequent course was uneventful. I... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2524245 Tue, 31 Mar 2009 23:00:00 +0100 2524245 http://www.medworm.com/index.php?rid=2524243&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%3D19471227%26dopt%3DAbstract We describe a case of lung cancer in a living-donor lobar lung transplantation (LDLLT) recipient that was identified because of a recurrence in the mediastinum. The patient was a 55-year-old woman who had undergone bilateral LDLLT for nonspecific interstitial pneumonia. She developed dyspnea upon exertion at 15 months after transplantation and was diagnosed as suffering from chronic rejection. A computed tomography scan also revealed enlarged mediastinal lymph nodes (LNs) that were subsequently confirmed as poorly differentiated squamous cell carcinomas. Retrospectively, a small tumor was found in the explanted right lung tissue, the microscopic findings of which were similar to those of the mediastinal lesion. A whole body examination revealed no other lesions; thus we resected the LNs an... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2524243 Tue, 31 Mar 2009 23:00:00 +0100 2524243 http://www.medworm.com/index.php?rid=2524241&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%3D19471228%26dopt%3DAbstract We describe 2 patients of symptomatic pericardial diverticula whose symptoms were relieved after surgery. The first patient complained of severe left anterior chest pain for a period of 6 months, and a pericardial diverticulum 4 x 3 cm in size was detected on the right side of the ascending aorta opposite the symptomatic side. The second patient complained of right anterior chest pain for a few months, and a pericardial diverticulum 6 x 2 cm in size was detected on the right side of the heart. Although these cysts did not appear large enough to cause symptoms, the patients underwent thoracoscopic resection. The postoperative course in each patient was uneventful, and the symptoms were relieved. We recommend that a symptomatic anterior mediastinal cyst be completely resected even if it does... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2524241 Tue, 31 Mar 2009 23:00:00 +0100 2524241 http://www.medworm.com/index.php?rid=2524222&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%3D19471229%26dopt%3DAbstract Authors: Makita S, Yoshizaki T, Tabuchi N A 69-year-old male who had an abdominal aortic aneurysm with horseshoe kidney is reported. Preoperative 3-dimensional computed tomoangiography (3DCTA) images confirmed two accessory renal arteries diverging from the aneurysm to the isthmus. We operated on the abdominal aortic aneurysm using the left retroperitoneal approach, which provided excellent exposure of the aneurysm without dividing the renal isthmus. This exposure showed us the accessory arteries, so we could easily recognize these arteries visualized by 3DCTA, and we could reconstruct the larger one of two accessory arteries. Preoperative 3DCTA was very useful for the operation of the abdominal aortic aneurysm with horseshoe kidney. The postoperative course was uneventful. PMID: 1... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2524222 Tue, 31 Mar 2009 23:00:00 +0100 2524222 http://www.medworm.com/index.php?rid=2524219&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%3D19471230%26dopt%3DAbstract We present a case of iliac arteriovenous fistula concomitant with iliac artery aneurysm, which was preoperatively diagnosed by ultrasonography (USG) and successfully treated with emergent surgery. An 84-year-old female admitted to our hospital complaining of a sudden onset of right leg edema and dyspnea. Physical examination revealed pansystolic murmur at the right inguinal region. A chest X-ray showed enhanced pulmonary vascular shadow and bilateral pleural effusion with cardiomegaly. USG of the right lower abdomen revealed an arteriovenous fistula between the right iliac artery and vein concomitant with the iliac artery aneurysm. An emergent surgery was performed, and the fistula was directly closed within the aneurysm. To reduce bleeding through the fistula during surgery, we placed fin... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2524219 Tue, 31 Mar 2009 23:00:00 +0100 2524219 http://www.medworm.com/index.php?rid=2524217&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%3D19471231%26dopt%3DAbstract Authors: Lippi G, Montagnana M PMID: 19471231 [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=2524217 Tue, 31 Mar 2009 23:00:00 +0100 2524217 http://www.medworm.com/index.php?rid=2524215&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%3D19471232%26dopt%3DAbstract Authors: Lema G PMID: 19471232 [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=2524215 Tue, 31 Mar 2009 23:00:00 +0100 2524215 http://www.medworm.com/index.php?rid=2242560&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%3D19262442%26dopt%3DAbstract Authors: Yoshino I PMID: 19262442 [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=2242560 Sun, 01 Feb 2009 05:00:00 +0100 2242560 http://www.medworm.com/index.php?rid=2242559&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%3D19262443%26dopt%3DAbstract Authors: Rami-Porta R, Crowley JJ, Goldstraw P The International Staging Committee (ISC) of the International Association for the Study of Lung Cancer (IASLC) collected 68,463 patients with nonsmall cell lung cancer and 13,032 patients with small cell lung cancer, registered or diagnosed from 1990 to 2000, whose records had adequate information for analyzing the tumor, node, metastasis (TNM) classification. The T, N, and M descriptors were analyzed, and recommendations for changes in the seventh edition of the TNM classification were proposed based on differences in survival. For the T component, tumor size was found to have prognostic relevance, and its analysis led to recommendations to subclassify T1 tumors into T1a (</= 2 cm) and T1b (>2 - </= 3 cm) and T2 tumors into T2a ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2242559 Sun, 01 Feb 2009 05:00:00 +0100 2242559 http://www.medworm.com/index.php?rid=2242558&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%3D19262444%26dopt%3DAbstract Conclusions: Anticoagulation for mechanical heart valve replacement can be managed with INR levels of 2-2.5 with acceptable hemorrhagic and thromboembolic events. PMID: 19262444 [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=2242558 Sun, 01 Feb 2009 05:00:00 +0100 2242558 http://www.medworm.com/index.php?rid=2242557&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%3D19262445%26dopt%3DAbstract Conclusions: OPCAB is feasible in patients having poorly controlled diabetes mellitus, and their condition does not compromise the surgical outcome. PMID: 19262445 [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=2242557 Sun, 01 Feb 2009 05:00:00 +0100 2242557 http://www.medworm.com/index.php?rid=2242556&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%3D19262446%26dopt%3DAbstract Conclusions: AAA surgical treatment in octogenarians had comparable results with younger patients, in either elective or emergency settings. The extension of indications for AAA elective surgery in octogenarians might lead to a lower rate of emergency settings and subsequently to better early and late surgical outcomes. PMID: 19262446 [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=2242556 Sun, 01 Feb 2009 05:00:00 +0100 2242556 http://www.medworm.com/index.php?rid=2242555&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%3D19262447%26dopt%3DAbstract Authors: Shimizu J, Arano Y, Ishikawa N, Adachi I, Murata T, Ikeda C, Masunaga T, Ohtake H, Minato H The patient was a 72-year-old man. He received a detailed gastrointestinal examination because of severe anemia. Early multiple esophageal cancers (affecting 3 sites of the esophagus) and advanced gastric cancer were detected. The patient was scheduled to undergo surgical treatment (esophagectomy and total gastrectomy). This operation would be followed by reconstruction with a pedicled jejunum via the antethoracic route. During the operation, however, the mesentery was found to be thick and short, and the anteroposterior dimension of the patient's body was longer than normal. For these reasons, reconstruction with a pedicled jejunum alone via the antethoracic route was judged to be impo... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2242555 Sun, 01 Feb 2009 05:00:00 +0100 2242555 http://www.medworm.com/index.php?rid=2242554&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%3D19262448%26dopt%3DAbstract We report a rare case of epidural pneumatosis associated with pneumomediastinum that occurred at rest. A 17-year-old male had spontaneously felt shortness of breath while attending class during the day. Chest and neck CT revealed interstitial free air collection along the right pulmonary vascular sheath. It was speculated that some cough or strain-induced increase in intra-alveolar pressure in the alveoli along the right upper lobe caused free air leaks from the ruptured alveoli, which accumulated along the bronchovascular tissue sheath and moved into the mediastinum and subcutaneous area, especially in the right neck, right anterior chest wall, and right axillary region. CT also demonstrated subcutaneous emphysema extended into the epidural space through the intervertebral foramen. He exh... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2242554 Sun, 01 Feb 2009 05:00:00 +0100 2242554 http://www.medworm.com/index.php?rid=2242553&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%3D19262449%26dopt%3DAbstract Authors: Yoshino N, Kubokura H, Yamauchi S, Ohaki Y, Koizumi K, Shimizu K Pulmonary carcinosarcoma is a rarely encountered tumor. We treated a patient who had an intrabronchial polypoid lesion that required a diagnostic differentiation from epithelial-mesenchymal mixed neoplasms inclusive of pleomorphic adenoma, and that was diagnosed by immunohistochemical staining to be a true carcinosarcoma. A 69-year-old man underwent left pneumonectomy in November 2000 with a diagnosis of atelectasis resulting from a tumor obstructing the left lower lobar bronchus, and also a lung abscess. The tumor was initially diagnosed as pleomorphic adenoma, since it contained both benign-looking epithelial and mesenchymal elements, but immunohistochemical staining demonstrated myoglobin-positive rhabdomyosar... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2242553 Sun, 01 Feb 2009 05:00:00 +0100 2242553 http://www.medworm.com/index.php?rid=2242552&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%3D19262450%26dopt%3DAbstract We present a case of synovial sarcoma that underwent pneumonectomy for a recurrence of the disease. A 31-year-old female, who in June 2005 had undergone surgical resection of a monophasic synovial sarcoma in the left pleural cavity combined with the affected left diaphragm, was admitted to our hospital in January 2007 and underwent chemotherapy with ifosfamide, pirarubicin, and methotrexate for a recurrent synovial sarcoma in the left pleural cavity. The chest computed tomography revealed multiple tumors in the left pleura, and the tumors increased rapidly to occupy the left hemithorax. She began to complain of a severe dry cough. No other recurrent sites were found, and she underwent tumor resection combined with the entire left lung in March 2007. The tumor remained around the descending... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2242552 Sun, 01 Feb 2009 05:00:00 +0100 2242552 http://www.medworm.com/index.php?rid=2242551&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%3D19262451%26dopt%3DAbstract We report a surgical repair of a bilateral CPAF because the cardiac anomaly is extremely rare. PMID: 19262451 [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=2242551 Sun, 01 Feb 2009 05:00:00 +0100 2242551 http://www.medworm.com/index.php?rid=2242550&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%3D19262452%26dopt%3DAbstract We report a 22-year-old mother of 2 who presented to us with exertional chest pain for 3 years. On coronary angiography she was diagnosed to be suffering from Bland White Garland syndrome (BWGS). She had a giant and grossly tortuous right coronary artery (RCA) forming collaterals with the left coronary artery (LCA), which was draining into the pulmonary artery (PA). Surprisingly, she had no evidence of mitral regurgitation on echocardiography, and she had a preserved left ventricular systolic function. She underwent Takeuchi's repair with uneventful recovery. Postoperative CT angiography revealed adequate reimplantation of the left main coronary artery to the aorta with patent tunnel. On a 6-month follow-up, she is asymptomatic and has an optimal flow through the tunnel to the LCA. PMI... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2242550 Sun, 01 Feb 2009 05:00:00 +0100 2242550 http://www.medworm.com/index.php?rid=2242549&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%3D19262453%26dopt%3DAbstract We describe a surgical case of coronary-coronary bypass grafting using the saphenous vein for revascularization of the right coronary artery during concomitant graft replacement of the ascending aorta. This technique of coronary revascularization can be used as an alternative to avert the need for a prosthetic graft to coronary artery bypass grafting in cases with potential problems of anastomotic mismatch because of thin saphenous vein graft. PMID: 19262453 [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=2242549 Sun, 01 Feb 2009 05:00:00 +0100 2242549 http://www.medworm.com/index.php?rid=2242548&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%3D19262454%26dopt%3DAbstract We report a case of multiple SVG aneurysms 23 years following CABG. Although the patient was on dialysis and had a poor left ventricular function, the aneurysms were successfully excised, and the ascending aorta was uneventfully replaced to be possible for percutaneous coronary intervention in the near future. PMID: 19262454 [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=2242548 Sun, 01 Feb 2009 05:00:00 +0100 2242548 http://www.medworm.com/index.php?rid=2242547&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%3D19262455%26dopt%3DAbstract We report 2 patients who consulted our hospital for popliteal phymas. In these patients, surgery was performed via a posterior approach. In 1 patient, reconstruction was conducted using a great saphenous vein graft (SVG). Even when employing the posterior approach, SVG collection and reconstruction are possible without changing the posture for short-distance reconstruction. This procedure may prolong patency in comparison with artificial blood vessels. PMID: 19262455 [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=2242547 Sun, 01 Feb 2009 05:00:00 +0100 2242547 http://www.medworm.com/index.php?rid=2242546&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%3D19262456%26dopt%3DAbstract Authors: McLachlan CS, Lorraine P, Peter M PMID: 19262456 [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=2242546 Sun, 01 Feb 2009 05:00:00 +0100 2242546 http://www.medworm.com/index.php?rid=2095438&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%3D19131919%26dopt%3DAbstract Authors: Hu SS PMID: 19131919 [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=2095438 Mon, 01 Dec 2008 05:00:00 +0100 2095438 http://www.medworm.com/index.php?rid=2095437&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%3D19131920%26dopt%3DAbstract Authors: Hölscher AH, Vallböhmer D, Bollschweiler E PMID: 19131920 [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=2095437 Mon, 01 Dec 2008 05:00:00 +0100 2095437 http://www.medworm.com/index.php?rid=2095436&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%3D19131921%26dopt%3DAbstract CONCLUSION: Although the number of tested MPM specimens was small, CD-DST data obtained by biopsy or surgical-fresh specimens of MPM marginally correlated to the disease control effect of chemotherapy for this disease. Therefore CD-DST may possibly be applied to selecting the chemotherapy regimen for MPM. To determine the possibility of a clinical application of this test to MPM, a prospective clinical study of a greater number of patients will be necessary. PMID: 19131921 [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=2095436 Mon, 01 Dec 2008 05:00:00 +0100 2095436 http://www.medworm.com/index.php?rid=2095435&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%3D19131922%26dopt%3DAbstract CONCLUSIONS: It was most likely that a high concentration of PFOB emulsion attenuated reperfusion arrhythmia by decreasing NE release. PMID: 19131922 [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=2095435 Mon, 01 Dec 2008 05:00:00 +0100 2095435 http://www.medworm.com/index.php?rid=2095434&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%3D19131923%26dopt%3DAbstract CONCLUSION: This study demonstrated that obesity does not increase the risk of death and most complications after cardiac surgery, aside from the unexplained increased risk of reoperation during the same admission. PMID: 19131923 [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=2095434 Mon, 01 Dec 2008 05:00:00 +0100 2095434 http://www.medworm.com/index.php?rid=2095433&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%3D19131924%26dopt%3DAbstract CONCLUSIONS: NIRS can detect spinal cord ischemia earlier than ESP. It can detect the beneficial pharmacological effect of alprostadil on the spinal cord. PMID: 19131924 [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=2095433 Mon, 01 Dec 2008 05:00:00 +0100 2095433 http://www.medworm.com/index.php?rid=2095432&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%3D19131925%26dopt%3DAbstract This report describes a case of posterior mediastinal mass found by occurring spontaneous pneumothorax in a 48-year-old male. The intrathoracic mass resected using video-assisted thoracic surgery (VATS) was diagnosed thoracic EMH (TEMH). No disorders were found by hematologic exams before or after surgery. This report suggests that such lesions must therefore be considered in the differential diagnosis of posterior mediastinal tumors presenting with no hematologic disorders. PMID: 19131925 [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=2095432 Mon, 01 Dec 2008 05:00:00 +0100 2095432 http://www.medworm.com/index.php?rid=2095431&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%3D19131926%26dopt%3DAbstract Authors: Takahashi K, Ishii G, Nishimura M, Yoshida J, Hishida T, Naitoh Y, Kitamura S, Nagai K A 54-year-old man underwent a low anterior resection for rectal cancer in July 1986. A right pulmonary tumor was pointed out in March 2006 by screening a chest X-ray. Because pulmonary metastasis from colorectal cancer was suspected by transbronchial biopsy, a colonofiberscopy was performed. However, no primary tumor was found. Furthermore, positron emission tomography (PET) revealed no other positive lesion. This tumor was resected in April 2006, and the pathological findings, including immunohistochemical findings, were similar to those of the previously resected rectal cancer. This tumor was therefore diagnosed to be pulmonary metastasis from rectal cancer resected 20 years ago based on a... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2095431 Mon, 01 Dec 2008 05:00:00 +0100 2095431 http://www.medworm.com/index.php?rid=2095430&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%3D19131927%26dopt%3DAbstract We report a patient who successfully underwent a one-and-a-half ventricular repair (1.5 VR) through a right lateral thoracotomy. In the case of possible hazardous complications at the sternal reentry because of previous mediastinitis, this approach was thought to be an option in selected patients to complete a functional correction by means of 1.5 VR. PMID: 19131927 [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=2095430 Mon, 01 Dec 2008 05:00:00 +0100 2095430 http://www.medworm.com/index.php?rid=2095429&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%3D19131928%26dopt%3DAbstract Authors: Sakaguchi H, Sekii H An 81-year-old man was referred to our hospital on May 29, 2006, for a left ventricular tumor that a cardiologist had evaluated by echocardiography. The patient underwent surgical resection of a left ventricular tumor including the stalk through the aortic annulus on June 6. The aortic cross-clamp time, cardiopulmonary time, and operation time were 27 minutes, 48 minutes, and 2 hours 40 minutes, respectively. The specimen was examined pathologically and found to be a cardiac papillary fibroelastoma (CPF), 20x15 mm in size. He was discharged home 10 days after the surgery without significant adverse events. There are approximately 6 case reports on CPF in the left ventricular cavity published in Japan. Our surgical experience was reported, and a clinical fe... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2095429 Mon, 01 Dec 2008 05:00:00 +0100 2095429 http://www.medworm.com/index.php?rid=2095428&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%3D19131929%26dopt%3DAbstract In conclusion, pericardiectomy and resection of the tumor might be indicated for the relief of symptoms in a critical case presenting as pericardial constriction associated with malignant pericardial mesothelioma. PMID: 19131929 [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=2095428 Mon, 01 Dec 2008 05:00:00 +0100 2095428 http://www.medworm.com/index.php?rid=2095427&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%3D19131930%26dopt%3DAbstract We describe repair in an adult by means of graft interposition using cardiopulmonary bypass. We give our rationalization for surgical repair and present the contrary view of conservative management. PMID: 19131930 [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=2095427 Mon, 01 Dec 2008 05:00:00 +0100 2095427 http://www.medworm.com/index.php?rid=2095426&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%3D19131931%26dopt%3DAbstract We describe total arch replacement for aortic arch aneurysm with a severely calcified ("porcelain") aorta. Cardiovascular surgery is challenging under such conditions because the calcified plate interferes with clamping, incising, and suturing of the aorta. We performed this surgery under hypothermic circulatory arrest with antegrade cerebral perfusion. Calcification manifested particularly in the ascending aorta and prevented the use of a needle. We exfoliated the calcified intimal plate using an elevator designed for hand surgery, and then covered both the inner and outer sides of the endarterectomized aorta with a strip of bovine pericardium to reinforce the anastomotic region and cover the rough surface. No complications developed during or after surgery. PMID: 19131931 [PubMed - i... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2095426 Mon, 01 Dec 2008 05:00:00 +0100 2095426 http://www.medworm.com/index.php?rid=2095425&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%3D19131932%26dopt%3DAbstract Authors: Chikada M, Makuuchi H, Kobayashi T, Murakami H, Ono H, Nagata T A 19-year-old female was referred to our department with a diagnosis of recurrent coarctation of the aorta. She had undergone end-to-side anastomosis of the left subclavian artery with the thoracic aorta at 9 days of age and extra-anatomic subclavian-to-femoral bypass grafting at 15 years of age because of hypertensive crisis. A preoperative 4-slice computed tomography (CT) scan demonstrated recurrent obstruction of the aorta and, unexpectedly, an associated anomaly of bilateral persistent sciatic arteries. She underwent a successful patch augmentation of the aorta and is currently leading a normal life without need for antihypertensive medication. Persistent sciatic artery is a rare congenital vascular anomaly an... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=2095425 Mon, 01 Dec 2008 05:00:00 +0100 2095425 http://www.medworm.com/index.php?rid=1944148&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%3D18989241%26dopt%3DAbstract Authors: Liotta D PMID: 18989241 [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=1944148 Wed, 01 Oct 2008 04:00:00 +0100 1944148 http://www.medworm.com/index.php?rid=1944147&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%3D18989242%26dopt%3DAbstract This article focuses on the surgical techniques and outcomes of patients undergoing PTE for chronic thromboembolic pulmonary hypertension and discusses the currently known factors that affect survival after this operation. PMID: 18989242 [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=1944147 Wed, 01 Oct 2008 04:00:00 +0100 1944147 http://www.medworm.com/index.php?rid=1944146&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%3D18989243%26dopt%3DAbstract CONCLUSION: EVLWI may be a useful parameter for evaluation of the respiratory condition after thoracic esophagectomy. PMID: 18989243 [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=1944146 Wed, 01 Oct 2008 04:00:00 +0100 1944146 http://www.medworm.com/index.php?rid=1944145&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%3D18989244%26dopt%3DAbstract CONCLUSION: The oncological outcome after Pn for patients with lung cancer of less than stage III was satisfactory. Although operative morbidity was not different between the two groups, the loss of pulmonary reserve after Pn was more severe after than the parenchyma-sparing lung resection. PMID: 18989244 [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=1944145 Wed, 01 Oct 2008 04:00:00 +0100 1944145 http://www.medworm.com/index.php?rid=1944144&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%3D18989245%26dopt%3DAbstract CONCLUSION: The results of this study suggest that in patients with renal dysfunction before cardiac surgery, continuous low-dose h-ANP therapy maintains renal function, preventing its deterioration. PMID: 18989245 [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=1944144 Wed, 01 Oct 2008 04:00:00 +0100 1944144 http://www.medworm.com/index.php?rid=1944143&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%3D18989246%26dopt%3DAbstract CONCLUSION: Our results indicated that a maximum aortic diameter > or =40 mm at admission was the most prognostic factor for developing late dissection-related events, rather than the presence of a patent false lumen. PMID: 18989246 [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=1944143 Wed, 01 Oct 2008 04:00:00 +0100 1944143 http://www.medworm.com/index.php?rid=1944142&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%3D18989247%26dopt%3DAbstract We report a rare case of schwannoma of the brachial plexus presenting as an enlarging cystic mass. A 52-year-old woman was found to have a rapidly enlarging cystic lesion in the left pectoralis minor space. Surgical exploration finally found that the lesion was schwannoma originating from the fascicles of the brachial plexus. Partial removal of the fluid enabled us to dissect the mass without difficulty. The patient showed no sign of neurological disorders postoperatively. Although schwannoma sometimes accompanies the cystic lesion in part, schwannoma of the brachial plexus manifesting as a cystic lesion is very rare. PMID: 18989247 [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=1944142 Wed, 01 Oct 2008 04:00:00 +0100 1944142 http://www.medworm.com/index.php?rid=1944141&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%3D18989248%26dopt%3DAbstract We report two cases of lung cancer in nonagenarians successfully treated by pulmonary resection and assess the feasibility of surgical treatment in such an old population. Case 1. An asymptomatic 93-year-old man was diagnosed as having non-small cell lung cancer with clinical T1N0M0 stage IA disease, and a right upper lobectomy was performed via video-assisted thoracoscopic surgery. Mediastinal dissection was omitted. He was discharged on postoperative day 16, and he remains well without recurrence 6 months after the operation. Case 2. A 92-year-old man was diagnosed as having non-small cell lung cancer with clinical T2N0M0 stage IB disease and diminished pulmonary function. A right lower lobectomy with complicated partial resection of the diaphragm was performed via axillary thoracotomy w... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=1944141 Wed, 01 Oct 2008 04:00:00 +0100 1944141 http://www.medworm.com/index.php?rid=1944140&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%3D18989249%26dopt%3DAbstract Authors: Maniwa Y, Yoshimura M, Takata M, Nishimura Y, Ohno Y Malignant pleural mesothelioma (MPM) is an aggressive and fatal tumor of the pleura and its incidence has been increasing as a result of the widespread use of asbestos worldwide. Numerous chemotherapeutic agents have been tested in many clinical trials, but the response rate does not exceed 20% for most of the investigated regimens. Here we report a case of MPM in which the chemotherapy based on the chemosensitivity test was very effective on palliation with stable disease for a long time. PMID: 18989249 [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=1944140 Wed, 01 Oct 2008 04:00:00 +0100 1944140 http://www.medworm.com/index.php?rid=1944139&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%3D18989250%26dopt%3DAbstract Authors: Shimizu K, Okita R, Uchida Y, Hihara J A 31-year-old man with neurofibromatosis 1 (NF1) was admitted for the treatment of solitary lung tumor. Nine months earlier he had undergone a large resection for malignant peripheral nerve sheath tumors (MPNSTs) in his back. Surgical resection of the right lower lobe was performed, and the tumor was pathologically diagnosed as a metastasis of MPNST. The survival of patients with pulmonary metastasis of MPNST is extremely poor, especially of those with NF1, but this patient has survived 5 years without recurrence. Based on our knowledge of the literature, a 5-year survival is extremely rare, and select patients have benefited from a resection of pulmonary metastasis. PMID: 18989250 [PubMed - in process] (Source: Annals of Thoracic and... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=1944139 Wed, 01 Oct 2008 04:00:00 +0100 1944139 http://www.medworm.com/index.php?rid=1944138&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%3D18989251%26dopt%3DAbstract We describe a case involving a 29-year-old woman with hyperparathyroidism resulting from an ectopic mediastinal parathyroid adenoma that caused neonatal hypocalcemia, which was removed through VATS. PMID: 18989251 [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=1944138 Wed, 01 Oct 2008 04:00:00 +0100 1944138 http://www.medworm.com/index.php?rid=1944137&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%3D18989252%26dopt%3DAbstract Authors: Olgar S, Ertugrul T, Nisli K, Devecioglu O, Turkan E Cardiac and vascular intervention in thrombocytopenic congenitally cyanotic patients is more dangerous. Thrombocytopenia in these patients is related to immune thrombocytopenia, polycythemia, hyperviscosity, pseudothrombocytopenia, and drugs. Herein we report on a thrombocytopenic 8-year-old girl with tricuspid valve atresia and pulmonary valve stenosis admitted for catheterization. Thrombocytopenia (21,000/mm3) and shunt occlusion was noticed. Thrombocytopenia did not recover after intravenous immunoglobulin (IVIG) and phlebotomy therapies. During preparation for surgery, she suffered cardiopulmonary arrest. A Gore-tex graft was placed in the right pulmonary artery and truncus brachiocephalicus. After surgery, her platelet ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=1944137 Wed, 01 Oct 2008 04:00:00 +0100 1944137 http://www.medworm.com/index.php?rid=1944136&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%3D18989253%26dopt%3DAbstract In this report the images of a postoperative study of coronary artery bypass grafting (CABG) by MDCT are introduced to reveal their feasibility and reliability. Shown is one of the patients whose saphenous vein graft (SVG) was connected from the descending aorta to the left anterior descending artery (LAD) via the obtuse marginal branch (OM). This is because the left internal thoracic artery (ITA) was not available and the ascending aorta could not be used for highly calcified degeneration. That kind of graft in CABG should be recognized as "extra routine," and its use will cause some difficulties to arise in postoperative elucidation for graft function. The images by MDCT reported here showed an excellent view of the route and lumen of the graft, suggesting the feasibility and usefulness ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=1944136 Wed, 01 Oct 2008 04:00:00 +0100 1944136 http://www.medworm.com/index.php?rid=1944135&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%3D18989254%26dopt%3DAbstract Authors: Yada M, Maze Y, Tokui T, Shomura S Spontaneous nonaneurysmal rupture of the aorta is a life-threatening condition for which emergency diagnostic and therapeutic measures are indicated. An asymptomatic spontaneous aortic rupture was unexpectedly discovered adjacent to the visceral aorta. We diagnosed the mass as a pseudoaneurysm, and surgery was performed. This was the first reported case of asymptomatic spontaneous rupture of a nonaneurysmal visceral aorta. PMID: 18989254 [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=1944135 Wed, 01 Oct 2008 04:00:00 +0100 1944135 http://www.medworm.com/index.php?rid=1944134&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%3D18989255%26dopt%3DAbstract We report a reoperative case in which a Valsalva graft was utilized on a 64-year-old woman who had previously undergone emergency repair of a DeBakey type I acute aortic dissection. On follow-up computed tomography (CT), she was found to have pseudoaneurysms of both proximal and distal anastomoses. We performed valve-sparing aortic root replacement (VSRR) with the reimplantation technique and total arch replacement, since we felt that a graft with pseudosinuses helps to prevent torsion of the coronary arteries. The postoperative course was uneventful, and postoperative echocardiography revealed no significant aortic valve regurgitation. The pathology results raised the hypothesis that pseudoaneurysm formation might have been related to the use of gelatin-resorcinol-formaldehyde (GRF) glue ... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=1944134 Wed, 01 Oct 2008 04:00:00 +0100 1944134 http://www.medworm.com/index.php?rid=1833867&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%3D18818567%26dopt%3DAbstract Authors: Kernstine KH PMID: 18818567 [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=1833867 Fri, 01 Aug 2008 04:00:00 +0100 1833867 http://www.medworm.com/index.php?rid=1833866&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%3D18818568%26dopt%3DAbstract Authors: Sohara Y When a rapidly reexpanding lung has been in a state of collapse for more than several days, pulmonary edema sometimes occurs in it. This is called reexpansion pulmonary edema (RPE). In this article, I present my views on the history, clinical features, morphophysiological features, pathogenesis, and treatment of RPE. Histological abnormalities of the pulmonary microvessels in a chronically collapsed lung will cause RPE, as well as mechanical stress exerted during reexpansion. Although the most effective treatment method is to treat the histological abnormalities of the pulmonary microvessels formed in a chronically collapsed lung, the cause of these abnormalities is not clear, making it difficult to put forward a precise treatment method. However, reasonably good effe... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=1833866 Fri, 01 Aug 2008 04:00:00 +0100 1833866 http://www.medworm.com/index.php?rid=1833865&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%3D18818569%26dopt%3DAbstract Conclusion: The increased level of free radicals with the decrease of VEGF and iNOS levels may contribute to the progression of the pressure-overload hypertrophied heart to the failing heart. PMID: 18818569 [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=1833865 Fri, 01 Aug 2008 04:00:00 +0100 1833865 http://www.medworm.com/index.php?rid=1833864&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%3D18818570%26dopt%3DAbstract This study considered the factors associated with prolonged ventilation and the effects of reduced extubation times on patient recovery, intensive care unit stay, and overall hospital stay. Materials and Methods: A retrospective study was performed, including 86 consecutive patients who underwent cardiac surgery from August 2006 to January 2007. The patients were divided into two groups following intensive care unit admission: Group A, duration of intubation <4 h (n = 34); Group B, duration of intubation >4 h (n = 52). Results: Two deaths occurred in 86 patients, and overall hospital mortality was 2.32%. Patients in Group A were younger (33.2 +/- 12 versus 45.8 +/- 13 years; p = 0.001) and had better preoperative left ventricular ejection fraction (LVEF) (62.4 +/- 9.8 versus 44.6 +/-... Annals of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=1833864 Fri, 01 Aug 2008 04:00:00 +0100 1833864 http://www.medworm.com/index.php?rid=1833863&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%3D18818571%26dopt%3DAbstract Conclusion: Our study suggests that contrary to the commonly held beliefs in our setup, the use of aspirin till the date of surgery does not increase the risk of postoperative bleeding after CABG. In contrast, our data show reductions in the bleeding incidence of those in whom aspirin was not withheld prior to surgery. Therefore we strongly recommend its continued use of aspirin until the date of surgery. PMID: 18818571 [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=1833863 Fri, 01 Aug 2008 04:00:00 +0100 1833863 http://www.medworm.com/index.php?rid=1833862&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%3D18818572%26dopt%3DAbstract Conclusion: The results of this study suggest that combined therapy with aspirin + cilostazol is more effective than aspirin monotherapy in reducing platelet aggregation in patients after OPCAB. This combination therapy may represent a new therapeutic option for an anti-thrombotic regimen in patients after OPCAB. PMID: 18818572 [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=1833862 Fri, 01 Aug 2008 04:00:00 +0100 1833862 http://www.medworm.com/index.php?rid=1833861&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%3D18818573%26dopt%3DAbstract We report on a patient with esophageal squamous carcinoma who underwent a curative resection and later developed metastatic nodules over the penis and perineum. We believe this is the first instance of this unusual presentation. He was offered palliation with weekly taxanes and had symptomatic relief with this regimen. PMID: 18818573 [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=1833861 Fri, 01 Aug 2008 04:00:00 +0100 1833861 http://www.medworm.com/index.php?rid=1833860&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%3D18818574%26dopt%3DAbstract Authors: Tomita M, Matsuzaki Y, Shimizu T, Hara M, Ayabe T, Enomoto Y, Onitsuka T We herein report a rare case of squamous cell carcinoma (SCC) located in the hilar nodes with unknown primary tumor. A 56-year-old man underwent a thoracotomy under the clinical diagnosis of lung cancer with hilar nodes involvement. The tumor was found at the hilus and resected without pulmonary resection. The pathological diagnosis of this tumor was metastatic SCC in hilar lymph nodes. Examinations of the whole body failed to detect a primary site of the SCC. The patient is doing well with no clinical sign of recurrence 32 months after surgery. PMID: 18818574 [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=1833860 Fri, 01 Aug 2008 04:00:00 +0100 1833860 http://www.medworm.com/index.php?rid=1833859&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%3D18818575%26dopt%3DAbstract We report on a 42-year-old woman with malignant peripheral nerve sheath tumor (MPNST) arising from the cervical sympathetic nerve. A collar incision and partial sternotomy were performed at the second intercostal space. The mass was spindle shaped and connected to the sympathetic trunk on the cranial and caudal sides, and it compressed the left carotid sheath on the median side. After the patient's uneventful recovery from surgery, adjuvant radiotherapy was administered to the area of resection. The patient remains well 5 years after surgery with no evidence of recurrence. PMID: 18818575 [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=1833859 Fri, 01 Aug 2008 04:00:00 +0100 1833859 http://www.medworm.com/index.php?rid=1833858&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%3D18818576%26dopt%3DAbstract Authors: Okuda M, Haba R, Yokomise H Lung segmentectomy is generally considered as a standard procedure in general thoracic surgery. Anatomical variations of pulmonary segmentation may, however, make it difficult to determine the precise area of resection during segmentectomy. Incomplete pulmonary sub-lobar resection may produce unusual radiographic features. Herein, we report a case of bronchial atresia after lung segmentectomy. PMID: 18818576 [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=1833858 Fri, 01 Aug 2008 04:00:00 +0100 1833858 http://www.medworm.com/index.php?rid=1833857&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%3D18818577%26dopt%3DAbstract We report a case of a 62-year-old female who had a markedly enlarged LA associated with mitral valve stenosis and regurgitation. The patient, who had severely restrictive and obstructive respiratory dysfunction, underwent mitral valve replacement and left atrial volume reduction with postoperative improvement in hemodynamic and respiratory function. We believe that volume reduction of an enlarged LA, in addition to mitral valve surgery, is important not only because it leads to improvement in heart failure but also because it will relieve compression of the adjacent organs. PMID: 18818577 [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=1833857 Fri, 01 Aug 2008 04:00:00 +0100 1833857