General Thoracic and Cardiovascular Surgery via MedWorm.com 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 'General Thoracic and Cardiovascular Surgery' source. Fri, 10 Feb 2012 04:00:00 +0100 Muscle plombage for extensive bronchial necrosis after right lower lobectomy http://www.medworm.com/index.php?rid=5594707&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3nv064u133502403%2F We report a patient who had extensive necrosis of the intermediate bronchus after right lower lobectomy. The large bronchial defect was successfully fixed with latissimus dorsi muscle and replaced by bronchial epithelialization. Content Type Journal ArticleCategory Case ReportPages 60-62DOI 10.1007/s11748-010-0764-yAuthors Kenji Tetsuka, Department of General Thoracic Surgery, Jichi Medical University, 1-3311 Yakushiji, Shimotsuke, Tochigi, 329-0498 JapanShunsuke Endo, Department of General Thoracic Surgery, Jichi Medical University, 1-3311 Yakushiji, Shimotsuke, Tochigi, 329-0498 JapanYoshihiko Kanai, Department of General Thoracic Surgery, Jichi Medical University, 1-3311 Yakushiji, Shimotsuke, Tochigi, 329-0498 JapanShinichi Otani, Department of General Thoracic Surgery, Jichi ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5594707 Thu, 12 Jan 2012 06:44:02 +0100 5594707 Morphological evaluation of areas of damage in blunt cardiac injury and investigation of traffic accident research http://www.medworm.com/index.php?rid=5594712&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg6h35760t1211602%2F Conclusion  Blunt cardiac injury was more common on the right side chamber. The survival rate was extremely close to the calculated survival probability. Proper seatbelt usage is important for the prevention of blunt cardiac injury due to traffic accidents. Increased severity of injury may be associated with accidents involving light motor vehicles. Content Type Journal ArticleCategory Original ArticlePages 31-35DOI 10.1007/s11748-011-0853-6Authors Noriyoshi Kutsukata, Department of Emergency Disaster Medicine, Saga University Hospital, Emergency Medical Center, 5-1-1 Nabeshima, Saga, 849-8501 JapanYuichiro Sakamoto, Department of Emergency Disaster Medicine, Saga University Hospital, Emergency Medical Center, 5-1-1 Nabeshima, Saga, 849-8501 JapanKunihiro Mashiko, Sh... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5594712 Thu, 12 Jan 2012 06:44:00 +0100 5594712 Multicenter trial of carperitide in patients with renal dysfunction undergoing cardiovascular surgery http://www.medworm.com/index.php?rid=5594711&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq12ln753p91ml740%2F Conclusion  Continuous low-dose infusion of carperitide from the start of cardiovascular surgery maintained renal function in patients with preoperative renal dysfunction. Content Type Journal ArticleCategory Original ArticlePages 21-30DOI 10.1007/s11748-011-0846-5Authors Kazuki Hisatomi, Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8501 JapanKiyoyuki Eishi, Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8501 Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 60 Journal Issue Volume 60, Number 1 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5594711 Thu, 12 Jan 2012 06:44:00 +0100 5594711 Efficacy of functional operability algorithm for octogenarians with primary lung cancer http://www.medworm.com/index.php?rid=5594710&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F11755un4350473k4%2F Conclusion  Following careful selection with our functional operability algorithm, octogenarians were able to tolerate a standard lung resection for primary lung cancer with acceptable morbidity and mortality. Their survival was consistent with that of younger cancer patients. Content Type Journal ArticleCategory Original ArticlePages 36-42DOI 10.1007/s11748-011-0842-9Authors Hideo Umezu, Department of General Thoracic Surgery, Dokkyo Medical University, Tochigi, JapanShinichiro Miyoshi, Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558 JapanOsamu Araki, Department of General Thoracic Surgery, Dokkyo Medica... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5594710 Thu, 12 Jan 2012 06:44:00 +0100 5594710 Hammock mitral valve in an adult patient http://www.medworm.com/index.php?rid=5594709&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9276w4034l305v46%2F We describe a case of hammock mitral valve in an adult. A 38-year-old woman presented with recently acquired dyspnea. Echocardiography showed severe mitral stenosis related to a hammock mitral valve characterized by the presence of an overdeveloped papillary muscle that gives short chordae to both mitral leaflets. No other valve insufficiency was noted. At operation, we observed direct continuity accompanying several fenestrations between both leaflets and the huge abnormal muscular band just underneath the mural leaflet. Resection of the anterior leaflet and was successfully replaced with a bioprosthetic valve. Her postoperative course was unremarkable. Content Type Journal ArticleCategory Case ReportPages 53-55DOI 10.1007/s11748-011-0776-2Authors Takayoshi Kato, Department of... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5594709 Thu, 12 Jan 2012 06:44:00 +0100 5594709 One-stage operation for esophageal perforation of a thoracic aortic aneurysm http://www.medworm.com/index.php?rid=5594708&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh232174357035482%2F Abstract  The patient was a 65-year-old man. Preoperative computed tomography showed a ruptured thoracic aortic aneurysm that formed a submucosal hematoma in the thoracic esophagus with perforation near the esophageal-cardiac junction. A one-stage operation was performed. The aortic arch and proximal descending aorta were replaced with rifampicin-soaked synthetic grafts, followed by subtotal esophagectomy with primary reconstruction using a gastric tube. His early postoperative course was uneventful, and he started oral intake on postoperative day (POD) 15; however, dysphagia occurred on POD 20, and an esophageal fistula and mediastinitis developed more than 1 month after the operation. The patient recovered from mediastinitis after 4 months of mediastinal drainage and admi... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5594708 Thu, 12 Jan 2012 06:44:00 +0100 5594708 Role of pulmonary resection in the diagnosis and treatment of limited-stage small cell lung cancer: revision of clinical diagnosis based on findings of resected specimen and its influence on survival http://www.medworm.com/index.php?rid=5594713&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F042x0q2617uuwr15%2F Conclusion  Surgery for limited-stage SCLC was associated with a favorable survival rate and provided important pathological information that can help predict survival. Accuracy of preoperative diagnoses showed no apparent impact on survival for surgically treated SCLC patients. Content Type Journal ArticleCategory Original ArticlePages 43-52DOI 10.1007/s11748-011-0847-4Authors Takashi Iwata, Department of Thoracic Surgery, Osaka City University Graduate School of Medicine, Osaka, JapanNoritoshi Nishiyama, Department of Thoracic Surgery, Osaka City University Graduate School of Medicine, Osaka, JapanKoshi Nagano, Department of Thoracic Surgery, Osaka City University Graduate School of Medicine, Osaka, JapanNobuhiro Izumi, Department of Thoracic Surgery, Osaka City Un... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5594713 Thu, 12 Jan 2012 06:43:58 +0100 5594713 Thymoma and thymic carcinoma http://www.medworm.com/index.php?rid=5594715&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff27568266x1nm43t%2F Abstract  Thymic tumors comprise a heterogeneous group of neoplasms with a wide spectrum of clinical presentations. The evolution of the disease is often unpredictable, ranging from an indolent attitude to the possibility of intra- and extrathoracic spread. From the histological point of view, thymoma and thymic carcinoma are the most frequent subtypes and arise only from thymic epithelial cells. Other histological types are even more rare and are usually considered separately. A number of prognostic factors have been validated as predictors of outcome: staging, World Health Organization histological classification, diameter of the tumor, associated paraneoplastic syndromes, completeness of resection, and early onset of recurrence. Complete surgical resection is the key fac... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5594715 Thu, 12 Jan 2012 06:43:57 +0100 5594715 Surgery for atrial fibrillation: recent progress and future perspective http://www.medworm.com/index.php?rid=5594714&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F720q05786461n886%2F Abstract  Development and introduction of radiofrequency ablation devices allowed the maze procedures to be performed safely and easily, further enabling off-pump pulmonary vein isolation through a mini-thoracotomy or thoracoscope. The effects of the maze procedure include prevention of stroke and other complications related to atrial fibrillation, improved cardiac performance, and relief of symptoms. Indications for the maze procedure have been discussed on the basis of the evidence. Pulmonary vein isolation has been shown to be effective in most patients with paroxysmal atrial fibrillation and can be performed with endocardial catheter ablation and minimally invasive epicardial ablation. These two modalities should be compared in terms of the success rate, occurrence of c... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5594714 Thu, 12 Jan 2012 06:43:57 +0100 5594714 Forty-year durability of a Smeloff-Cutter ball valve prosthesis in the mitral position http://www.medworm.com/index.php?rid=5521455&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm576141693k11526%2F Abstract  A rare case requiring replacement of an intact Smeloff-Cutter ball prosthesis in the mitral position 40 years after implantation is presented. The Smeloff-Cutter ball valve prosthesis was designed to have two open cages. It has two potential advantages: a relatively large, effective orifice area and its self-washing effect that prevents thrombus formation. There have been only a few reports of survivors with ball valve prostheses in place for more than three decades especially in the mitral position. This is a valuable report describing the long-term durability of a Smeloff-Cutter ball valve prosthesis in the mitral position. Content Type Journal ArticleCategory Case ReportPages 809-811DOI 10.1007/s11748-010-0755-zAuthors Masato Nakajima, Department of Cardio... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521455 Thu, 15 Dec 2011 16:44:36 +0100 5521455 Surgical treatment for locally advanced lung cancer in a human immunodeficiency virus-infected patient http://www.medworm.com/index.php?rid=5521457&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flp5u765158776k6w%2F We present a 60-year-old HIV-infected man with locally advanced lung cancer with a helper T-lymphocyte count of 195 cells/μl at the time of lung cancer diagnosis. HAART was initiated before surgery, and extended resection was performed without discontinuance of HAART. The patient successfully recovered from surgery without complication. Content Type Journal ArticleCategory Case ReportPages 822-825DOI 10.1007/s11748-010-0774-9Authors Sumiko Maeda, Department of Thoracic Surgery, Tohoku University Hospital, 4-1 Seiryomachi, Aoba-ku, Sendai, Miyagi, 980-8575 JapanYoshinori Okada, Department of Thoracic Surgery, Tohoku University Hospital, 4-1 Seiryomachi, Aoba-ku, Sendai, Miyagi, 980-8575 JapanAkira Sakurada, Department of Thoracic Surgery, Tohoku University Hospital, 4-1 Seiryomac... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521457 Thu, 15 Dec 2011 16:44:35 +0100 5521457 Aorticopulmonary paraganglioma http://www.medworm.com/index.php?rid=5521456&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5u7k7x2284h18231%2F We describe a 61-year-old woman with an anterior mediastinal paraganglioma. The patient complained of a chronic cough that had lasted about 6 months. Her chest computed tomography (CT) showed a highly enhanced mediastinal tumor in the aorticopulmonary window. We surgically resected this tumor thorough a left anterior thoracotomy. Although numerous feeding vessels and firm adhesions with the pericardium hindered the procedure, macroscopically complete resection was achieved. Postoperatively, the tumor was diagnosed as an aorticopulmonary paraganglioma. As these highly enhanced tumors in the anterior mediastinum on CT images are unusual, a differential diagnosis including mediastinal hemangioma, epithelioid hemangioendothelioma, Castleman’s disease, choriocarcinoma, metastatic tumor ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521456 Thu, 15 Dec 2011 16:44:35 +0100 5521456 Intranodal thoracic schwannoma, an unusual type of neurogenic tumor http://www.medworm.com/index.php?rid=5521458&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F452h550736133703%2F We report the case of a 70-year-old woman who was found to have a soft tissue opacity in the right hemithorax on chest posteroanterior radiography and significant uptake of 18F-fluorodeoxyglucose on positron emission tomography. We performed thoracoscopic resection, and a definitive diagnosis of intranodal schwannoma was made from the pathological findings. Content Type Journal ArticleCategory Case ReportPages 819-821DOI 10.1007/s11748-010-0773-xAuthors Francisco Rivas, Department of Thoracic Surgery, Hospital Universitari de Bellvitge, Universitat de Barcelona, Feixa Llarga s/n, L’Hospitalet de Llobregat, Barcelona, 08907 SpainAnna Ureña, Department of Thoracic Surgery, Hospital Universitari de Bellvitge, Universitat de Barcelona, Feixa Llarga s/n, L’Hospitalet de Llobregat... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521458 Thu, 15 Dec 2011 16:44:34 +0100 5521458 Open stent-grafting for adult patent ductus arteriosus with a distal aortic arch aneurysm http://www.medworm.com/index.php?rid=5521459&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkj4751kvx6154222%2F We report a case of open stent-grafting for a 67-year-old woman who had PDA and a concomitant distal aortic arch aneurysm. The pulmonary/systemic flow ratio was 1.88, and the pulmonary arterial pressure was 34/21(25). The operation was done through a median sternotomy under hypothermic cardioplegic arrest. We opened the anterior wall of the arch just distal to the left subclavian artery and placed a stent-graft into the descending aorta. At 5 months after discharge, three-dimensional computed tomography showsed disappearance of PDA and no endoleak of the stent-graft. Content Type Journal ArticleCategory Case ReportPages 806-808DOI 10.1007/s11748-010-0744-2Authors Ben Sasaki, Department of Abdominal Surgery, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552 JapanKazuteru Sh... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521459 Thu, 15 Dec 2011 16:44:32 +0100 5521459 Successful resection of a glomus tumor of the trachea http://www.medworm.com/index.php?rid=5521463&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh30068m3l81m2535%2F We present a case of a surgically resected glomus tumor of the trachea in a 56-year-old woman who presented with worsening dyspnea and cough. Bronchoscopy and computed tomography showed a polypoid tumor arising from the posterior membrane of the lower trachea just above the carina; the tracheal lumen was approximately 80% occluded. The patient underwent successful tracheal sleeve resection with primary reconstruction. The histological characteristics and immunohistochemical profile were typical for this tumor. The clinicopathological features of this unusual neoplasm are discussed, and the literature is reviewed. Content Type Journal ArticleCategory Case ReportPages 815-818DOI 10.1007/s11748-010-0772-yAuthors Akira Mogi, Department of General Surgical Science, Gunma University ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521463 Thu, 15 Dec 2011 16:44:31 +0100 5521463 Cardiac surgery for carcinoid heart disease in 12 cases http://www.medworm.com/index.php?rid=5521462&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr3xl81464h102744%2F Conclusion  Postoperative prognosis may be worse when preoperative left ventricular ejection fraction is borderline, even if it is within the normal limits. Cardiac evaluation is needed in all patients with carcinoid disease from the earliest time of medical and oncological therapy to improve patient outcome. Content Type Journal ArticleCategory Original ArticlePages 780-785DOI 10.1007/s11748-010-0758-9Authors Satsuki Komoda, Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, GermanyTakeshi Komoda, Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, GermanyMarianne E. Pavel, Department of Internal Medicine, Division of Hepatology, Gas... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521462 Thu, 15 Dec 2011 16:44:31 +0100 5521462 Comparison of video-assisted mediastinoscopy and video-assisted mediastinoscopic lymphadenectomy for lung cancer http://www.medworm.com/index.php?rid=5521461&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2w922g1627836536%2F Conclusion  VAMLA was found to be superior to VAM with regard to the number of stations and lymph nodes. Complications after VAMLA were common. The sensitivity and NPV of VAM for mediastinal staging are significantly higher than those of VAMLA. Content Type Journal ArticleCategory Original ArticlePages 793-798DOI 10.1007/s11748-011-0819-8Authors Adnan Sayar, Thoracic Surgery Department, Yedikule Thoracic Surgery and Chest Disease Teaching and Research Hospital, Istanbul, TurkeyNecati Çitak, Thoracic Surgery Department, Yedikule Thoracic Surgery and Chest Disease Teaching and Research Hospital, Istanbul, TurkeyMuzaffer Metin, Thoracic Surgery Department, Yedikule Thoracic Surgery and Chest Disease Teaching and Research Hospital, Istanbul, TurkeyAkif Turna, Thoracic Su... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521461 Thu, 15 Dec 2011 16:44:31 +0100 5521461 Cardiac surgery for carcinoid heart disease http://www.medworm.com/index.php?rid=5521460&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjp7419742685w02g%2F Content Type Journal ArticleCategory EditorialPages 777-779DOI 10.1007/s11748-011-0840-yAuthors Hiroaki Takahashi, Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuo-ku, Kobe, Hyogo, 650-0017 JapanYutaka Okita, Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunokicho, Chuo-ku, Kobe, Hyogo, 650-0017 Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 59 Journal Issue Volume 59, Number 12 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521460 Thu, 15 Dec 2011 16:44:31 +0100 5521460 Graft selection in elderly patients undergoing coronary artery bypass grafting http://www.medworm.com/index.php?rid=5521464&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F127260h08486p684%2F Conclusion  The clinical and angiographic outcomes after CABG in elderly patients were almost identical to those in nonelderly patients. Content Type Journal ArticleCategory Original ArticlePages 786-792DOI 10.1007/s11748-011-0836-7Authors Toshihiro Fukui, Department of Cardiovascular Surgery, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003 JapanMinoru Tabata, Department of Cardiovascular Surgery, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003 JapanShigefumi Matsuyama, Department of Cardiovascular Surgery, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003 JapanShuichiro Takanashi, Department of Cardiovascular Surgery, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003 Japan Journal Gen... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521464 Thu, 15 Dec 2011 16:44:30 +0100 5521464 Efficacy of low-dose landiolol, an ultrashort-acting β-blocker, on postoperative atrial fibrillation in patients undergoing pulmonary resection for lung cancer http://www.medworm.com/index.php?rid=5521465&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg153ngw278h72534%2F Conclusion  Low-dose landiolol can be effective quickly and used safely in patients who develop atrial fibrillation after pulmonary resection for lung cancer. Content Type Journal ArticleCategory Original ArticlePages 799-805DOI 10.1007/s11748-011-0841-xAuthors Takashi Nojiri, Department of General Thoracic Surgery, National Hospital Organization Toneyama Hospital, Osaka, JapanKazuhiro Yamamoto, Department of Cardiology, Osaka University Graduate School of Medicine, Osaka, JapanHajime Maeda, Department of General Thoracic Surgery, National Hospital Organization Toneyama Hospital, Osaka, JapanYukiyasu Takeuchi, Department of General Thoracic Surgery, National Hospital Organization Toneyama Hospital, Osaka, JapanYasunobu Funakoshi, Department of General Thoracic Surgery... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521465 Thu, 15 Dec 2011 16:44:29 +0100 5521465 Mucosa-associated lymphoid tissue (MALT) lymphoma arising in the esophagus, stomach, and lung http://www.medworm.com/index.php?rid=5521466&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F019q205302r75420%2F Abstract  A 62-year-old woman was referred to our hospital for further investigation of slow-growing gastrointestinal submucosal tumors (SMTs) and multiple lung nodules. Esophageal SMTs had been identified 6 years earlier, following which lung tumors and gastric SMTs had subsequently developed. Despite repeated endoscopic biopsies, these SMTs could not be diagnosed definitively. Moreover, we were unable to detect any serological abnormalities or radiologic findings such as lymph node swelling. Thoracoscopic excision of a lung nodule led to the definitive diagnosis of mucosaassociated lymphoid tissue (MALT) lymphoma. Cytological findings of aspiration biopsy specimens from the esophagus and stomach were compatible with that of the lung nodule. To our knowledge, this is the f... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5521466 Thu, 15 Dec 2011 16:44:27 +0100 5521466 Temporary ventricular overdrive pacing for electrical storm after coronary artery bypass grafting http://www.medworm.com/index.php?rid=5419237&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft335780383250372%2F Abstract  A 57-year-old man who had been receiving chemotherapy for multiple myeloma complained of chest pain and was diagnosed with coronary artery disease. Coronary artery bypass grafting without cardiopulmonary bypass was performed smoothly, and extubation was done in the operating room. The next evening, cluster of ventricular tachycardia and fibrillation triggered by ventricular premature contractions occurred and required multiple electrical defibrillations. Despite intravenous administration of lidocaine, amiodarone, magnesium, and β-blocker, the storm sustained and was suppressed only by temporary ventricular overdrive pacing. He was discharged on foot. Content Type Journal ArticleCategory Case ReportPages 756-759DOI 10.1007/s11748-010-0771-zAuthors Toshihito... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419237 Mon, 14 Nov 2011 17:03:44 +0100 5419237 Reoperation for prosthetic ventricular septal defect patch endocarditis: long-term results with an autologous atrial septal patch http://www.medworm.com/index.php?rid=5419236&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F35060503wk436752%2F We report a successful case of reclosure of a ventricular septal defect using an autologous atrial septal patch taken from the fossa ovalis. There were no complications, and the long-term results were satisfactory. The autologous septal patch might be a promising material for prosthetic patch endocarditis. Content Type Journal ArticleCategory Case ReportPages 753-755DOI 10.1007/s11748-010-0768-7Authors Takako Miyazaki, Department of Pediatric Cardiovascular Surgery, Children’s Research Hospital, Kyoto Prefectural University of Medicine, 456 Kajii-cho, Hirokoji, Kawaramachi, Kamigyo-ku, Kyoto, 602-8566 JapanMasaaki Yamagishi, Department of Pediatric Cardiovascular Surgery, Children’s Research Hospital, Kyoto Prefectural University of Medicine, 456 Kajii-cho, Hirokoji, Kawaramac... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419236 Mon, 14 Nov 2011 17:03:44 +0100 5419236 Effect of CD4+ T-lymphocyte count on hospital outcome of elective general thoracic surgery patients with human immunodeficiency virus http://www.medworm.com/index.php?rid=5419238&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa3gw0j43553w9854%2F Conclusion  Our retrospective study demonstrates that the indicator for elective general thoracic surgery is not the CD4-positive T-lymphocyte count and that the initiation of HAART may reduce the 12-month mortality rates. In HIV-positive patients, regardless of the CD4-positive T-lymphocyte count, surgeons can operate in the same manner as they would with HIV-negative patients. Content Type Journal ArticleCategory Original ArticlePages 743-747DOI 10.1007/s11748-011-0808-yAuthors Satoshi Nagasaka, Department of Thoracic Surgery, National Centre for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655 JapanHirohisa Yazaki, AIDS Clinical Centre, National Centre for Global Health and Medicine, Tokyo, JapanHideyuki Ito, Department of Thoracic Surgery, ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419238 Mon, 14 Nov 2011 17:03:43 +0100 5419238 Bronchopulmonary foregut malformation http://www.medworm.com/index.php?rid=5419240&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9g140716u3823g3p%2F We describe an adult with BPFM composed of ELS and a connecting stalk to the esophagus by a foregut cyst that contains both squamous epithelium and respiratory epithelium. Content Type Journal ArticleCategory Case ReportPages 767-770DOI 10.1007/s11748-010-0763-zAuthors Yoshihiko Katayama, Department of Thoracic Surgery, Matsusaka Chuo General Hospital, 102 Konozomu, Kawaimachi, Matsusaka, 515-0818 JapanHitoshi Kusagawa, Department of Thoracic Surgery, Matsusaka Chuo General Hospital, 102 Konozomu, Kawaimachi, Matsusaka, 515-0818 JapanTakuya Komada, Department of Thoracic Surgery, Matsusaka Chuo General Hospital, 102 Konozomu, Kawaimachi, Matsusaka, 515-0818 JapanShin Shomura, Department of Thoracic Surgery, Matsusaka Chuo General Hospital, 102 Konozomu, Kawaimachi, Matsusaka, 515-0... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419240 Mon, 14 Nov 2011 17:03:42 +0100 5419240 Isolated right diaphragmatic rupture following blunt trauma http://www.medworm.com/index.php?rid=5419239&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh2727136245x7m1u%2F We report the case of an isolated right diaphragm rupture in a 56-year-old man who sustained blunt thoracic trauma after car accident 2 weeks before presentation. No other injuries were detected, and he was subjected to laparotomy. Diaphragmatic rupture is perceived as an emergency entity. The late appearance of such an injury, without other accompanying injuries, is rare and should be in mind by clinicians treating trauma patients who have a delayed presentation after the injury. Content Type Journal ArticleCategory Case ReportPages 760-762DOI 10.1007/s11748-010-0759-8Authors Ioannis Baloyiannis, Department of Surgery, Larissa University Hospital, Mezourlo, 41 100 Larissa, GreeceVasileios K. Kouritas, Department of Surgery, Larissa University Hospital, Mezourlo, 41 100 Larissa,... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419239 Mon, 14 Nov 2011 17:03:42 +0100 5419239 Benign fibrous histiocytoma arising from the intercostal space http://www.medworm.com/index.php?rid=5419241&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq054k1730557h331%2F Abstract  Benign fibrous histiocytoma is a tumor of unknown etiology that is believed to be of mixed fibroblastic and histiocytic origin. Deep benign fibrous histiocytomas are most commonly found in the lower limbs or the head and neck region; it is relatively rare that they are seen in the intercostal space. Only six case reports of this entity are described in the literature. We report a 20-year-old woman who suffered from a painless swelling in the left chest wall, with a computed tomographic correlation. The lesion was totally excised, and histopathology revealed a benign fibrous histiocytoma. This is the first case of a benign fibrous histiocytoma that arose from the intercostal space reported in the English-language literature. The six cases reported in the medical li... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419241 Mon, 14 Nov 2011 17:03:41 +0100 5419241 Surgical treatment for gastrointestinal metastasis of non-small-cell lung cancer after pulmonary resection http://www.medworm.com/index.php?rid=5419242&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F81467wh124548275%2F Conclusion  Surgical resection of gastrointestinal metastasis is indicated not only for symptom relief but also for providing a potentially long-term survival if the patients are properly selected. Content Type Journal ArticleCategory Original ArticlePages 748-752DOI 10.1007/s11748-011-0811-3Authors Ayako Fujiwara, Department of Thoracic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari, Osaka, 537-8511 JapanJiro Okami, Department of Thoracic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari, Osaka, 537-8511 JapanToshiteru Tokunaga, Department of Thoracic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari, Osaka, 537-8511 Ja... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419242 Mon, 14 Nov 2011 17:03:39 +0100 5419242 Two-staged treatment strategy in patients with severe carotid or cerebrovascular diseases undergoing coronary artery bypass grafting http://www.medworm.com/index.php?rid=5419244&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff6x67w7mu2lk15h7%2F Conclusion  It appears that our two-staged approach is safe and may reduce the risk of postoperative cerebrovascular events. Content Type Journal ArticleCategory Original ArticlePages 730-736DOI 10.1007/s11748-011-0825-xAuthors Yuki Okamoto, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanKenji Minakata, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanTomoyuki Yunoki, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanMasatake Katsu, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanShin-ichiro Chino, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanMasahiko Matsumoto, Second Department of Surgery, Yamanashi University Graduate School of Medicine, Yamanashi, Japan Journal Gene... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419244 Mon, 14 Nov 2011 17:03:37 +0100 5419244 Postoperative bronchial stump fistula after lobectomy: response to occlusion with polyglycolic acid mesh and fibrin glue via bronchoscopy http://www.medworm.com/index.php?rid=5419243&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff6l17524x063m762%2F Abstract  Bronchial stump fistula after resection of lung cancer is an extremely difficult to treat postoperative complication. Endoscopic fistula closure is a favorable alternative, potentially avoiding major surgical intervention. an 80-year-old man underwent curative resection of squamous cell carcinoma by left upper lobectomy of the lung. The patient suddenly developed massive subcutaneous emphysema on postoperative day 10. Bronchoscopy revealed a fistula about 3 mm in diameter at the lateral edge of the bronchial stump. Concentrated fibrinogen 0.5 ml (fluid A) was sprinkled on the bronchial fistula initially, and then pieces of polyglycolic acid mesh presoaked in fluid A or fluid B (thrombin) of the fibrin glue were pushed with biopsy forceps into the fistula in an alt... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419243 Mon, 14 Nov 2011 17:03:37 +0100 5419243 Surgical management of muscular trabecular ventricular septal defects http://www.medworm.com/index.php?rid=5419245&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx01p12385nu83407%2F This article describes the anatomical details and classification of muscular trabecular VSDs. It also reviews several techniques currently utilized and their outcomes. Content Type Journal ArticleCategory Current Topics Review ArticlePages 723-729DOI 10.1007/s11748-011-0826-9Authors Toshihide Asou, Department of Cardiovascular Surgery, Kanagawa Children’s Medical Center, 2-138-4 Mutsukawa, Minami-ku, Yokohama, Kanagawa, 232-8555 Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 59 Journal Issue Volume 59, Number 11 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419245 Mon, 14 Nov 2011 17:03:35 +0100 5419245 Systolic anterior motion after mitral valve repair: predicting factors and management http://www.medworm.com/index.php?rid=5419246&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe404l24m068x8t33%2F Conclusion  The sigmoid septum and LSC may predict SAM after MV repair. A strict follow-up is imperative for patients with persistent or recurrent SAM. Content Type Journal ArticleCategory Original ArticlePages 737-742DOI 10.1007/s11748-011-0833-xAuthors Takashi Miura, Department of Cardiovascular Surgery, Nagasaki University Graduate School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501 JapanKiyoyuki Eishi, Department of Cardiovascular Surgery, Nagasaki University Graduate School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501 JapanShiro Yamachika, Department of Cardiology, Inoue Hospital, Nagasaki, JapanKouji Hashizume, Department of Cardiovascular Surgery, Nagasaki University Graduate School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501 JapanShiro Hazama, Depart... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419246 Mon, 14 Nov 2011 17:03:33 +0100 5419246 Reports of four surgical treatments of acute pulmonary embolism with a floating thrombus in the right atrium http://www.medworm.com/index.php?rid=5312048&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F33t653351074gg55%2F We examined the surgical outcomes in four cases of submassive APE with a floating thrombus in the right atrium (RA) from August 2003 to July 2008. All patients appeared to have no neurological complications and showed an event-free survival of up to 65 months (37 ± 25 months). Surgical pulmonary embolectomy was effective for submassive APE with a floating thrombus in the RA. Content Type Journal ArticleCategory Case ReportPages 705-708DOI 10.1007/s11748-010-0732-6Authors Takashi Ando, Department of Cardiovascular Surgery, St. Marianna University School of Medicine, 2-16-1 Sugao-ku, Kawasaki, Kanagawa, 216-8511 JapanHiroyuki Abe, Department of Cardiovascular Surgery, St. Marianna University School of Medicine, 2-16-1 Sugao-ku, Kawasaki, Kanagawa, 216-8511 JapanTokuichiro Nagata, ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312048 Sat, 08 Oct 2011 05:48:22 +0100 5312048 Surgical removal of a fractured guidewire entrapped in the coronary artery http://www.medworm.com/index.php?rid=5312049&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj31576566vk18293%2F Abstract  We experienced a case with a remnant of a fractured guidewire in the coronary artery. Surgical removal of the total wire by manual traction was unsuccessful. The wire was then cut near the right coronary orifice, and its proximal portion was removed. Cardiac interventionists should recognize that percutaneous coronary intervention is associated with the risk of various cardiovascular accidents. Patients should be informed of such risks. Content Type Journal ArticleCategory Case ReportPages 709-711DOI 10.1007/s11748-010-0753-1Authors Arata Muraoka, Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498 JapanHiroaki Konishi, Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, Shim... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312049 Sat, 08 Oct 2011 05:48:21 +0100 5312049 Video-assisted thoracic resection for intralobar pulmonary sequestration http://www.medworm.com/index.php?rid=5312051&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh336736363230558%2F We present a case in which video-assisted thoracic resection for intralobar pulmonary sequestration (ILPS) was successfully performed. A 36-year-old woman had repeated pneumonia. Chest computed tomography (CT) showed a round mass in the right lower lobe of the lung. Subsequent three-dimensional CT revealed that a large anomalous artery arising from the descending thoracic aorta was distributing to the posterior basal segment containing the lesion and was draining into the inferior pulmonary vein. The patient was diagnosed with ILPS and underwent surgery. The anomalous artery was divided, and the sequestered segment was completely resected by video-assisted thoracic surgery (VATS). We think that VATS resection for ILPS is feasible and is a major therapeutic option as noninvasive surge... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312051 Sat, 08 Oct 2011 05:48:20 +0100 5312051 Localized nodular amyloidosis of the lung http://www.medworm.com/index.php?rid=5312050&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frk125261j1637534%2F Abstract  Pulmonary localized nodular amyloidosis is a rare disorder and is not associated with primary systemic amyloidosis. We herein report a patient with a growing lung nodule who underwent thoracic surgery and was diagnosed with this condition. This case study suggests that localized nodular amyloidosis should be considered during a differential diagnosis of growing lung nodules and that a histological examination should be performed to distinguish this disorder from lung malignancies. Content Type Journal ArticleCategory Case ReportPages 715-717DOI 10.1007/s11748-010-0748-yAuthors Takashi Eguchi, Department of Thoracic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621 JapanKazuo Yoshida, Department of Thoracic Surgery, Shinshu Univer... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312050 Sat, 08 Oct 2011 05:48:20 +0100 5312050 Early experience using the da Vinci Surgical System for the treatment of mediastinal tumors http://www.medworm.com/index.php?rid=5312053&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F856051t03n45l565%2F Conclusion  Robotic surgery enables mediastinal tumor dissection in certain cases more safely and easily than conventional video-assisted thoracoscopic surgery and less invasively than open thoracotomy. Content Type Journal ArticleCategory Original ArticlePages 693-698DOI 10.1007/s11748-010-0790-9Authors Naohiro Kajiwara, Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023 JapanMasahiro Taira, Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023 JapanKoichi Yoshida, Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023 JapanMasaru Hagiwara, Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312053 Sat, 08 Oct 2011 05:48:19 +0100 5312053 Papillary fibroelastoma of the aortic valve in a β-thalassemia patient http://www.medworm.com/index.php?rid=5312052&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq668406x56h01142%2F We present an asymptomatic 38-year-old woman with homozygous β-thalassemia in whom transthoracic echocardiography incidentally discovered an aortic mass. Two-dimensional echocardiography and magnetic resonance imaging confirmed the diagnosis of papillary fibroelastoma. Valvesparing tumor resection, even in asymptomatic patients, is recommended as the standard therapy procedure. Content Type Journal ArticleCategory Case ReportPages 712-714DOI 10.1007/s11748-010-0754-0Authors John Kokotsakis, Cardiac Surgery Department, Evaggelismos General Hospital, Athens, GreeceIoannis Nenekidis, Cardiac Surgery Department, Evaggelismos General Hospital, Athens, GreeceVania Anagnostakou, Radiology Department, Evaggelismos General Hospital, 45-47 Ypsilantou Street, Athens, 10676 GreeceIoannis Pa... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312052 Sat, 08 Oct 2011 05:48:19 +0100 5312052 Prognosis of surgically resected lung cancer with extremely high preoperative serum carcinoembryonic antigen level http://www.medworm.com/index.php?rid=5312054&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F06p4k07344r72682%2F Conclusion  An abnormal preoperative CEA level suggests a poor prognosis for patients with NSCLC after surgery. Nevertheless, a few patients with an extremely high preoperative CEA level had long-term survival. Even if the preoperative CEA is extremely high, we perform a careful survey for distant or intrathoracic metastases and should not overlook operable cases. Content Type Journal ArticleCategory Original ArticlePages 699-704DOI 10.1007/s11748-011-0797-xAuthors Nobumasa Takahashi, Division of General Thoracic Surgery, Juntendo University School of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431 JapanKenji Suzuki, Division of General Thoracic Surgery, Juntendo University School of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431 JapanKazuya Takamochi, Division ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312054 Sat, 08 Oct 2011 05:48:18 +0100 5312054 Effects of hypoxia on coronary microcirculation during postnatal development http://www.medworm.com/index.php?rid=5312055&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp22812162610q644%2F Content Type Journal ArticleCategory EditorialPages 669-671DOI 10.1007/s11748-010-0737-1Authors Fumio Yamamoto, Department of Cardiovascular Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita, 010-8543 JapanHiroshi Yamamoto, Department of Cardiovascular Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita, 010-8543 Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 59 Journal Issue Volume 59, Number 10 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312055 Sat, 08 Oct 2011 05:48:17 +0100 5312055 Long-term results of total cavopulmonary connection with low ejection fraction http://www.medworm.com/index.php?rid=5312056&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx726616147632801%2F Conclusion  Change in ventricular function was not necessarily pessimistic after TCPC in patients with reduced ventricular contraction preoperatively. Content Type Journal ArticleCategory Original ArticlePages 686-692DOI 10.1007/s11748-011-0812-2Authors Shuichi Shiraishi, Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565 JapanHideki Uemura, Department of Cardiothoracic Surgery, Royal Brompton Hospital, London, UKKoji Kagisaki, Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565 JapanIkuo Hagino, Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-856... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312056 Sat, 08 Oct 2011 05:48:16 +0100 5312056 Off-pump coronary artery bypass grafting with an aortic nonclamping technique may reduce the incidence of cerebral complications http://www.medworm.com/index.php?rid=5312058&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmp2p1g222648156p%2F Conclusion  The aortic nonclamping technique might reduce the incidence of cerebral complications and produce ideal bypass grafts using arterial grafts and saphenous vein grafts with a proximal anastomosis device. Content Type Journal ArticleCategory Original ArticlePages 681-685DOI 10.1007/s11748-011-0795-zAuthors Hiroshi Osawa, Division of Cardiovascular Surgery, Shimada General Hospital, 5-3 Higashi-cho, Choshi, Chiba, 288-0053 JapanHirotaka Inaba, Division of Cardiac Surgery, Asahi General Hospital, Asahi, JapanOsamu Kinoshita, Division of Cardiac Surgery, Asahi General Hospital, Asahi, JapanOkihiko Akashi, Division of Cardiovascular Surgery, Ikegami General Hospital, Tokyo, JapanSachito Minegishi, Division of Cardiac Surgery, Asahi General Hospital, Asahi, Japan ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312058 Sat, 08 Oct 2011 05:48:15 +0100 5312058 Impact of chronic cyanosis and reoxygenation on the microheterogeneity of the myocardial blood flow: digital radiographic study in neonatal rats http://www.medworm.com/index.php?rid=5312057&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn1q2557734756173%2F Conclusion  The chronically hypoxic infantile myocardium exhibits regional flow heterogeneity similar to that observed in the normal myocardium in both ventricles and exhibits reduced flow heterogeneity in response to reoxygenation. Content Type Journal ArticleCategory Original ArticlePages 672-680DOI 10.1007/s11748-010-0685-9Authors Tomoko Tomii, Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, JapanOsami Honjo, Division of Cardiovascular Surgery, The Hospital for Sick Children, The University of Toronto, 555 University Avenue, Toronto, ON M5G 1X8, CanadaTakeshi Matsumoto, Department of Mechanical Science and Bioengineering, Osaka University Graduate School of Engineering Science, Toyonaka, JapanHiroyuki Tac... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5312057 Sat, 08 Oct 2011 05:48:15 +0100 5312057 A tribute to the memory of Dr. Kenji Honda http://www.medworm.com/index.php?rid=5235119&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4860244r39556507%2F Content Type Journal ArticleCategory ObituaryPages 595-595DOI 10.1007/s11748-011-0863-4Authors Shunichi Hoshino, Fukushima Daiichi Hospital, 16-2 Nariide, Kitasawamata, Fukushima, 960-8251 Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 59 Journal Issue Volume 59, Number 9 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235119 Tue, 13 Sep 2011 15:54:41 +0100 5235119 Floating thrombus originating from an almost normal thoracic aorta http://www.medworm.com/index.php?rid=5235122&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa04610322n418102%2F We present a case of floating thrombus originating from an almost normal thoracic aorta in a 54-year-old man who presented with acute arterial occlusion of his left leg. Transesophageal echocardiography (TEE), computed tomography, and magnetic resonance imaging showed two masses in an almost normal aorta after embolectomy for the acute arterial occlusion. Although the embolus was thrombus histologically, malignant tumors could not be ruled out. The masses did not decrease in size after 7 days of anticoagulant therapy, so they were extirpated under cardiopulmonary bypass (CPB) and TEE guidance. Frozen section examination during CPB indicated that there was no evidence of malignancy in the removed mass. TEE played an important role in the diagnosis and surgery of this condition, and it... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235122 Tue, 13 Sep 2011 15:54:39 +0100 5235122 Successful surgical treatment of intravascular ultrasonography catheter entrapment http://www.medworm.com/index.php?rid=5235121&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ftg846717411n0276%2F Abstract  Coronary angiography (CAG) was performed in a 77-year-old woman who presented with chest discomfort. The CAG showed two diseased vessels. For treatment, the patient underwent angioplasty and stenting. During intravascular ultrasonography (IVUS) following stent deployment, the IVUS catheter became entrapped in the left anterior descending coronary artery, causing ischemic changes in the anterolateral wall, which were apparent on the electrocardiogram. The patient underwent emergency coronary artery bypass grafting and removal of the entrapped IVUS catheter. Content Type Journal ArticleCategory Case ReportPages 609-611DOI 10.1007/s11748-010-0750-4Authors Atsutomo Morishima, Department of Cardiovascular Surgery, Kinki University Graduate School of Medicine, Nara... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235121 Tue, 13 Sep 2011 15:54:39 +0100 5235121 Thoracic and cardiovascular surgery in Japan during 2009 http://www.medworm.com/index.php?rid=5235120&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbkv414128n053627%2F Content Type Journal ArticleCategory Annual ReportPages 636-667DOI 10.1007/s11748-011-0838-5Authors Ryuzo Sakata, Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, JapanYoshitaka Fujii, Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanHiroyuki Kuwano, Department of General Surgical Science, Division of Biosystem Medicine, Subdivision of Oncology, Course of Medical Sciences, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 59 Journal Issue Volume 59, Number 9 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235120 Tue, 13 Sep 2011 15:54:39 +0100 5235120 Validation of the JapanSCORE versus the logistic EuroSCORE for predicting operative mortality of cardiovascular surgery in Yamaguchi University Hospital http://www.medworm.com/index.php?rid=5235123&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2kw7358806212437%2F Conclusion  The JapanSCORE seems to be a more reliable risk model than the logistic EuroSCORE for patients undergoing cardiac or thoracic aortic surgery at Yamaguchi University Hospital. Content Type Journal ArticleCategory Original ArticlePages 599-604DOI 10.1007/s11748-011-0784-2Authors Hiroshi Kurazumi, Division of Cardiac Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505 JapanAkihito Mikamo, Division of Cardiac Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505 JapanGaku Fukamitsu, Division of Cardiac Surgery, Department of Surgery and Clinical Science, Yamaguchi Unive... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235123 Tue, 13 Sep 2011 15:54:38 +0100 5235123 Thoracoscopic resection of a mesenchymal cystic hamartoma of the lung http://www.medworm.com/index.php?rid=5235124&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh5h4r01203k2277g%2F We present a case of surgically resected mesenchymal cystic hamartoma of the lung in a 49-yearold woman who presented without any symptoms. Chest computed tomography showed a solitary cystic lesion in the right lower lobe. The patient underwent preoperative marking by 0.2 ml lipiodol 4 days before surgery. Thoracoscopic partial resection of the right lower lobe was performed. The histological picture and immunohistochemical profile were compatible with this tumor. Content Type Journal ArticleCategory Case ReportPages 619-622DOI 10.1007/s11748-010-0740-6Authors Akira Mogi, Department of General Surgical Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511 JapanTomomi Miyanaga, Department of Human Pathology, Gunma University Graduate... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235124 Tue, 13 Sep 2011 15:54:37 +0100 5235124 A case of an elderly patient treated for descending necrotizing mediastinitis http://www.medworm.com/index.php?rid=5235125&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq30j1pm755744665%2F We report a case of descending necrotizing mediastinitis (DNM). DNM is a serious infection, and preventing death requires early diagnosis and draining of the infection focus. An 84-year-old man was admitted to our hospital complaining of a swollen neck and pain when swallowing. He had had a tooth extracted at a neighboring dental clinic 2 days previously. Cervicothoracic computed tomography (CT) scan demonstrated gas bubbles and unencapsulated abscesses in the cervical spaces and anterosuperior and posterior mediastinum, extending below the carina. He was diagnosed as DNM caused by odontogenic infection. Cervical drainage was performed, in addition to mediastinal drainage using video-assisted thoracic surgery (VATS). Complications were sepsis, disseminated intravascular coagulation (... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235125 Tue, 13 Sep 2011 15:54:36 +0100 5235125 Successful treatment of lung adenocarcinoma in an 18-year-old man http://www.medworm.com/index.php?rid=5235127&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0r3g8h414h4mk612%2F We report a case of a primary lung adenocarcinoma in an 18-year-old man who presented for examination of a solitary nodule located in the right lower lobe of the lung. A right lower lobectomy was performed with an incomplete resection because of pleural dissemination (pT4N2M0 stage IIIB adenocarcinoma). Intrathoracic chemotherapy (cisplatin, 50 mg/body) was administered initially, followed by systemic chemotherapy (carboplatin + paclitaxel). A bronchopleural fistula occurred 2 months postoperatively and was successfully treated with conservative therapy, including thoracic drainage, intrathoracic fibrin glue administration, and transbronchial superglue administration. Thereafter, a total of five courses of systemic chemotherapy with minor changes in the administration regimen were pe... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235127 Tue, 13 Sep 2011 15:54:35 +0100 5235127 Prognostic implication of lymphatic vessel invasion in stage IB (pT2aN0M0) non-small cell lung cancer http://www.medworm.com/index.php?rid=5235126&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8512202rh664ju06%2F Conclusion  Lymphatic vessel invasion of cancer cells was indicated as an independent prognostic factor in revised stage IB non-small cell lung cancer. Content Type Journal ArticleCategory Original ArticlePages 605-608DOI 10.1007/s11748-011-0782-4Authors Kunio Araki, Department of Surgery, National Hospital Organization, Matsue Medical Center, 5-8-31 Agenogi, Matsue, 690-8556 JapanYoshin Adachi, Department of Surgery, National Hospital Organization, Matsue Medical Center, 5-8-31 Agenogi, Matsue, 690-8556 JapanHiroyuki Metsugi, Department of Surgery, National Hospital Organization, Matsue Medical Center, 5-8-31 Agenogi, Matsue, 690-8556 JapanTakeshi Tokushima, Department of Surgery, National Hospital Organization, Matsue Medical Center, 5-8-31 Agenogi, Matsue, 690-8556... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235126 Tue, 13 Sep 2011 15:54:35 +0100 5235126 Successfully treated postbronchoplasty bronchial stenosis using short-interval repeated endobronchial balloon dilation http://www.medworm.com/index.php?rid=5235128&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff247h6065021545j%2F Abstract  A 63-year-old man with a history of lung cancer underwent lobectomy of the right upper lobe and bronchoplasty. At the 2-month follow-up, bronchial stenosis due to a granuloma was observed. Endoscopic débridement and balloon dilation were performed. At 1 month after the dilation, atelectasis occurred owing to cicatricial stenosis. We repeated balloon dilation, but the patient suffered from cicatricial restenosis. After a failed stent placement, balloon dilation was then performed every 2 weeks under local anesthesia; the stenosis was resolved after performing dilation 7 times. Short-term repeated balloon dilation was effective in this case. Content Type Journal ArticleCategory Case ReportPages 627-631DOI 10.1007/s11748-010-0745-1Authors Takekazu Iwata, Depar... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235128 Tue, 13 Sep 2011 15:54:34 +0100 5235128 Combined subsegmentectomy for S2b (horizontal subsegment of the posterior segment) and S3a (lateral subsegment of the anterior segment) in the right upper pulmonary lobe http://www.medworm.com/index.php?rid=5235130&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn807t3221jk3w233%2F Abstract  A technique for combined resection of S2 b (horizontal subsegment of the posterior segment) and S3 a (lateral subsegment of the anterior segment) of the right upper lobe of the lung is presented. Although both the S2 b and S3 a should be resected from the interlobar fissure, an approach for the artery and bronchus of S3 a (A3 a and B3 a, respectively) is easier from the ventral side of the hilum rather than from the interlobar fissure, because B3 runs in back of V2 at the interlobar fissure. To resolve this contradiction, we devised a procedure as follows: (1) A2 b and B2 b are cut at the interlobar fissure; (2) A3 a and B3 a are cut from the ventral side of hilum; (3) the peripheral stumps of A3 a and B3 a are transferred to the interlobar fissure; and (4)... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235130 Tue, 13 Sep 2011 15:54:33 +0100 5235130 Risk prediction of cardiovascular surgery in Japanese patients http://www.medworm.com/index.php?rid=5235129&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx1050345276720t2%2F Content Type Journal ArticleCategory EditorialPages 597-598DOI 10.1007/s11748-011-0816-yAuthors Takahiro Nishida, Department of Cardiovascular Surgery, Kyushu University, Fukuoka, JapanMunetaka Masuda, Department of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004 Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 59 Journal Issue Volume 59, Number 9 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5235129 Tue, 13 Sep 2011 15:54:33 +0100 5235129 Erratum to: Thoracic splenosis: know it—avoid unnecessary investigations, interventions, and thoracotomy http://www.medworm.com/index.php?rid=5157923&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe15w38567r273q00%2F Content Type Journal ArticleCategory ErratumPages 593-593DOI 10.1007/s11748-011-0845-6Authors Amir Maqbul Khan, Department of Pulmonary Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USAKamran Manzoor, Department of Pulmonary Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USAZeeshan Malik, Department of Pulmonary Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USAYasim Avsar, Department of Pulmonary Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USAChang Shim, Department of Pulmonary Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA Journal General Thoracic and Cardiovascular SurgeryOnline IS... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157923 Thu, 18 Aug 2011 06:05:21 +0100 5157923 Comprehensive preassessment form for adult cardiac surgery http://www.medworm.com/index.php?rid=5157924&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw85267053182x325%2F Abstract  Comprehensive evaluation of our patients before putting them under “the knife” can never be overemphasized. It is our duty to care for the patients. Detailed history-taking, clinical examination, and investigations are mandatory prior to surgery. For many years, we have striven to make our method thorough and safe for all patients. We propose here a simple, comprehensive preassessment form that is easily applicable in any unit. Content Type Journal ArticleCategory How to Do ItPages 590-592DOI 10.1007/s11748-010-0692-xAuthors Amir Tahvili, Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield Teaching Hospitals NHS Trust, Sheffield, S5 7AU UKEdward W. K. Peng, Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield Te... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157924 Thu, 18 Aug 2011 06:05:19 +0100 5157924 Patch annulo-aortoplasty in an adult patient with congenital supravalvular aortic stenosis and a small aortic annulus http://www.medworm.com/index.php?rid=5157926&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv375r07721824w53%2F Abstract  A 39-year-old woman with familial homozygous hypercholesterolemia had supravalvular and valvular aortic stenosis. Modified Nick’s procedure and aortic valve replacement was performed to relieve both the supravalvular and annular stenoses. At surgery, the ascending aorta was found to be narrowing at the level of the sinotubular junction, which was compatible with congenital supravalvular aortic stenosis. Histological examination of the aortic cusps showed sclerotic change due to hypercholesterolemia. These findings indicated that familial homozygous hypercholesterolemia caused valvular aortic stenosis and exacerbated congenital supravalvular aortic stenosis. Content Type Journal ArticleCategory Case ReportPages 569-571DOI 10.1007/s11748-010-0736-2Authors Na... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157926 Thu, 18 Aug 2011 06:05:18 +0100 5157926 Acute aortic dissection at 33 weeks of gestation with fetal distress syndrome http://www.medworm.com/index.php?rid=5157925&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F525386746867u681%2F Abstract  The present report describes a female patient, 33 weeks pregnant, who demonstrated complicated abnormal placenta formation and fetal distress, and who presented with an acute type A aortic dissection. The patient underwent an immediate cesarean section and hysterectomy followed by a successful emergency surgical aortic repair, thereby obtaining a favorable outcome for both mother and baby. Content Type Journal ArticleCategory Case ReportPages 566-568DOI 10.1007/s11748-010-0735-3Authors Akira Marumoto, Division of Organ Regeneration Surgery, Department of Cardiovascular Surgery, Tottori University Faculty of Medicine, 36-1 Nishi-cho, Yonago, Tottori, 683-8504 JapanYoshinobu Nakamura, Division of Organ Regeneration Surgery, Department of Cardiovascular Surgery, ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157925 Thu, 18 Aug 2011 06:05:18 +0100 5157925 Invasive thymoma with osseous metaplasia and cystic change in a case of myasthenia gravis: a rare presentation http://www.medworm.com/index.php?rid=5157927&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu354162615674n25%2F Abstract  A 35-year-old woman, a known case of myasthenia gravis, was found to have an anterior mediastinal mass, which was surgically removed. The preoperative clinical and radiologic diagnosis was that of a thymoma, but foci of calcification and prominent cystic change suggested the remote possibility of a teratoma. Histopathologically, it was confirmed to be a type B3 invasive thymoma with intratumoral ossification. Up to the present, three cases of thymoma with osseous metaplasia, including only one with myasthenia gravis, have been reported in the English literature. The present case report highlights the rare occurrence of osseous metaplasia in thymomas and the diagnostic challenge that it can pose, especially if it is associated with cystic degeneration. Content... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157927 Thu, 18 Aug 2011 06:05:17 +0100 5157927 A case of pulmonary infective endarteritis associated with patent ductus arteriosus: surgical closure under circulatory arrest http://www.medworm.com/index.php?rid=5157930&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ftq31336x45738663%2F We report a rare case of open heart surgery in a patient with pulmonary infective endarteritis associated with patent ductus arteriosus. Content Type Journal ArticleCategory Case ReportPages 563-565DOI 10.1007/s11748-010-0729-1Authors Seiji Matsukuma, Department of Cardiovascular Surgery, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501 JapanKiyoyuki Eishi, Department of Cardiovascular Surgery, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501 JapanKouji Hashizume, Department of Cardiovascular Surgery, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501 JapanTakashi Oshitomi, Department of Cardiovascular Surgery, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, N... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157930 Thu, 18 Aug 2011 06:05:16 +0100 5157930 Castleman’s disease of the pleura http://www.medworm.com/index.php?rid=5157929&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3418175361355115%2F We present the clinical scenario, investigations, and our management of the patient. Content Type Journal ArticleCategory Case ReportPages 572-574DOI 10.1007/s11748-010-0676-xAuthors Rajaram Burrah, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka 560029, IndiaVijayalakshmi Deshmane, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka 560029, IndiaSyed Althaf, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka 560029, IndiaSrinivasalu Yapamakula, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, Karnataka 560029, IndiaSathyanarayana Kurubabala, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore,... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157929 Thu, 18 Aug 2011 06:05:16 +0100 5157929 Complete sternal cleft in an adult: case report http://www.medworm.com/index.php?rid=5157928&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk7818068483037rl%2F We report a rare case of complete sternal cleft in a 25-year-old woman. After surgical correction of the pectus excavatum, complete closure by direct approximation of the freshened sternal remnants to the midline, without interposition of tissue graft or inert prosthesis, was achieved in our patient. The functional and cosmetic result was excellent after complete healing. Content Type Journal ArticleCategory Case ReportPages 587-589DOI 10.1007/s11748-010-0734-4Authors El Hassane Kabiri, Department of Thoracic Surgery, Mohamed V Military Teaching Hospital, Riad, 10100 Rabat, MoroccoAkram Traibi, Department of Thoracic Surgery, Mohamed V Military Teaching Hospital, Riad, 10100 Rabat, MoroccoAbdellatif Boulahya, Department of Cardiac Surgery, Mohamed V Military Teaching Hospital, Ra... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157928 Thu, 18 Aug 2011 06:05:16 +0100 5157928 Lymphatic and venous malformation or “lymphangiohemangioma“ of the anterior mediastinum: case report and literature review http://www.medworm.com/index.php?rid=5157931&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa4767j0q8v2l5714%2F We present a case of mediastinal LVM, with review of the literature. An asymptomatic 60-yearold man presented for evaluation of an anterior mediastinal mass. On chest computed tomography (CT), the mass demonstrated contrast enhancement and its 7-mm vein draining directly into the left brachiocephalic vein. The tumor was resected completely using video-assisted thoracoscopic surgery. The surgical specimen revealed combined features of venous and lymphatic dysplasia, and was diagnosed it as LVM, so-called mediastinal lymphangiohemangioma. Management plans based on precise imaging studies using magnetic resonance imaging and multi-detector-row CT phlebography could be helpful in guiding both preoperative diagnosis and subsequent treatment decisions for mediastinal LVM. Content Type... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157931 Thu, 18 Aug 2011 06:05:14 +0100 5157931 Disseminated calcifying tumor of the pleura: review of the literature and a case report with immunohistochemical study of its histogenesis http://www.medworm.com/index.php?rid=5157932&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr8q7m5887311v08t%2F Abstract  Calcifying tumor of the pleura is a rare benign tumor, similar to the calcifying fibrous pseudotumor originally described in the subcutaneous and deep soft tissues of the extremities, trunk, and neck. Calcifying tumors of the pleura have also been reported infrequently as disseminated lesions. Here we report a case of disseminated calcifying tumor of the pleura, with some new findings obtained in this study, and review the literature of disseminated calcifying tumor of the pleura. Content Type Journal ArticleCategory Case ReportPages 579-582DOI 10.1007/s11748-010-0733-5Authors Mitsuhiro Isaka, Division of Thoracic Surgery, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777 JapanKazuo Nakagawa, Division of Thoracic Surgery,... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157932 Thu, 18 Aug 2011 06:05:13 +0100 5157932 Treatment of prosthetic valve endocarditis complicated by destruction of the aortic annulus http://www.medworm.com/index.php?rid=5157934&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg426n216883n3047%2F Conclusion  Our simple procedure for complicated prosthetic valve endocarditis yielded excellent early and midterm outcomes. Content Type Journal ArticleCategory Original ArticlePages 553-558DOI 10.1007/s11748-011-0792-2Authors Yuki Okamoto, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanKenji Minakata, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanTomoyuki Yunoki, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanMasatake Katsu, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanShin-ichiro Chino, Division of Cardiovascular Surgery, Tominaga Hospital, Osaka, JapanMasahiko Matsumoto, Second Department of Surgery, University of Yamanashi, Yamanashi, Japan Journal General Thoracic and Cardiova... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157934 Thu, 18 Aug 2011 06:05:12 +0100 5157934 High-velocity penetrating thoracic trauma with suspected cardiac involvement in a combat support hospital http://www.medworm.com/index.php?rid=5157933&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F906008414q21k628%2F Conclusion  This case series is too small to draw definitive conclusions; however, a multidisciplinary approach to high-velocity injuries with potential for cardiac involvement augments preoperative assessment for myocardial injury and may allow selective nonoperative management. Content Type Journal ArticleCategory Original ArticlePages 547-552DOI 10.1007/s11748-010-0762-0Authors Francisco Dominguez, Cardiology Service MCHE-MDC, Brooke Army Medical Center, 3851 Roger Brooke Drive, San Antonio, TX 78234-6200, USAAlec C. Beekley, 28th Combat Support Hospital, Ibn Sina Hospital, Baghdad, IraqLinda L. Huffer, Walter Reed Army Medical Center, Washington, DC, USAPhilip J. Gentlesk, Cardiology Service MCHE-MDC, Brooke Army Medical Center, 3851 Roger Brooke Drive, San Anton... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157933 Thu, 18 Aug 2011 06:05:12 +0100 5157933 Treatment for pulmonary hypertension including lung transplantation http://www.medworm.com/index.php?rid=5157937&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff6q633480326141m%2F Abstract  Pulmonary hypertension (PH) is a progressive disease characterized by sustained elevation in pulmonary arterial pressure and increased pulmonary vascular resistance, leading to right-sided ventricular failure. The untreated median survival period is 2–3 years from the time of diagnosis, with the cause of death usually being right-sided ventricular failure. However, outcomes have dramatically changed in recent years because of great advances in medical management of PH, including early diagnosis and new drugs such as prostaglandins, endothelin receptor antagonists, and phosphodiesterase type 5 inhibitors. Long-term continuous intravenous prostacyclin therapy has shown excellent results in patients with PH. More recently, a molecular-targeted agent, imatinib mesyl... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157937 Thu, 18 Aug 2011 06:05:11 +0100 5157937 Traumatic rupture of the false lumen in a patient with preexisting chronic dissection of the descending thoracic aorta http://www.medworm.com/index.php?rid=5157936&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp18t02128456j18p%2F Abstract  A 63-year-old man was transported to the emergency medical center due to blunt chest trauma combined with a fractured left leg caused by a motorcycle accident. He complained of severe dyspnea. Contrast-enhanced computed tomography revealed chronic aortic dissection DeBakey III, mediastinal hematoma of high density just above the diaphragm around the aorta, and an intimal flap-like shadow in the false lumen. Traumatic aortic rupture (TAR) with chronic aortic dissection was suspected. Aortography showed no clear sign of leakage, but a double-contour density was found in the outer wall of the false lumen of the descending aorta just above the diaphragm. He was therefore diagnosed with TAR and underwent an emergency operation. At the operation, rupture in the outer wa... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157936 Thu, 18 Aug 2011 06:05:11 +0100 5157936 Molecular oncology of lung cancer http://www.medworm.com/index.php?rid=5157935&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy4v120150154rx28%2F Abstract  Progress in genetic engineering has made it possible to elucidate the molecular biological abnormalities in lung cancer. Mutations in KRAS and P53 genes, loss of specific alleles, and DNA methylation of the tumor suppressor genes were the major abnormalities investigated between 1980 and the 2000s. In 2004, mutations in the epidermal growth factor receptor (EGFR) gene that cause oncogene addiction were discovered in non-small-cell lung cancers (NSCLCs), especially in adenocarcinomas. Because they are strongly associated with sensitivity to EGFR-tyrosine kinase inhibitors (EGFR-TKIs), a great deal of knowledge has been acquired in regard to both EGFR and other genes in the EGFR family and their downstream genes. Moreover, in 2007 the existence of the echinoderm micro... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157935 Thu, 18 Aug 2011 06:05:11 +0100 5157935 Reply to the editor http://www.medworm.com/index.php?rid=5157938&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg0054597x54m6796%2F Content Type Journal ArticleCategory Letter to the EditorPages 87-87DOI 10.1007/BF03218096Authors Iwao Taniguchi, Department of Thoracic and CardiovascularSurgery, Tottori Prefectural Central Hospital, 730 Ezu, 680-0901 Tottori, Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 48 Journal Issue Volume 48, Number 1 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157938 Wed, 17 Aug 2011 05:49:04 +0100 5157938 Pulmonary trunk aneurysm http://www.medworm.com/index.php?rid=5157939&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F87135346qr28mj85%2F Content Type Journal ArticleCategory Letter to the EditorPages 87-87DOI 10.1007/BF03218095Authors Shinji Shimokawa, Second Department of Surgery, Kagoshima University Faculty of Medicine, 8-35-1 Sakuragaoka, 890-8520 Kagoshima, JapanYukinori Moriyama, Second Department of Surgery, Kagoshima University Faculty of Medicine, 8-35-1 Sakuragaoka, 890-8520 Kagoshima, Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 48 Journal Issue Volume 48, Number 1 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157939 Wed, 17 Aug 2011 05:49:03 +0100 5157939 Reply to the editor http://www.medworm.com/index.php?rid=5157940&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy462025179215h55%2F Content Type Journal ArticleCategory Letter to the EditorPages 86-86DOI 10.1007/BF03218094Authors Satoshi Yamashiro, Second Department of Surgery Faculty of Medicine, University of the Ryukyu, 207 Uehara, Nishihara, 903-0125 Okinawa, Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 48 Journal Issue Volume 48, Number 1 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157940 Wed, 17 Aug 2011 05:49:02 +0100 5157940 Innominate artery injury by blunt trauma http://www.medworm.com/index.php?rid=5157941&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff3636pg35038q725%2F Content Type Journal ArticleCategory Letter to the EditorPages 86-86DOI 10.1007/BF03218093Authors Hitoshi Hirose, Department of Cardiovascular Surgery, Shin-Tokyo Hospital, 473-1 Nemoto, Matsudo City, 271-0077 Chiba, Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 48 Journal Issue Volume 48, Number 1 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157941 Wed, 17 Aug 2011 05:49:01 +0100 5157941 Aorto-bronchial fistula after implantation of a self-expanding bronchial stent in a patient with aortic dissection http://www.medworm.com/index.php?rid=5157944&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwu32521133u354lx%2F We report a case of aorto-bronchial fistula after implantation of a self-expanding stent into the left main bronchus compressed by a dissected descending aorta. A 66-year-old female, who underwent Stanford type-B aortic dissection two years previously, was admitted to our hospital for the treatment of a newly developed false lumen that originated from the ascending aorta and extended to the aortic bifurcation. She was unable to be weaned from the respirator after the graft replacement of the ascending aorta. Fiberoptic bronchoscopic examination revealed complete obstruction of the left main bronchus by extrinsic compression. A self-expanding nitinol stent was implanted in the left main bronchus five days after the operation. Her respiratory condition improved remarkably, allowing her... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157944 Wed, 17 Aug 2011 05:49:00 +0100 5157944 Acute heart failure due to local dehiscence of aortic wall at aortic valvular commissure http://www.medworm.com/index.php?rid=5157943&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6530817302861040%2F We describe the case of a 56-year-old man with hypertension, who experienced acutely progressive congestive heart failure due to massive aortic regurgitation. Local layer dehiscence around the commissure was noted with partial detachment of the commissure resulting in the loss of commissural support with secondary rupture of a non-coronary cusp, which led to massive aortic regurgitation. Content Type Journal ArticleCategory Case ReportPages 80-82DOI 10.1007/BF03218091Authors Yuzuru Sakakibara, Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba City, 305-8575 Ibaraki, JapanSeigo Gomi, Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba City, 305-8575 Ibaraki, JapanWahei Mihara, Dep... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157943 Wed, 17 Aug 2011 05:49:00 +0100 5157943 Translocation of aortic valve for calcific aortic stenosis http://www.medworm.com/index.php?rid=5157942&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn0646773m7231636%2F Abstract  A 56-year-old man underwent surgery for treatment of severe calcific aortic stenosis. Because it was found after excision of the aortic valve that calcification of the annulus was too extensive for the placement of sutures, translocation of the aortic valve was performed. The results were satisfactory and indicate that translocation is a useful alternative in cases of severe calcification of the aortic valve which cannot be treated by ordinary valve replacement. Content Type Journal ArticleCategory Case ReportPages 83-85DOI 10.1007/BF03218092Authors Mikio Ninomiya, Department of Cardiovascular Surgery, Toranomon Hospital, Tokyo, JapanHaruo Makuuchi, Department of Cardiovascular Surgery, Toranomon Hospital, Tokyo, JapanYoshihiro Naruse, Department of Cardiovasc... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157942 Wed, 17 Aug 2011 05:49:00 +0100 5157942 Mediastinal growing teratoma syndrome http://www.medworm.com/index.php?rid=5157946&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl6727l77n6523m82%2F Abstract  A 27-year-old man had undergone orchiectomy and chemotherapy for testicular cancer. Despite normalization of raised tumor marker levels after postoperative chemotherapy, computed tomographic scanning demonstrated multiple swellings of the para-aortic lymph nodes with extension from beneath the aortic arch to the bifurcation of the descending aorta. Open biopsies of the para-aortic lymph nodes disclosed mature teraroma without malignant cells. The patient presented the typical features of mediastinal and retroperitoneal growing teratoma syndrome. A two stage resection of the tumors was performed via laparotomy and left thoracotomy. Histological examination of the resected specimens revealed a mature teratoma component without malignant cells. Upon follow-up sixteen... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157946 Wed, 17 Aug 2011 05:48:59 +0100 5157946 Off-pump coronary artery bypass grafting via partial sternotomy http://www.medworm.com/index.php?rid=5157945&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd387612128288771%2F Abstract  Four patients, who were considered to be inappropriate candidates for left anterior small thoracotomy, underwent off-pump coronary artery bypass grafting via partial sternotomy. Under a median skin incision over the lower half of the sternum, the sternum below the second rib was cut in an “inverted L” (or “C”) shape. Without cardiopulmonary bypass, the left internal thoracic artery was anastomosed to the left anterior descending artery in all patients, and a saphenous vein graft was anastomosed to the right coronary artery in one of them. Partial sternotomy has some advantages as an alternative to left anterior small thoracotomy, in that it enables multiple-bypass grafting without cardiopulmonary bypass and conversion to cardiopulmonary bypass, should it b... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157945 Wed, 17 Aug 2011 05:48:59 +0100 5157945 Surgical management of pulmonary aspergilloma http://www.medworm.com/index.php?rid=5157947&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc22771086m053122%2F Conclusion: Our experience was not a controlled trial and two relapsed cases had undergone cavernostomy, our series may suggest that single-stage cavernostomy with muscle transposition is a viable surgical option for patients with pulmonary aspergilloma. Content Type Journal ArticleCategory Original ArticlePages 56-59DOI 10.1007/BF03218085Authors Nobuhiro Ono, Department of Thoracic Surgery, Nagahama City Hospital, 313 O-inui cho, Nagahama, 526-8580 Shiga, JapanKiyoshi Sato, Department of Thoracic Surgery, Japanese Red Cross Society Wakayama Medical Center, Wakayama, JapanHiroyasu Yokomise, Department of Thoracic Surgery, Japanese Red Cross Society Wakayama Medical Center, Wakayama, JapanKoichi Tamura, Department of Thoracic Surgery, Japanese Red Cross Society Wakayama Medical Cent... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157947 Wed, 17 Aug 2011 05:48:58 +0100 5157947 Evaluation of motor- and sensory-evoked potentials for spinal cord monitoring during thoracoabdominal aortic aneurysm surgery http://www.medworm.com/index.php?rid=5157948&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu48t5322303123w4%2F Conclusion: The recovery of the amplitude of the motor evoked potentials and the descending evoked spinal cord potentials after declamping correlated with the neurologic outcome. Content Type Journal ArticleCategory Original ArticlePages 60-65DOI 10.1007/BF03218086Authors Taijiro Sueda, First Department of Surgery, Hiroshima University, School of Medicine, 1-2-3 Kasumi, Minami-ku, 734-8551 Hiroshima, JapanKenji Okada, First Department of Surgery, Hiroshima University, School of Medicine, 1-2-3 Kasumi, Minami-ku, 734-8551 Hiroshima, JapanMasanobu Watari, First Department of Surgery, Hiroshima University, School of Medicine, 1-2-3 Kasumi, Minami-ku, 734-8551 Hiroshima, JapanKazumasa Orihashi, First Department of Surgery, Hiroshima University, School of Medicine, 1-2-3 Kasumi, Minami-... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157948 Wed, 17 Aug 2011 05:48:57 +0100 5157948 Risk factors for posttransfusion graft versus host disease, mediastinitis, and late cardiac tamponade in heart surgery http://www.medworm.com/index.php?rid=5157949&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbp92j25744q44813%2F Conclusion: Our results suggest that massive steroid administration for cardiopulmonary bypass may increase the risk of posttransfusion graft-versus-host disease and late cardiac tamponade, but not mediastinitis. Content Type Journal ArticleCategory Original ArticlePages 47-55DOI 10.1007/BF03218084Authors Hisanori Mayumi, Department of Cardiovascular Surgery and Clinical Research Laboratory, National Kyushu Medical Center Hospital, Kyushu University, Fukuoka, JapanAtsuhiro Nakashima, Department of Cardiovascular Surgery and Clinical Research Laboratory, National Kyushu Medical Center Hospital, Kyushu University, Fukuoka, JapanMasaru Nishimi, Department of Cardiovascular Surgery and Clinical Research Laboratory, National Kyushu Medical Center Hospital, Kyushu University, Fukuoka, Ja... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157949 Wed, 17 Aug 2011 05:48:56 +0100 5157949 Combined thoracic aortic or upper digestive tract resection for lung cancer and malignant mediastinal tumor http://www.medworm.com/index.php?rid=5157953&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F963np06064086365%2F Conclusions: In combined resection due to malignant mediastinal tumor, T4N0-1 lung cancer, or diseases such as aortic aneurysm, prognosis can be expected to improve. Despite the often poor prognosis in T4N2 lung cancer, surgical intervention may be indicated to avoid complications due to tumor invasion and to lengthen survival and improve quality of life. Content Type Journal ArticleCategory Original ArticlePages 9-15DOI 10.1007/BF03218079Authors Kunihiro Oyama, Department of SurgeryI, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666 Tokyo, JapanTakamasa Onuki, Department of SurgeryI, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666 Tokyo, JapanMasahiro Mae, Department of SurgeryI, Tokyo Women’s Medical University, 8-1 Kawada-cho... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157953 Wed, 17 Aug 2011 05:48:54 +0100 5157953 Evaluation of postoperative cardiac function and long-term results in patients after aortic valve replacement for aortic valve disease with increased left ventricular mass http://www.medworm.com/index.php?rid=5157952&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh7k1369862648301%2F Conclusion: Aortic valve replacement is recommended for patients with eccentric hypertrophy in the adequate clinical phase of patients whose left ventricular mass index is less than 272 g/m2. Content Type Journal ArticleCategory Original ArticlePages 30-38DOI 10.1007/BF03218082Authors Masafumi Natsuaki, Department of Thoracic and Cardiovascular Surgery, Saga Medical School, 5-1-1, Nabeshima Saga City, 849-8501 Saga, JapanTsuyoshi Itoh, Department of Thoracic and Cardiovascular Surgery, Saga Medical School, 5-1-1, Nabeshima Saga City, 849-8501 Saga, JapanYukio Okazaki, Department of Thoracic and Cardiovascular Surgery, Saga Medical School, 5-1-1, Nabeshima Saga City, 849-8501 Saga, JapanHironori Ishida, Department of Thoracic and Cardiovascular Surgery, Saga Medical School, 5-1-1, N... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157952 Wed, 17 Aug 2011 05:48:54 +0100 5157952 Nicorandil pretreatment and improved myocardial protection during cold blood cardioplegia http://www.medworm.com/index.php?rid=5157951&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr371m51273p06413%2F Conclusion: This data suggests that pretreatment with nicorandil enhances the myocardial protection achieved by cold blood cardioplegia. Content Type Journal ArticleCategory Original ArticlePages 24-29DOI 10.1007/BF03218081Authors Yan Li, Department of Thoracic and Cardiovascular Surgery, Tohoku Uneversity School of Medicine, 1-1 Seiryo-cho, Aoba-ku, 980-8574 Sendai, JapanAtsushi Iguchi, Department of Thoracic and Cardiovascular Surgery, Tohoku Uneversity School of Medicine, 1-1 Seiryo-cho, Aoba-ku, 980-8574 Sendai, JapanYusuke Tsuru, Department of Thoracic and Cardiovascular Surgery, Tohoku Uneversity School of Medicine, 1-1 Seiryo-cho, Aoba-ku, 980-8574 Sendai, JapanTakahiko Nakame, Department of Thoracic and Cardiovascular Surgery, Tohoku Uneversity School of Medicine, 1-1 Seiryo... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157951 Wed, 17 Aug 2011 05:48:54 +0100 5157951 Clinical experience of argatroban for anticoagulation in cardiovascular surgery http://www.medworm.com/index.php?rid=5157950&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2320t06p33305728%2F Conclusion: Argatroban may be useful as an anticoagulant in the field of cardiovascular surgery as a substitute for heparin, without causing any post-surgery bleeding complication, or influencing the fibrinolytic activities or platelet functions. Content Type Journal ArticleCategory Original ArticlePages 39-46DOI 10.1007/BF03218083Authors Hitoshi Ohteki, Department of Cardiovascular Surgery, Saga Prefectural Hospital Koseikan, 1-12-9 Mizugae, 840-0054 Saga, JapanKojiro Furukawa, Department of Cardiovascular Surgery, Saga Prefectural Hospital Koseikan, 1-12-9 Mizugae, 840-0054 Saga, JapanHiroyuki Ohnishi, Department of Cardiovascular Surgery, Saga Prefectural Hospital Koseikan, 1-12-9 Mizugae, 840-0054 Saga, JapanYasushi Narita, Department of Cardiovascular Surgery, Saga Prefectural... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157950 Wed, 17 Aug 2011 05:48:54 +0100 5157950 Terminal warm blood cardioplegia improves the recovery of myocardial electrical activity http://www.medworm.com/index.php?rid=5157954&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq661205189kw7505%2F Conclusion: Terminal warm blood cardioplegia thus promoted better postoperative electrophysiological cardiac recovery. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/BF03218078Authors Yoshinobu Hattori, Department of Thoracic Surgery, Fujita Health University School of Medicine, Toyoake, 470-1192 Aichi, JapanZequan Yang, Department of Thoracic Surgery, Fujita Health University School of Medicine, Toyoake, 470-1192 Aichi, JapanShuichiro Sugimura, Department of Thoracic Surgery, Fujita Health University School of Medicine, Toyoake, 470-1192 Aichi, JapanTadashi Iriyama, Department of Thoracic Surgery, Fujita Health University School of Medicine, Toyoake, 470-1192 Aichi, JapanKouji Watanabe, Department of Thoracic Surgery, Fujita Health University School of Me... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157954 Wed, 17 Aug 2011 05:48:53 +0100 5157954 Stanford type A acute dissection developing acute myocardial infarction http://www.medworm.com/index.php?rid=5157955&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0343352338549471%2F Abstract  A 75-year-old female, exhibiting epigastric pain and vomiting, underwent treatment for acute gastritis. She also experienced incontinence of urine and chest pain. A diagnosis of acute myocardial infarction was made upon examination of electrocardiographic findings and the patient was transferred to our hospital. Diffuse infarction of the left ventricle and acute aortic dissection (Stanford type A) were diagnosed by electrocardiographic and echo-cardiography. An emergency operation was performed. After induction of anesthesia, elevation of pulmonary artery pressure and fall of pulse pressure were observed, indicating acute cardiac tamponade. Transesophageal ultrasonography disclosed the entry of dissection in the descending aorta. Dissection of the aorta extended p... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157955 Wed, 17 Aug 2011 05:48:52 +0100 5157955 Right ventricular volume unloading evaluated by tangential magnetocardiography http://www.medworm.com/index.php?rid=5157956&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy1x6u6070616p051%2F Conclusions: We conclude that acute volume unloading of the right ventricle was indicated quantitatively by shortening of the right ventricular depolarization time and a reduction in the amplitude of current vectors originating from the right ventricular depolarization on the tangential magnetocardiography. Content Type Journal ArticleCategory Original ArticlePages 16-23DOI 10.1007/BF03218080Authors Yasushi Terada, Department of Cardiovascular Surgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, 305-8575 Ibaraki, JapanToshio Mitsui, Department of Cardiovascular Surgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, 305-8575 Ibaraki, JapanMasato Sato, Department of Cardiovascular Surgery, Institute of Clinical Medicine, University of Tsukuba, T... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5157956 Wed, 17 Aug 2011 05:48:51 +0100 5157956 Less invasive therapy using endovascular stent graft repair and video-assisted thoracoscopic surgery for ruptured acute aortic dissection http://www.medworm.com/index.php?rid=5049491&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft515763353712h37%2F We report a 75-year-old man with a ruptured acute thoracic aortic dissecting hematoma treated using endovascular stent grafting and video-assisted thoracoscopic surgery. This less invasive therapy is a good therapeutic option even in ruptured acute aortic dissections, particularly given the difficulty of surgery. Content Type Journal ArticlePages 603-606DOI 10.1007/BF03218211Authors Toshiya Tokui, Department of Thoracic and Cardiovascular Surgery, National Mie Chuo Hospital, 2158-5 Myojincho, Hisai, 514-1101 Mie, JapanTakatsugu Shimono, Department of Thoracic and Cardiovascular Surgery, National Mie Chuo Hospital, 2158-5 Myojincho, Hisai, 514-1101 Mie, JapanNoriyuki Kato, Department of Thoracic and Cardiovascular Surgery, National Mie Chuo Hospital, 2158-5 Myojincho, Hisai, 514-11... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049491 Fri, 15 Jul 2011 16:04:19 +0100 5049491 Reply to the editor http://www.medworm.com/index.php?rid=5049490&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb65515g0280660h5%2F Content Type Journal ArticlePages 610-610DOI 10.1007/BF03218214Authors Motoharu Narimatsu, Department of Cardiovascular Surgery, Nagasaki Chuo National Hospital, 2-1001-1 Kubara, Omura, 856-8562 Nagasaki, Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 48 Journal Issue Volume 48, Number 9 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049490 Fri, 15 Jul 2011 16:04:19 +0100 5049490 Pericardioperitoneal drainage http://www.medworm.com/index.php?rid=5049493&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frh6605v23tg7524j%2F Content Type Journal ArticlePages 610-610DOI 10.1007/BF03218213Authors Fumihiko Yasuma, Department of Internal Medicine, Suzuka National Sanatorium, 3-2-1 Kasado, Suzuka, 513-8501 Mie, Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 48 Journal Issue Volume 48, Number 9 (Source: General Thoracic and Cardiovascular Surgery) General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049493 Fri, 15 Jul 2011 16:04:18 +0100 5049493 Primary osteosarcoma of heart with severe congestive heart failure http://www.medworm.com/index.php?rid=5049492&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa21644317l67t33p%2F We present a case report on a 54-year-old woman with extraskeletal osteosarcoma of the left atrium featuring severe congestive heart failure. We resected the tumor, which occupied the left atrium and had widely infiltrated the atrial wall, but the patients died of the tumor 9 months after surgery. This is to our knowledge the 32nd case of cardiac osteosarcoma ever reported. Content Type Journal ArticlePages 607-609DOI 10.1007/BF03218212Authors Hiroya Minami, Department of Cardiovascular Surgery, Kobe Rosai Hospital, 4-1-23 Kagoikedori, Chuo-ku, 651-0053 Kobe, JapanNoboru Wakita, Department of Cardiovascular Surgery, Kobe Rosai Hospital, 4-1-23 Kagoikedori, Chuo-ku, 651-0053 Kobe, JapanYujiro Kawanishi, Department of Cardiovascular Surgery, Kobe Rosai Hospital, 4-1-23 Kagoikedori, ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049492 Fri, 15 Jul 2011 16:04:18 +0100 5049492 Adult aortic arch atresia http://www.medworm.com/index.php?rid=5049494&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F91n0v3208h423141%2F Abstract  Atresia in the aortic arch is a rare and severe congenital cardiovascular anomaly. Without surgical therapy, only a few patients can survive to adulthood. A 29-year-old woman with atresia of the aortic arch (Celoria-Patton Type A) without any intracardiac shunt underwent primary surgical correction involving reconstruction of the aortic arch with prosthetic interposition between the transverse aortic arch and the descending aorta and division of the persistent ductus arteriosus. Her postoperative course was uneventful, and she is now doing well at three years to date after surgical treatment. Content Type Journal ArticlePages 599-602DOI 10.1007/BF03218210Authors Satoru Okumura, Department of Cardiovascular Surgery, Otsu Municipal Hospital, 2-9-9 Motomiya, Ots... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049494 Fri, 15 Jul 2011 16:04:17 +0100 5049494 Total anomalous pulmonary venous connection with bronchogenic cyst in neonatal period http://www.medworm.com/index.php?rid=5049497&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0751x1587rn50135%2F Abstract  Here, we report a case of a two-day-old neonate with total anomalous pulmonary venous connection to the innominate vein and a bronchogenic cyst arising from the trachea. Antenatal echocardiography had delineated both cardiac and extracardiac lesions, and a repeated examination on the day of birth disclosed progressive enlargement in the cyst in a manner so as to obstruct the innominate vein. On the second day of life, the patient underwent complete correction of the cardiac lesion and total excision of the cyst. The patient recovered uneventfully and was discharged on the thirteenth postoperative day. Content Type Journal ArticlePages 583-585DOI 10.1007/BF03218205Authors Yasuhiro Uozaki, First Department of Surgery, Toyama Medical and Pharmaceutical Universit... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049497 Fri, 15 Jul 2011 16:04:16 +0100 5049497 Regression of left main coronary ostium stenosis after surgical revascularization and steroid therapy http://www.medworm.com/index.php?rid=5049496&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy1602777t3332707%2F We describe a patient in whom stenosis of the left main coronary ostium completely regressed after steroid treatment following surgical revascularization. A 46-year-old woman with unstable angina underwent double coronary artery bypass grafting. Although she did not fulfill diagnostic criteria for Takayasu’s disease, we began postoperative steroid therapy on postoperative day 14 based on clinical manifestations and histological findings. Coronary angiography 33 days after surgery showed the ostial stenosis of the left main coronary artery had disappeared. Steroid therapy for suspected Takayasu’s disease should be considered even after surgical revascularization. Content Type Journal ArticlePages 594-596DOI 10.1007/BF03218208Authors Yukihisa Isomatsu, Department of Cardiovas... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049496 Fri, 15 Jul 2011 16:04:16 +0100 5049496 Inverted left atrial appendage http://www.medworm.com/index.php?rid=5049495&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fgh217637356r1321%2F Abstract  An unexpected left atrial mass was found during postoperative echocardiography in a 17-years old man following aortic valve replacement, suggesting thrombus, vegetation and neoplasm. Reoperation showed that the mass to be an inverted left atrial appendage. Left ventricular venting may cause such inversion. To prevent this complication, we suggest the use of careful monitoring and intraoperative transesophageal echocardiography. Content Type Journal ArticlePages 597-598DOI 10.1007/BF03218209Authors Naoki Kanemitsu, Department of Cardiovascular Surgery, Kochi Municipal Hospital, 1-7-45 Marunouchi, 780-0850 Kochi, JapanManabu Okabe, Department of Cardiovascular Surgery, Kochi Municipal Hospital, 1-7-45 Marunouchi, 780-0850 Kochi, JapanSeiichiro Wariishi, Departme... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049495 Fri, 15 Jul 2011 16:04:16 +0100 5049495 Traumatic ciardiac rupture with acute ascites http://www.medworm.com/index.php?rid=5049499&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx4l1827631806332%2F Abstract  A rare accumulation of serous ascites following traumatic cardiac rupture is reported for a 21-year-old man transferred to the emergency center of our hospital from a community hospital suffering from severe shock due to a motorcycle accident. Computed tomography scan showed moderate pericardial and intrapelvic fluid accumulation strongly suggesting cardiac and visceral injuries. An emergency sternotomy disclosed a rupture of the right atrial appendage, successfully closed with primary sutures. A laparotomy was done to aspirate moderate serous fluid, which was clear and not bloody. Edema of the retroperitoneal space and hepatic congestion were noted with no accompanying organ injury. Ascites pathogenesis is unknown but appeared to be related to portal venous conge... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049499 Fri, 15 Jul 2011 16:04:11 +0100 5049499 Partial left ventriculectomy in a 3-year-old boy with dilated cardiomyopathy http://www.medworm.com/index.php?rid=5049498&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff3j08l8347846x26%2F In conclusion, the role of partial left ventriculectomy is both as a bridge to transplantation and as a definitive repair in dilated cardiomyopathy during childhood. Content Type Journal ArticlePages 590-593DOI 10.1007/BF03218207Authors Hiroshi Osawa, Department of Surgery, Yamanashi Medical University, Tamaho-Cho, Nakakoma-Gun, 409-3898 Yamanashi, JapanShinpei Yoshii, Department of Surgery, Yamanashi Medical University, Tamaho-Cho, Nakakoma-Gun, 409-3898 Yamanashi, JapanShigeru Hosaka, Department of Surgery, Yamanashi Medical University, Tamaho-Cho, Nakakoma-Gun, 409-3898 Yamanashi, JapanShoji Suzuki, Department of Surgery, Yamanashi Medical University, Tamaho-Cho, Nakakoma-Gun, 409-3898 Yamanashi, JapanShigeaki Kaga, Department of Surgery, Yamanashi Medical University, Tamaho-Cho... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049498 Fri, 15 Jul 2011 16:04:11 +0100 5049498 Development and clinical application of minimally invasive cardiac surgery using percutaneous cardiopulmonary support http://www.medworm.com/index.php?rid=5049502&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F56636102219446j8%2F Conclusions: Minimally invasive cardiac surgery using percutaneous cardiopulmonary support is safe and an excellent option for selected patients affected by single valve lesion, simple cardiac anomalies, and coronary artery bypass grafting. Content Type Journal ArticlePages 562-567DOI 10.1007/BF03218201Authors Hiroshi Ohuchi, Department of Surgery, Saitama Medical School, 38 Morohongo, Moroyama, 350-0495 Saitama, JapanShunei Kyo, Department of Surgery, Saitama Medical School, 38 Morohongo, Moroyama, 350-0495 Saitama, JapanHaruhiko Asano, Department of Surgery, Saitama Medical School, 38 Morohongo, Moroyama, 350-0495 Saitama, JapanHiroaki Tanabe, Department of Surgery, Saitama Medical School, 38 Morohongo, Moroyama, 350-0495 Saitama, JapanYuji Yokote, Department of Surgery, Saitama ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049502 Fri, 15 Jul 2011 16:04:10 +0100 5049502 Bypass graft material and myocardial protective procedure in combined coronary artery bypass grafting and valve surgery http://www.medworm.com/index.php?rid=5049501&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw5872874u4533342%2F Conclusion: Myocardial protection by combined antegrade, retrograde and terminal warm blood cardioplegia may be an effective adjunct to combined valve surgery and CABG employing the in-situ internal thoracic artery graft. Content Type Journal ArticlePages 574-578DOI 10.1007/BF03218203Authors Hirofumi Fujii, Department of Thoracic and Cardiovascular Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, 570-8507 Osaka, JapanHajime Otani, Department of Thoracic and Cardiovascular Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, 570-8507 Osaka, JapanTakanori Oka, Department of Thoracic and Cardiovascular Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, 570-8507 Osaka, JapanYutaka Hino, Department of Thoracic and Cardiovascular Surgery, Kans... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049501 Fri, 15 Jul 2011 16:04:10 +0100 5049501 Early surgery for active infective endocarditis http://www.medworm.com/index.php?rid=5049500&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F62727385t6170300%2F Conclusion: In case of active infective endocarditis, early surgical intervention is recommended in patients with rapidly progressive cardiac deterioration or vegetation seen on echocadiography. Content Type Journal ArticlePages 568-573DOI 10.1007/BF03218202Authors Yasuyuki Sasaki, Second Department of Surgery, Osaka City University Medical School, Osaka, JapanShigefumi Suehiro, Second Department of Surgery, Osaka City University Medical School, Osaka, JapanToshihiko Shibata, Second Department of Surgery, Osaka City University Medical School, Osaka, JapanTadahiro Murakami, Second Department of Surgery, Osaka City University Medical School, Osaka, JapanMitsuharu Hosono, Second Department of Surgery, Osaka City University Medical School, Osaka, JapanHiromichi Fujii, Second Department... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049500 Fri, 15 Jul 2011 16:04:10 +0100 5049500 Strategy for reduction of stroke incidence in coronary bypass patients with cerebral lesions http://www.medworm.com/index.php?rid=5049503&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv60m626181982216%2F Conclusions: Management of the atherosclerotic ascending aorta and the use of pulsatile perfusion were helpful in preventing cerebral injury during CABG. Content Type Journal ArticlePages 551-556DOI 10.1007/BF03218199Authors Yoshiharu Takahara, Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi, 273-8588 Chiba, JapanYoshio Sudo, Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi, 273-8588 Chiba, JapanHideyuki Nakano, Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi, 273-8588 Chiba, JapanToshirou Sato, Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi, 273-8588 Chiba, JapanHitoshi Ishikawa, ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049503 Fri, 15 Jul 2011 16:04:09 +0100 5049503 Organ malperfusion in acute aortic dissection http://www.medworm.com/index.php?rid=5049504&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc8633q53w866r671%2F Conclusion: Organ malperfusion is a major component in the management and treatment of acute aortic dissection. Only an appropriate strategy and therapy could result in a satisfactory outcome. Content Type Journal ArticlePages 545-550DOI 10.1007/BF03218198Authors Riichiro Toda, Second Department of Surgery, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, 890-8520 Kagoshima, JapanYukinori Moriyama, Second Department of Surgery, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, 890-8520 Kagoshima, JapanHiroshi Masuda, Second Department of Surgery, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, 890-8520 Kagoshima, JapanYoshifumi Iguro, Second Department of Surgery, Faculty of Medicine, Kagoshima University, 8-35-1 Sakuragaoka, 890-8520 Kagos... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049504 Fri, 15 Jul 2011 16:04:08 +0100 5049504 Combined partial sternectomy for thymic carcinoma http://www.medworm.com/index.php?rid=5049505&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu25k435052678336%2F Abstract  For thymic carcinoma, a 67-year-old Japanese female underwent combined chemotherapy, to which a partial response was registered. Afterwards, total thymectomy with combined en bloc resection of the biopsy site, the partial sternum and the partial mediastinal components were completed with a clear margin. Skeletal reconstruction was performed using polypropylene mesh. Paradoxical movement of the chest wall was tolerable. Functional and cosmetic appearance of the chest wall following the reconstruction was satisfactory. Thirty-nine months had passed since the onset of the chemotherapy, when local recurrence was detected in the approximated major pectoral muscle. The patient underwent salvage radiation therapy that resulted in a complete response, and is currently ali... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049505 Fri, 15 Jul 2011 16:04:05 +0100 5049505 Minimally invasive removal of infected pacemaker lead http://www.medworm.com/index.php?rid=5049508&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa83q751m83338062%2F Abstract  A 37-year-old woman with sick sinus syndrome suffered complications with recurring local infection at the generator pocket Repeated debridement and antibiotic therapy was ineffective. Several attempts to remove leads via the implantation vein by direct traction were unsuccessful. We operated using cardiopulmonary bypass and applied a minimally invasive lower ministernotomy to obtain pleasing cosmetic results. After a right atriotomy, leads were removed. The minimally invasive approach gave satisfactory results, especially cosmetically. Content Type Journal ArticlePages 534-535DOI 10.1007/BF03218194Authors Nobuaki Hirata, First Department of Surgery, Osaka University Medical School, Osaka, JapanShigeaki Ohtake, First Department of Surgery, Osaka University Med... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049508 Fri, 15 Jul 2011 16:04:02 +0100 5049508 Coronary artery bypass graft in a renal transplant recipient http://www.medworm.com/index.php?rid=5049507&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj074435236g12854%2F Abstract  A 47-year-old woman receiving predonine after renal transplantation underwent coronary artery bypass graft (CABG) surgery because of medically angina uncontrollable since 1996. Although she had an episode of acute renal rejection successfully treated with steroid pulse therapy, she had no angina or hemodialysis for over 2years after CABG. We discuss postoperative management of renal recipient after cardiac surgery using lymphocyte-subpopulation monitoring. Content Type Journal ArticlePages 542-544DOI 10.1007/BF03218197Authors Satoshi Taketani, Department of Surgery Course of Interventional Medicine (E1), Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, 565-0871 Osaka, JapanNorihide Fukushima, Department of Surgery Course of Interventional M... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049507 Fri, 15 Jul 2011 16:04:02 +0100 5049507 Surgical management of aortopulmonary window http://www.medworm.com/index.php?rid=5049506&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbh7r35j56142692p%2F Conclusions: The surgical results for an aortopulmonary window are encouraging, even if such patients are associated with major cardiac anomalies and an interrupted aortic arch. Most have shown a good long-term outcome. Content Type Journal ArticlePages 557-561DOI 10.1007/BF03218200Authors Yoshihisa Tanoue, Department of Cardiovascular Surgery, Kyushu Kosei-Nenkin Hospital, 2-1-1 Kishinoura, Yahatanishi-ku, 806-8501 Kitakyushu, JapanAkira Sese, Department of Cardiovascular Surgery, Kyushu Kosei-Nenkin Hospital, 2-1-1 Kishinoura, Yahatanishi-ku, 806-8501 Kitakyushu, JapanYasutaka Ueno, Department of Cardiovascular Surgery, Kyushu Kosei-Nenkin Hospital, 2-1-1 Kishinoura, Yahatanishi-ku, 806-8501 Kitakyushu, JapanKunitaka Joh, Department of Cardiovascular Surgery, Kyushu Kosei-Nenkin ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049506 Fri, 15 Jul 2011 16:04:02 +0100 5049506 Aortic dissection complicated with aorto-right atrium fistula http://www.medworm.com/index.php?rid=5049510&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F946t4512227x1306%2F Abstract  Aorto-right atrium fistula associated with aortic dissection is a very rare complication. Here report a case of successful surgical repair of ascending aortic dissection complicated with aorto-right atrium fistula. A 65-year-old man was presented with sudden chest pain and dyspnea. Fifteen years ago, he had aortic valve replacement An aortic dissection with fistula to the right atrium was diagnosed by echocardiography and cardiac catheterization. At operation, dense adhesion of the aortic root due to the previous cardiac operation was confirmed, and this was suggested as the cause for this rare complication. Content Type Journal ArticlePages 531-533DOI 10.1007/BF03218193Authors Hideyuki Nakano, Division of Cardiovascular Surgery, Funabashi Municipal Medical C... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049510 Fri, 15 Jul 2011 16:04:01 +0100 5049510 Resected early lung cancer with pulmonary aspergilloma http://www.medworm.com/index.php?rid=5049509&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr137g8n753085753%2F We report a 66-year-old man with a round shadow in the thinwall cavity of the right upper lobe. Radiological findings and transbronchial biopsy revealed squamous cell carcinoma complicated by aspergilloma at the site. Right upper lobectomy suggested that early lung cancer arose from preexisting lung scars containing an aspergilloma. Content Type Journal ArticlePages 540-541DOI 10.1007/BF03218196Authors Yusuke Kita, First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, JapanDaizo Kondo, Department of Thoracic Surgery, Shizuoka Saiseikai General Hospital, Shizuoka, JapanHiroshi Nogimura, Department of Thoracic Surgery, Haibara General Hospital, Shizuoka, JapanKazuya Suzuki, First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, J... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049509 Fri, 15 Jul 2011 16:04:01 +0100 5049509 Intragastric migration of a pacemaker implanted in the pleural space http://www.medworm.com/index.php?rid=5049511&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq94p751k70825382%2F Abstract  We have encountered a 12-year-old boy with a pacemaker implanted in the left pleural space during early infancy that migrated into the stomach through the diaphragm due to severe scoliosis and occult infection. The intrathoracic implantation of a pacemaker in an infant should be assessed more carefully, taking the volume of the unit into consideration, because of this potentially life-threatening complication. Content Type Journal ArticlePages 528-530DOI 10.1007/BF03218192Authors Fumitaka Isobe, Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, JapanYoshio Kosakai, Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, JapanYasuo Ono, Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, J... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049511 Fri, 15 Jul 2011 16:04:00 +0100 5049511 Late leaflet fracture and embolization of a Duromedics mitral prosthesis http://www.medworm.com/index.php?rid=5049512&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F88h1w1g08255l458%2F Abstract  A case of leaflet fracture and embolization of a mitral prosthetic valve is described. A 54-year-old man had received mitral valve replacement with an Edwards-Duromedics 29M prosthetic valve, at 10 years ago. Emergency mitral valve replacement was performed because the patient had severe congestive left heart failure with severe acute mitral regurgitation caused by a fracture in one of the mitral valve leaflets. The leaflet, which was fractured into 2 pieces, was removed from the right common iliac artery at 3 months after valve replacement Visual inspection revealed that the leaflet contained a midline fracture. The fracture originated within a cavitary erosion pit near the major radius of the leaflet The patient recovered from acute renal failure, requiring hemo... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049512 Fri, 15 Jul 2011 16:03:59 +0100 5049512 Concomitant aortic root remodeling and coronary bypass in a patient with poor left ventricular function http://www.medworm.com/index.php?rid=5049515&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn387722122225g64%2F Abstract  A 58-year-old man who had previously undergone rectal cancer surgery and who had poor left ventricular function underwent concomitant aortic root remodeling and coronary bypass for aortic root aneurysm with aortic regurgitation and severe coronary artery disease. Intermittent retrograde cold blood cardioplegia and leukocyte-depleted terminal blood cardioplegia were used for myocardial protection. Angiographic studies 1 month after surgery showed improved left ventricular function at an ejection fraction from 24 to 46%. During a 1-year follow-up, he has remained free of any cardiac event Even though this report is limited to a case and follow-up, this technique is expected to be beneficial even in patients with severely depressed left ventricular function when the ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049515 Fri, 15 Jul 2011 16:03:55 +0100 5049515 Disruption in the intrathoracic trachea due to blunt trauma http://www.medworm.com/index.php?rid=5049514&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff971jj223224v565%2F Abstract  Intrathoracic tracheal disruption by blunt trauma is rare and potentially life threatening. Here report 3 cases of intrathoracic tracheal disruption due to blunt trauma. Two cases, each 43 year old, involved an unrestrained male driver who suffered a headon crash, while the other, 63 year old, involved a male who suffered compression. Chest roentgenograms on admission showed remarkable deep cervical and mediastinal emphysema in Cases 1 and 2 and mediastinal emphysema alone in Case 3. Bronchoscopy revealed disruption in the trachea. Primary repair was performed through a right posterolateral thoracotomy in Cases 1 and 3 and through a median sternotomy in Case 2. In all cases the postoperative course was uneventful. Content Type Journal ArticlePages 512-515DOI 1... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049514 Fri, 15 Jul 2011 16:03:55 +0100 5049514 Metastatic hepatocellular carcinoma obstructing the right ventricular outflow tract http://www.medworm.com/index.php?rid=5049513&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp1g18058620743g2%2F Abstract  A 49-year-old female with a past history of liver resection due to hepatocellular carcinoma was referred to our Department for treatment of a metastatic cardiac tumor obstructing the right ventricular outflow tract She underwent operation twice with cardiopulmonary bypass, and symptoms were relieved. Metastasis from hepatocellular carcinoma to the heart is very rare, but should be taken into consideration during follow-up after treatment for a primary liver tumor. Content Type Journal ArticlePages 516-519DOI 10.1007/BF03218189Authors Tomohiro Murakawa, Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655 Tokyo, JapanShinichi Takamoto, Department of Cardiothoracic Surgery, Faculty of Medicine, Universi... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049513 Fri, 15 Jul 2011 16:03:55 +0100 5049513 Thymic carcinoma http://www.medworm.com/index.php?rid=5049517&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw824775897k78t35%2F Conclusion: The outcome of thymic carcinoma treatment must be reported using the same histologie typing and staging. Further study is warranted to define precise treatment strategy for this disease. Content Type Journal ArticlePages 494-498DOI 10.1007/BF03218184Authors Kenro Takahashi, Division of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, JapanJunji Yoshida, Division of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, JapanMitsuyo Nishimura, Division of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, JapanKanji Nagai, Division of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 48 ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049517 Fri, 15 Jul 2011 16:03:54 +0100 5049517 Surgical treatment of multiple inflammatory aortic aneurysms of the aortic arch and thoracoabdominal aorta http://www.medworm.com/index.php?rid=5049516&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F60p07h0w5961m138%2F Abstract  A 67-year-old woman hospitalized with pleuritis was treated with antibiotics. Although the inflammation was resolved, saccular aneurysms in the aortic arch and thoracoabdominal aorta enlarged rapidly. We conducted graft replacement of the aortic arch, but despite careful blood pressure control, the thoracoabdominal aneurysm rapidly enlarged even further. We conducted graft replacement of the thoracoabdominal aorta on day 25 after the first operation. The postoperative course was uneventful and no exacerbation was found 18 months after the second operation. These multiple aortic aneurysms were diagnosed as inflammatory because bacterial tests of blood and aneurysmal walls were all negative and cells infiltrating aneurysmal walls were pathologically plasma cells. ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049516 Fri, 15 Jul 2011 16:03:54 +0100 5049516 Early experience of off-pump coronary artery bypass using Octopus Tissue Stabilizer http://www.medworm.com/index.php?rid=5049518&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd834h11462246n80%2F Conclusions: Off-pump coronary artery bypass offers the surgeon another tool to apply for appropriate patients. The Octopus Tissue Stabilizer allows the surgeon access to all parts of coronary circulation, extending the range of off-pump coronary artery bypass procedures, when the anatomy is appropriate. Content Type Journal ArticlePages 489-493DOI 10.1007/BF03218183Authors Shigehiko Tokunaga, Department of Cardiovascular Surgery, Good Samaritan Hospital, Los Angeles, CA, USACurtis A. Prejean, Department of Cardiovascular Surgery, Good Samaritan Hospital, Los Angeles, CA, USAGregory L. Kay, Department of Cardiovascular Surgery, Good Samaritan Hospital, Los Angeles, CA, USA Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049518 Fri, 15 Jul 2011 16:03:53 +0100 5049518 Gastric seromuscular and omental pedicle flap for bronchopleural fistula after pneumonectomy http://www.medworm.com/index.php?rid=5049519&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv12126g53g5ttk84%2F We report a case of postpneumonectomy bronchopleural fistula treated using a gastric seromuscular and omental pedicle flap and maintaining good postoperative respiratory function. A 76-year-old man underwent right pneumonectomy with regional lymph node dissection for squamous cell carcimoma of the lung. Five weeks later, a bronchopleural fistula occured. Empyema with the bronchopleural fistula was diagnosed and chest tube drainage implemented immediately. Despite the drainage, signs of inflammation persisted and the patient’s nutrition did not improve leading to surgery, on August 18, 1997. The bronchopleural fistula was closed by horizontal suture proximal to the stapling sutured line. A gastric seromuscular and omental pedicle flap was sutured as a cover over the bronchial stump.... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049519 Fri, 15 Jul 2011 16:03:52 +0100 5049519 Evaluation of new TNM lung cancer classification http://www.medworm.com/index.php?rid=5049520&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc27572x843798717%2F Conclusion: The new staging system predicts patient outcome fairly well and the modification is well grounded. It appears, however, to be appropriate to subdivide T3 tumors by invaded organs and T3N2M0 disease may be better classified as stage IIIB. The classification of pulmonary metastasis appears to require further improvement. Content Type Journal ArticlePages 499-505DOI 10.1007/BF03218185Authors Yushi Saito, Department of Surgery II, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuho-ku, 467-8601 Nagoya, JapanYosuke Yamakawa, Department of Surgery II, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuho-ku, 467-8601 Nagoya, JapanMasanobu Kiriyama, Department of Surgery II, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuh... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049520 Fri, 15 Jul 2011 16:03:51 +0100 5049520 Coronary bypass surgery using the internal thoracic artery after reconstruction of occluded subclavian artery http://www.medworm.com/index.php?rid=5049521&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu46616128802qt26%2F We present two cases with an occluded left subclavian artery requiring coronary artery bypass grafting. A preoperative angiogram confirmed that the subclavian artery, including the internal thoracic artery distal from the occlusion, was thoroughly intact, in both cases. Immediately after reconstructing the subclavian artery using an aortoaxillary bypass with an 8 mm ring-reinforced polytetrafluoroethylene graft, each patient underwent double coronary artery bypass grafting using the affected left internal thoracic artery with either the right internal thoracic artery or a saphenous vein in the same anesthetic setting. Symptomatic relief was excellent In both cases, a postoperative angiographic study showed good function of the left internal thoracic artery graft supplying blood to th... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049521 Fri, 15 Jul 2011 16:03:49 +0100 5049521 Watershed infarction after combined coronary and axillobifemoral bypass surgery http://www.medworm.com/index.php?rid=5049523&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft7r1025m35l00m27%2F Abstract  Watershed infarction sometimes causes a neurological disorder due to hypoperfusion of the brain during cardiac surgery. Here we report a case in which watershed infarction developed after combined coronary artery bypass and axillobifemoral bypass surgery. Content Type Journal ArticlePages 258-260DOI 10.1007/BF03218136Authors Masaaki Koga, Second Department of Surgery, Kagoshima University Faculty of Medicine, 8-35-1 Sakuragaoka, 890-8520 Kagoshima, JapanShinji Shimokawa, Second Department of Surgery, Kagoshima University Faculty of Medicine, 8-35-1 Sakuragaoka, 890-8520 Kagoshima, JapanYukinori Moriyama, Second Department of Surgery, Kagoshima University Faculty of Medicine, 8-35-1 Sakuragaoka, 890-8520 Kagoshima, JapanYoshifumi Iguro, Second Department of Surg... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049523 Fri, 15 Jul 2011 16:03:48 +0100 5049523 Thoracic aortic aneurysm complicated with severe coronary arterial occlusive disease http://www.medworm.com/index.php?rid=5049522&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb1u26327q7766241%2F Abstract  The patient was a 77-year-old female who had been treated medically for angina pectoris since 5 years ago. Expanded aneurysms in the distal aortic arch and in the descending thoracic aorta were seen during follow-up. She presented continuous backpain at rest along with increasing size of the aneurysms despite antihypertensive therapies after admission. First, two saphenous vein grafts were anastomosed to the left anterior descending artery and obtuse marginal artery under beating heart Next, the proximal portion of the left subclavian artery was clamped and divided. To this graft, the proximal ends of the coronary bypassed vein grafts were anastomosed and coronary perfusion was established and maintained until this artery was anastomosed to the aortic graft. Then,... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049522 Fri, 15 Jul 2011 16:03:48 +0100 5049522 Pulmonary sequestration associated with aspergillosis http://www.medworm.com/index.php?rid=5049524&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fam4h351117tu6853%2F Abstract  Pulmonary sequestration involves an abnormal pulmonary tissue separated from the normal pulmonary parenchyma, not connected to the tracheobronchial tree and supplied by a systemic artery. A case of intralobar pulmonary sequestration is presented. Case; a 49-year-old male was admitted to our hospital complaining of fever, cough and sputum production. Sputum culture resulted in a large growth ofAspergillus niger. Angiography showed an abnormal blood supply from the abdominal aorta to the right lower lobe. Right lower lobectomy was performed. The postoperative courses are uneventful. Content Type Journal ArticlePages 251-253DOI 10.1007/BF03218134Authors Shigeo Kanazawa, Department of Surgery, Mitsugi Municipal General Hospital, 124 Ichi, Mitsugi-cho, Mitsugi-gun... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049524 Fri, 15 Jul 2011 16:03:46 +0100 5049524 Difference in structural change in the Carpentier-Edwards pericardial valves implanted in the mitral and tricuspid positions http://www.medworm.com/index.php?rid=5049525&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr041434k8k45422j%2F We report a 29-year-old patient with prosthetic valve dysfunction with severe calcific stenosis in the mitral position but no structural change in the tricuspid position after mitral valve replacement and tricuspid valve supra-annular implantation with same bioprostheses at the seven years before. The difference in structural change between the mitral position and the tricuspid position might be due mainly to the effect of mechanical stress on the cusps, rather than to any difference in serum calcium levels. However, some hormonal effect other than that of the parathyroid hormone on the systemic and pulmonary circulation might be related to the early progression in cusp calcification in the systemic circulation. Content Type Journal ArticlePages 242-244DOI 10.1007/BF03218131Autho... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049525 Fri, 15 Jul 2011 16:03:45 +0100 5049525 Upper hemisternotomy as conversion from minimally-invasive coronary artery bypass grafting http://www.medworm.com/index.php?rid=5049526&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F902408v53k12jx47%2F Abstract  A seventy-year-old man was admitted to hospital for ishchemic heart disease and abdominal aortic aneurysm. In the cardiac procedure, we employed a technique for conversion from minimally invasive coronary artery bypass grafting. This technique entailed cardiopulmonary bypass using standard instruments and technique, and the exposure for grafting was the same as for the simple minimally-invasive coronary artery bypass grafting. Moreover, the incision we reported in this case was simply extendible even to a full sternotomy if necessary. Content Type Journal ArticlePages 245-246DOI 10.1007/BF03218132Authors Motohiro Kawauchi, Department of Cardiothoracic Surgery, Faculty of Medicine, the University of Tokyo, Tokyo, JapanShinichi Takamoto, Department of Cardiotho... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049526 Fri, 15 Jul 2011 16:03:44 +0100 5049526 Chylothorax after thoracoscopic esophagectomy http://www.medworm.com/index.php?rid=5049527&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq3802163n51570n0%2F Abstract  Among 30 patients who underwent thoracoscopic esophagectomy with lymphadenectomy for thoracic esophageal cancer, from July 1995 to May 1997, chylothorax developed in 2 patients (7%). In Case 1, the ligation of the thoracic duct under conventional right thoracotomy was performed on the 9th day after esophagectomy. After ligation, the pleural effusion was decreased, and the patient was discharged from hospital on the 25th day after the second operation. In Case 2, massive pleural effusion developed on the 10th day after esophagectomy (at 3 days after thoracic drainage tube was removed). The thoracic duct was ligated at the level just cranial to the diaphragm thoracoscopically on the 14th day after esophagectomy. The patient was discharged from hospital on the 30th d... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049527 Fri, 15 Jul 2011 16:03:43 +0100 5049527 Pulmonary mucosa-associated lymphoid tissue lymphoma 8 years after resection of the same type of lymphoma of the liver http://www.medworm.com/index.php?rid=5049529&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy2753534342v8265%2F Abstract  A 64-year-old woman presented with hepatic and pulmonary tumors of mucosa-associated lymphoid tissue lymphoma occurring 8 years apart. The present case carries the possibility of pulmonary metastasis of hepatic lymphoma or double primary lymphoma. Mucosa-associated lymphoid tissue lymphomas tend to develop in the extranodal primary organ, rarely developing systemically among extranodal organs as in our case. Our experience is useful in understanding the progress and outcome of mucosa-associated lymphoid tissue lymphoma. Content Type Journal ArticlePages 233-235DOI 10.1007/BF03218128Authors Fengshi Chen, Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, JapanOsamu Ike, Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, JapanHirom... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049529 Fri, 15 Jul 2011 16:03:41 +0100 5049529 Tamponade after open-heart surgery with percutaneous cardiopulmonary support http://www.medworm.com/index.php?rid=5049528&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8pk80u2700318647%2F Abstract  A 56-year-old man presented with late cardiac tamponade appearing on 9 postoperative day after weaning from percutaneous cardiopulmonary support. He had been referred to our hospital for congestive heart failure. He underwent aortic valve replacement and fell into postcardiotomy low output syndrome. He could not be weaned from extracorporeal circulation, and we had to use an intraaortic balloon pump and percutaneous cardiopulmonary support On postoperative day 9, percutaneous cardiopulmonary support was successfully withdrawn without problems, but he showed signs of superior vena cava syndrome after the cannulas were removed. An echocardiogram also showed cardiac tamponade. When the wound was reopened, a lot of old clots had compressed the right atrium and, after ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049528 Fri, 15 Jul 2011 16:03:41 +0100 5049528 Duplex scanning to assess radial artery suitability for coronary artery bypass grafting http://www.medworm.com/index.php?rid=5049530&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffnw85330841557jh%2F Conclusion: Reliable noninvasive assessment of radial artery anatomy and palmar arch continuity is thus possible using duplex ultrasonography. Content Type Journal ArticlePages 217-221DOI 10.1007/BF03218125Authors Mitsuharu Hosono, Second Department of Surgery and Department of Cardiovascular Surgery, Osaka City University Medical School, 1-5-7 Asahi-machi, Abeno-ku, 545-8586 Osaka, JapanShigefumi Suehiro, Second Department of Surgery and Department of Cardiovascular Surgery, Osaka City University Medical School, 1-5-7 Asahi-machi, Abeno-ku, 545-8586 Osaka, JapanToshihiko Shibata, Second Department of Surgery and Department of Cardiovascular Surgery, Osaka City University Medical School, 1-5-7 Asahi-machi, Abeno-ku, 545-8586 Osaka, JapanYasuyuki Sasaki, Second Department of Surgery ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049530 Fri, 15 Jul 2011 16:03:39 +0100 5049530 Minimally invasive direct coronary artery bypass grafting in a patient with brainstem infarction http://www.medworm.com/index.php?rid=5049532&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fet7gn010168655v1%2F We describe the case of a 61-year-old man with an acute myocardial infarction as well as a brainstem infarction. The patient was referred for coronary artery bypass grafting. Minimally invasive direct coronary artery bypass grafting (left internal thoracic artery to the second diagonal branch anastomosis) could be safely performed 10 weeks after an episode of brainstem infarction. Content Type Journal ArticlePages 229-232DOI 10.1007/BF03218127Authors Yuzuru Sakakibara, Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba City, 305-8575 Ibaraki, JapanHiroko Nakata, Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba City, 305-8575 Ibaraki, JapanAkinobu Sasaki, Department of Surgery, ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049532 Fri, 15 Jul 2011 16:03:38 +0100 5049532 Early experience of aortic valve replacement with the freestyle® stentless aortic bioprosthesis in elderly patients http://www.medworm.com/index.php?rid=5049531&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn3x6785h23263282%2F Conclusions: Although long-term follow-up is required for further evaluation, the early results appeared to indicate that the Freestyle® aortic bioprosthesis was suitable for elderly patients requiring aortic valve replacement. Content Type Journal ArticlePages 222-228DOI 10.1007/BF03218126Authors Shigeaki Ohtake, Department of Surgery, Course of Interventional Medicine (E1), Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, 565-0871 Osaka, JapanYoshiki Sawa, Department of Surgery, Course of Interventional Medicine (E1), Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, 565-0871 Osaka, JapanTaichi Sakaguchi, Department of Surgery, Course of Interventional Medicine (E1), Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, 565-0... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049531 Fri, 15 Jul 2011 16:03:38 +0100 5049531 Results from coronary artery bypass surgery combined abdominal aortic aneurysm repair http://www.medworm.com/index.php?rid=5049533&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm756w154671l26n5%2F Conclusions: We concluded that combined surgery was reasonable for selected patients with combined coronary artery disease and abdominal aortic aneurysm, each of which is an indication for an urgent operation.The aortic aneurysm repair during cardiopulmonary bypass for patients with severe left ventricular dysfunction was safe and effective. Content Type Journal ArticlePages 205-210DOI 10.1007/BF03218123Authors Kanji Kawachi, Department of Surgery II, Ehime University School of Medicine, Shitsukawa, Shigenobu, 791-0295 Ehime, JapanSoichiro Kitamura, Department of Surgery II, Ehime University School of Medicine, Shitsukawa, Shigenobu, 791-0295 Ehime, JapanShigeki Taniguchi, Department of Surgery II, Ehime University School of Medicine, Shitsukawa, Shigenobu, 791-0295 Ehime, JapanTe... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049533 Fri, 15 Jul 2011 16:03:36 +0100 5049533 Posterior ventricular septal perforation in an 80-year-old man http://www.medworm.com/index.php?rid=5049535&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvp4868282344l365%2F We report an 80-year-old man with postinfarction posterior ventricular septal perforation who successfully underwent surgical repair using a technique similar to that described by Daggett et al. and was discharged in good health without postoperative septal shunt. Content Type Journal ArticlePages 254-257DOI 10.1007/BF03218135Authors Takayuki Kumamoto, Department of Cardiovascular Surgery, Tokyo Saiseikai Central Hospital, 1-4-17 Mita, Minato-ku, 108-0073 Tokyo, JapanTakashi Hirotani, Department of Cardiovascular Surgery, Tokyo Saiseikai Central Hospital, 1-4-17 Mita, Minato-ku, 108-0073 Tokyo, JapanTadashi Kameda, Department of Cardiovascular Surgery, Tokyo Saiseikai Central Hospital, 1-4-17 Mita, Minato-ku, 108-0073 Tokyo, JapanShogo Shirota, Department of Cardiovascular Surgery... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049535 Fri, 15 Jul 2011 16:03:35 +0100 5049535 Surgical repair of postinfarction ventricular septal rupture http://www.medworm.com/index.php?rid=5049534&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd0t227434w03p406%2F Conclusions: The Daggett method is simple and fast, and is an effective and reliable technique for the repair of ventricular septal rupture. Content Type Journal ArticlePages 199-204DOI 10.1007/BF03218122Authors Hiroshi Furukawa, Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi-cho, Koufu, 400-0027 Yamanashi, JapanKoji Tsuchiya, Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi-cho, Koufu, 400-0027 Yamanashi, JapanKoji Ogata, Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi-cho, Koufu, 400-0027 Yamanashi, JapanYouhei Kabuto, Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, 1-1-1 Fujimi-cho, Koufu, 400-0027 Yamanashi, JapanYoshinao ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049534 Fri, 15 Jul 2011 16:03:35 +0100 5049534 Penetrating knife injury to the heart http://www.medworm.com/index.php?rid=5049536&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc047654218840716%2F Abstract  A 39-year-old man attempted to kill himself using a small knife to penetrate the left anterior chest wall because of trouble at work and with his girlfriend. On arrival at the emergency room, his consciousness was not clear and vital signs were unstable. The knife remained vertically located in the left anterior chest wall. A large left hemothorax was identified by chest X-ray, and moderate cardiac tamponade was detected by echocardiography. Left-sided chest drainage was performed by inserting a chest drainage tube, and about 2500 ml of hemorrhagic effusion was drained. An emergency operation was performed to relieve the cardiac tamponade and repair the penetrating cardiac injury. About an hour after arrival at the emergency room, a median sternotomy was performed... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049536 Fri, 15 Jul 2011 16:03:33 +0100 5049536 Pedicled pericardial flap for pulmonary artery in adult dogs http://www.medworm.com/index.php?rid=5049537&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu32w728733w11842%2F Conclusions: Broadly pedicled pericardial flap is more conceivable to prevent the development of conduit stenosis after right ventricle outflow tract reconstruction, if compared with free pericardial patches. Content Type Journal ArticlePages 211-216DOI 10.1007/BF03218124Authors Kaori Sato, Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, 1-1 Seiryo-cho, Aoba-ku, 980-8574 Sendai, JapanAtsushi Iguchi, Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, 1-1 Seiryo-cho, Aoba-ku, 980-8574 Sendai, JapanYoshiaki Tanaka, Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, 1-1 Seiryo-cho, Aoba-ku, 980-8574 Sendai, JapanMasaki Hata, Department of Thoracic and Cardiovascular Surg... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049537 Fri, 15 Jul 2011 16:03:32 +0100 5049537 Papillary fibroelastoma on the mitral valve http://www.medworm.com/index.php?rid=5049539&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj71785m3048nv12h%2F Abstract  A 78-year-old woman was admitted with transient unknown fever and old cerebral infarction. An echocardiogram demonstrated mild mitral valve regurgitation and high echogenic mass on the mitral posterior leaflet Surgery was performed with the diagnosis of a healed infective endocarditis. A sea anemone-like appearance tumor, 8 mm in diameter, was located on the mitral posterior leaflet Annuloplasty was performed following removal of the tumor. A pathological examination confirmed the lesion was a papillary fibroelastoma. No evidence of infective endocarditis was seen. The cause of the fever remained unknown. The tumor was very fragile. Surgical removal was mandatory for preventing embolism despite the advanced age. Content Type Journal ArticlePages 132-134DOI 10.... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049539 Fri, 15 Jul 2011 16:03:30 +0100 5049539 Ductal aneurysm of adult patients http://www.medworm.com/index.php?rid=5049538&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb0x741nj2p301177%2F Abstract  A ductal aneurysm is very rarely diagnosed in adults. We experienced 2 cases of adult ductal aneurysm. Both cases developed hoarseness and computed tomographic scanning demonstrated a typical “triple star sign” at the aortopulmonary window level. They underwent surgical repair with successful results. During the same period, we experienced 38 operations for true thoracic aneurysm. The ductus origin was found in 5.2 % of these patients. The ductal aneurysm may no longer be considered a “rare” vascular disease with more careful diagnostic procedure. Content Type Journal ArticlePages 139-141DOI 10.1007/BF03218110Authors Hiroyoshi Komai, Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, 811-1 Kimiidera, 641-0012 Wakayama, JapanY... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5049538 Fri, 15 Jul 2011 16:03:30 +0100 5049538 Congenital bronchial atresia complicated with severe cough —A case report— http://www.medworm.com/index.php?rid=5035849&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe551422713375771%2F Abstract  A 37-year-old woman presented severe cough for several years. Chest X-ray showed an abnormal shadow in the right upper lung field. That was absent but hyperlucent before onset. Chest CT scan revealed a mass shadow with mucoid impaction in the right S2. Thoracoscopic right upper lobectomy dramatically improved her complaints. Histological examination revealed the dilated bronchus containing mucoid impaction and confirmed a diagnosis of congenital bronchial atresia. It was suggested that organizing pneumonia resulting from repeated infection caused severe cough. Thoracoscopic surgery for congenital bronchial atresia should be recommended in young patients. Content Type Journal ArticlePages 385-388DOI 10.1007/BF03217760Authors Tetsuro Uchida, Second Department ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035849 Wed, 13 Jul 2011 06:11:36 +0100 5035849 Surgical treatment for a 16-year-old girl with anomalous origin of the right pulmonary artery from ascending aorta http://www.medworm.com/index.php?rid=5035850&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5555g7343564473n%2F Discussion focuses on the surgical indications for such infrequent older cases and we conclude that preoperative lung biopsy is useful in identifying severe pulmonary vascular disease and evaluating indications for surgery. Content Type Journal ArticlePages 380-384DOI 10.1007/BF03217759Authors Masahiko Kuinose, Department of Cardiovascular Surgery, Iwakuni National Hospital, Yamaguchi, JapanKazuo Tanemoto, Department of Cardiovascular Surgery, Iwakuni National Hospital, Yamaguchi, JapanTakashi Murakami, Department of Cardiovascular Surgery, Iwakuni National Hospital, Yamaguchi, JapanYuji Kanaoka, Department of Cardiovascular Surgery, Iwakuni National Hospital, Yamaguchi, JapanGenso Kobayashi, Department of Cardiovascular Surgery, Iwakuni National Hospital, Yamaguchi, JapanMikio Mak... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035850 Wed, 13 Jul 2011 06:11:35 +0100 5035850 Decreasing sarcoplasmic reticular calcium gives rise to myocardial protection? —The effect of thapsigargin for myocardial protection under conditions of normothermia— http://www.medworm.com/index.php?rid=5035852&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4556h7h7r6777405%2F Abstract  Deceasing sarcoplasmic reticular (SR) calcium may contribute to the myocardiac protection against ischemia and reperfusion-induced injury. Therefore, using the isolated working rat heart model, we investigated the effect of Thapsigargin (TH)-induced SR calcium diminution on the myocardial protection when added either before onset of ischemia or at time of reperfusion under conditions of normothermic ischemia. Hearts (n=6/group) from male Wistar rats were aerobically (37°C) perfused (20 min) with bicarbonate buffer. In the experimental protocol A, this was followed by a 3 min infusion of St. Thomas’ Hospital cardioplegic solution No. 2 (STS) containing various concentrations of TH. Hearts were then subjected to 34 min of normothermic (37°C) global ischemia and ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035852 Wed, 13 Jul 2011 06:11:34 +0100 5035852 Aortic regurgitation causd by the proximal dissecting flap invagintion to the left ventricle http://www.medworm.com/index.php?rid=5035851&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc1qxv593625283uk%2F Abstract  A 68-year-old male with sudden back pain and cardiogenic shock status transferred to our ward. Transthoracic echocardiography revealed that the abnormal rond shape string was in the left ventricular outflow tract. The continuity from the string to the aortic valve was unclear. Intimal flap could not be detected at the level of the ascending aorta. Color Doppler flow imaging showed that the severe AR jet extended into the round string. TEE showed that the intimal tear and flap was seen just above the left subclavian artery. Preoperative diagnosis was acute Stanford type A dissection and acute severe AR due to the inversion of the proximal intimal flap to the left ventricular outflow tract through the aortic valve. At operation, the proximal intimal flap was dissect... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035851 Wed, 13 Jul 2011 06:11:34 +0100 5035851 Efficacy and safety of a single oral dose of pilsicainide in supraventricular arrhythmia after coronary artery bypass grafting http://www.medworm.com/index.php?rid=5035853&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkj12531785g917w9%2F Abstract  We evaluted the efficacy and safety of administration of a single oral dose of Pilsicainide, a class Ic antiarrhythmic agent, in 34 patients (26 men, 8 women, age from 48 to 81, mean age 66 ± 8 years) who developed supraventricular arrhythmia after coronary artery bypass grafting (CABG). A total of 42 episodes of postoperative supraventricular arrhythmia, with the majority occurring 2–4 days after CABG, were classified as follows: paroxysmal atrial fibrillation, 34; paroxysmal atrial flutter, 6; and sinus tachycardia, 2. Sinus rhythm was restored in 32 episodes (78%) by treatment with oral pilsicainide given in a single dose of 50 ro 100 mg. Successful conversion was obtained within 90 minutes in 44% and 3 hours in 56% of episodes, with a mean conversion time o... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035853 Wed, 13 Jul 2011 06:11:31 +0100 5035853 Glutamate neurotoxicity during spinal cord ischemia —The neuroprotective effects of adenosine— http://www.medworm.com/index.php?rid=5035857&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9g61ukx048320t5x%2F Abstract  Evidence is accumulating that glutamate, a major neurotransmitter, exerts potent neurotoxic activity during ischemia. In our laboratory, a delayed-onset paraplegia model using rabbits has been developed and described. The severity of the ischemic event in this model, i.e., extracellular glutamate overload, is believed to influence the etiology of this delayed neuronal dysfunction. Adenosine, an endogenous neuromodulator, is released after acute ischemic insult and provides neuroprotection by actions on neuronal and glial cells in the still viable border zone of the ischemic focus. We hypothesized that the neuroprotective action of adenosine is associated with inhibition of glutamate neurotoxicity following ischemia. Infrarenal aortic segments from 11 New Zealand w... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035857 Wed, 13 Jul 2011 06:11:30 +0100 5035857 Mitral reoperation via right thoracotomy in a patient with pulmonary hypertension http://www.medworm.com/index.php?rid=5035856&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh07151k5w3875002%2F Abstract  A 62-year-old woman with pulmonary hypertension underwent mitral valve re-replacement through right thoracotomy. Severe adhesion occurred to the right lung. During pleural dissection the lung collapsed under single-lung ventilation, rapidly elevated pulmonary vascular resistance caused hemodynamic instability. When pulmonary hypertension is preoperatively present, this approach under single-lung ventilation is not recommended. Content Type Journal ArticlePages 330-332DOI 10.1007/BF03217750Authors Yasushi Terada, Department of Cardiovascular Surgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba-shi, 305-0006 Ibaraki-ken, JapanTomoaki Jikuya, Department of Cardiovascular Surgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba-sh... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035856 Wed, 13 Jul 2011 06:11:30 +0100 5035856 Thoracoscopic surgery for diagnosis of interstitial pneumonia special reference to medicoeconomical effect http://www.medworm.com/index.php?rid=5035855&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F218140283557420w%2F Abstract  We compared thoracoscopic surgery (TS) and open thoracotomy for the diagnosis of interstitial pneumonia. Intraoperative blood loss and duration of postoperative chest drainage were significantly less with TS than with thoracotomy. The length of postoperative hospital stay and social insurance costs with TS was significantly less than with thoracotomy. These results show that TS for the diagnosis of interstitial pneumonia is superior to open thoracotomy in terms of surgical stress and cost. Content Type Journal ArticlePages 344-346DOI 10.1007/BF03217753Authors Tomoharu Kuda, Second Department of Surgery, Ryukyus University School of Medicine, Okinawa, JapanNaoji Nagamine, Second Department of Surgery, Ryukyus University School of Medicine, Okinawa, JapanJun Osh... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035855 Wed, 13 Jul 2011 06:11:30 +0100 5035855 Pulmonary artery sling with tracheal stenosis —Primary repair in infancy— http://www.medworm.com/index.php?rid=5035854&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Far44481674177621%2F Abstract  Between 1984 and 1996 five infants underwent surgical repair of pulmonary artery sling associated with severe congenital tracheal stenosis. All infants had symptoms of severe respiratory distress and three of them required ventilator support preoperatively. ages ranged from 2 to 11 months (mean age 6 months). Complete tracheal rings were present in all patients as an associated lesion and right upper lobe tracheal bronchus in 3 patients. The length of tracheal stenosis ranged from 18 to 45 mm (median 40 mm). Three had associated intracardiac anomalies (Scimitar sydrome (1), VSD (1), double-outlet right ventricle with VSD (1), double-outlet right ventricle with pulmonary hypertension (1)). Surgical intervention was carried out through a right thoraco tomy (1) or me... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035854 Wed, 13 Jul 2011 06:11:30 +0100 5035854 Analysis of lobectomy for small peripheral lung cancer supports extended segmentectomy http://www.medworm.com/index.php?rid=5035859&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg5458375u61474nk%2F Abstract  We reviewed the records of 53 patients who underwent lobectomy for peripheral non-small cell lung cancer under 2 cm in diameter and established a rationale for segmentectomy with intraoperative lymph nodes dissection (extended segmentectomy). Five patients (9.4%) had intrapulmonary metastases. Nodal status was NO in 34 patients (64.2%), N1 in 7 (13.2%), and N2 in 12 (22.6%). Based on examination of intraoperative frozen sections, 31 patients lacking lymph node metastases and visceral pleural involvement could have been candidates for extended segmentectomy. Twenty-seven had stage I disease on postoperative examination of paraffin-embedded sections. Of the remaining 4 patients, 1 had involvement of intrapulmonary lymph nodes in the segment where the primary lesion ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035859 Wed, 13 Jul 2011 06:11:29 +0100 5035859 Some techniques for the correction of the congenital heart disease with autologous flap http://www.medworm.com/index.php?rid=5035858&cid=s_35963_157_f&fid=35963&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F134338j228161729%2F Abstract  14 living flaps in 8 children were used to repair for the congenital heart disease, because artificial material and xeno grafts were shrunk in growing children but living flaps were going to glow with children. It were possible to use the living flaps to reconstruct of pulumonary outflow in truncus arteriosus, for septoplasty in partial anomarous of pulumonary venous return and reconstruction of unloofed coronary sinus in endcardial defect with triatriatum and intra-atrial tunnel in TCPC or Fontan type operation. Content Type Journal ArticlePages 333-337DOI 10.1007/BF03217751Authors Kei Tanaka, Department of Cardiovasculr Surgery, Jikei University School of Medicine, Tokyo, JapanHiromi Kurosawa, Department of Cardiovasculr Surgery, Jikei University School of ... General Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5035858 Wed, 13 Jul 2011 06:11:29 +0100 5035858