General Thoracic and Cardiovascular SurgeryThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Survival and relapse pattern after trimodality therapy for malignant pleural mesotheliomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Trimodality therapy showed a survival benefit in patients with stage III or lower malignant pleural mesothelioma. Most of the recurrences were local. Therefore, better local control is required to improve the prognosis of the disease. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-009-0440-2Authors Kenichi Okubo, Kyoto University Hospital Department of Thoracic Surgery 54 Kawahara-cho, Shogoin, Sakyo-ku Kyoto 606-8507 JapanMakoto Sonobe, Kyoto University Hospital Department of Thoracic Surgery 54 Kawahara-cho, Shogoin, Sakyo-ku Kyoto 606-8507 JapanTakuji Fujinaga, Ky...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Emergency off-pump complete arterial revascularization in a patient with dextrocardiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe complete emergency arterial coronary artery bypass grafting performed on the beating heart of a 73-year-old man with situs inversus totalis and triple-vessel disease. The right internal mammary artery was anastomosed to the left anterior descending artery in situ. The first and second obtuse marginal branches of the circumflex coronary and the posterior descending branch of the right coronary artery were sequentially revascularized using the left internal mammary and radial arteries in situ. The only abnormality was that the position of the heart mirrored that of a normal heart. Beating heart surgery appear...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Minimally invasive cardiac surgery for atrial fibrillation complicated by coronary artery disease: combination of video-assisted pulmonary vein isolation and minimally invasive direct coronary artery bypassEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Here we report a minimally invasive cardiac surgery procedure without sternotomy combining video-assisted bilateral pulmonary vein isolation and minimally invasive direct coronary artery bypass as treatment for atrial fibrillation complicated by coronary artery disease. The patient’s chest was accessed through a left anterolateral thoracotomy over the fourth intercostal space, and the left internal thoracic artery (LITA) was harvested under direct vision. The left pulmonary veins were isolated electrically by a bipolar radiofrequency clamp. Subsequently, the harvested LITA graft was anastomosed to...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Impact of main bronchial lymph node involvement in pathological T1-2N1M0 non-small-cell lung cancer: multi-institutional survey by the Japan National Hospital Study Group for Lung CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Involvement of the main bronchial lymph nodes is a significant factor to predict a worse prognosis in pathological T1-2N1M0 patients with NSCLC. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-009-0451-zAuthors Hajime Maeda, National Hospital Organization Toneyama Hospital Department of General Thoracic Surgery 5-1-1 Toneyama Toyonaka, Osaka 560-8552 JapanShimao Fukai, National Hospital Organization Toneyama Hospital Department of General Thoracic Surgery 5-1-1 Toneyama Toyonaka, Osaka 560-8552 JapanAkihide Matsumura, National Hospital Organization Toneyama Hospital D...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Beginning and development of surgery for acquired valvular heart disease in JapanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The initiation and development of surgery for acquired valvular heart disease in Japan was reviewed. The first series of attempts at closed valvular surgery were performed in 1951–1952 by collaboration between the brothers Tohru and Shigeru Sakakibara in patients with pulmonary or mitral stenosis. During the popularization of closed valvular surgery, open heart surgery under direct vision was successfully performed by Shigeru Sakakibara with cooling of the body in 1954 and by using cardiopulmonary bypass (CPB) in 1956. With the development of CPB and artificial heart valves, closed valvular heart ...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Congenital tracheoesophageal fistula in an elderly patient with thoracic empyemaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A congenital tracheoesophageal fistula is rare in elderly patients. An adult case of congenital tracheoesophageal fistula complicated with thoracic empyema was successfully treated by surgery. A 74-year-old woman was admitted with severe coughing and fever. The patient had experienced several episodes of pneumonia since childhood. Chest radiography showed left pleural effusion; and fiberoptic bronchoscopy and chest computed tomography demonstrated a tracheoesophageal fistula communicating between the upper intrathoracic esophagus and the distal portion of the trachea. Following tube drainage of the ...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Stromal aminopeptidase N expression: correlation with angiogenesis in non-small-cell lung cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion That APN expression on stromal cells was observed predominantly in squamous cell carcinoma may account for the efficacy of ubenimex in the postoperative adjuvant setting for squamous cell carcinoma. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-009-0445-xAuthors Shinya Ito, Kyoto University Department of Thoracic Surgery, Graduate School of Medicine Kyoto JapanRyo Miyahara, Kyoto University Department of Thoracic Surgery, Graduate School of Medicine Kyoto JapanRei Takahashi, Kyoto University Department of Pathology and Tumor Biology, Graduate School of Medicine Kyot...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Intractable lung abscess successfully treated with cavernostomy and free omental plombage using microvascular surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 68-year-old man, complaining of fever and puriform sputum, was referred to our hospital. A giant abscess was detected in the upper lobe of the right lung. Percutaneous drainage of a lung abscess was carried out. When the pus collected was cultured, Candida was 1+ and Escherichia coli was 2+. Later, it became difficult to control the abscess by drainage, and cavernostomy was selected. The contents of the abscess cavity were removed, and the cavity was opened, followed by exchange of gauze every day. For 14 months after cavernostomy, once-weekly gauze exchange was continued at the outpatient clinic ...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Transapical aortic cannulation via left lateral thoracotomy for descending thoracic and thoracoabdominal aortic surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Two patients underwent surgery for a chronic type B dissection using a total cardiopulmonary bypass (CPB) with transapical arterial cannulation. At surgery, a total CPB was established by cannulating the left femoral artery and the ascending aorta via the ventricular apex. The patients were cooled to 30°C. The proximal anastomosis was done after cross-clamping the aortic arch between the left carotid artery and the left subclavian artery in both cases. In the first case, the entire descending thoracic aorta was replaced, and two pairs of intercostal arteries were reconstructed. The other patient un...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Abnormal fluorine-18-fluorodeoxyglucose uptake in benign esophageal leiomyomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A benign esophageal leiomyoma with abnormally increased fluorine-18-fluorodeoxyglucose uptake on positron emission tomography (PET) was resected thoracoscopically. The tumor, of which the maximum standardized uptake value of the lesion was 4.7, was well defined and 38 mm in diameter. Neither mitotic activity nor degeneration was found histologically; and immunoreactivity for CD34, CD117, MIB-1, and glucose transporter-1 was negative immunohistochemically. A diagnosis of gastrointestinal stromal tumor was ruled out by an oncogenic kinase gene mutation study. This case cautions against PET-dependent e...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Emergent coronary artery bypass grafting for cardiogenic shock caused by very late drug-eluting stent thrombosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of cardiogenic shock caused by a very late drug-eluting stent (DES) thrombosis. The patient underwent emergent coronary artery bypass grafting (CABG) and was discharged home 15 days after the operation. The incidence of stent restenosis had been reduced by the use of DES, but the Achilles’ heel of DES is represented by a higher rate of stent thrombosis. In our case, the DES thrombosis occurred 5 years after its implantation, underlining the importance of prolonged dual antiplatelet therapy. Even though rare, this complication may be life-threatening. We believe that CABG provides better event-free ...
Source: General Thoracic and Cardiovascular Surgery - November 11, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Castleman’s disease arising from an intrapulmonary lymph nodeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present this rare case of solitary Castleman’s disease arising from an intrapulmonary lymph node. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11748-009-0434-0Authors Toshiteru Tokunaga, Osaka University Graduate School of Medicine Department of General Thoracic Surgery 2-2 (L5) Yamadaoka Suita, Osaka 565-0871 JapanYoshihisa Kadota, Osaka University Graduate School of Medicine Department of General Thoracic Surgery 2-2 (L5) Yamadaoka Suita, Osaka 565-0871 JapanTomoki Utsumi, Osaka University Graduate School of Medicine Department of General Thoracic Surgery 2-2 (L5) Yamadaoka Suita, Osaka 565-087...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Lung cancer screening and its efficacyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The efficacy of lung cancer screening should not be evaluated by the survival rate of lung cancer patients but by lung cancer mortality in a certain population because the survival rate can be greatly affected by several types of bias. Randomized controlled trials that were conducted during the 1970s and 1980s in Europe and the United States failed to prove the efficacy of lung cancer screening in decreasing the mortality rate; but recently the results of case-control studies in Japan have revealed that undergoing currently available screening decreases the risk of lung cancer deaths by 30%–60%. A...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Lung adenocarcinomas with micropapillary componentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion These results suggest that the micropapillary components are a manifestation of aggressive behavior, as shown by the frequent lymph node metastases and pleural invasion. Surgeons should search more carefully for metastases and conduct a closer follow-up on these patients when this feature is present with lung adenocarcinoma. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-009-0436-yAuthors Ryo Maeda, Matsue Red Cross Hospital Division of Thoracic Surgery 200 Horomachi Matsue, Shimane 690-8506 JapanNoritaka Isowa, Matsue Red Cross Hospital Division of Thoracic Surgery...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Thymic mucosa-associated lymphoid tissue lymphoma associated with bilateral orbital pseudotumorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We reported a first case of thymic MALT lymphoma following bilateral orbital pseudotumor. A 48-year-old man presented with bilateral exophthalmos diagnosed as orbital pseudotumor. His symptoms were relieved by an oral corticosteroid. Eleven years later, a mediastinal tumor was incidentally discovered. A thymectomy was performed, and histological examination revealed that the mass was a MALT lymphoma. There was no recurrence with no further treatment. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11748-009-0439-8Authors Ryuhei Kitai, Fukui University Department of Neurosurgery, Faculties of Medical Sc...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Spontaneous coronary artery dissectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe two cases of SCAD, both treated successfully with emergency coronary artery bypass grafting using left internal mammary and radial arteries in the first case and the left internal mammary artery only for the second case. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11748-009-0416-2Authors Kareem Salhiyyah, Sheffield Teaching Hospitals NHS Foundation Trust Department of Cardiothoracic Surgery, Northern General Hospital Herries Road Sheffield S5 7AU UKHaitham Abunasra, Sheffield Teaching Hospitals NHS Foundation Trust Department of Cardiothoracic Surgery, Northern General Hospital Herries R...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Endovascular stent-grafting of anastomotic pseudoaneurysms following thoracic aortic surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Endovascular stent-grafting for patients with anastomotic pseudoaneurysms of the thoracic aorta following thoracic aortic surgery has become a possible optimal treatment. However, long-term outcome remains unclear, and periodical follow-up is required. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-009-0477-2Authors Toshiro Ito, Sapporo Medical University Department of Thoracic and Cardiovascular Surgery Nishi 17-Chome Minami 1-jo, Chuo-ku Sapporo 060-8556 JapanYoshihiko Kurimoto, Sapporo Medical University Department of Traumatology and Clinical Care Medicine Sappor...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Late pulmonary metastases from malignant melanoma of the left plantaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a patient treated for malignant melanoma of the left planta who developed pulmonary metastases after a disease-free interval of 10 years. Metastatectomy was performed after observing progress for 12 months. However, 18 months later, pretracheal and right axillary lymph node metastases occurred. Because pulmonary metastasis from malignant melanoma may occur after 10 years or more, we observe patients carefully. If it does occur, an operation should be considered under limited indications. We should also recognize that recurrence may occur within a short interval after metastatectomy as well. Content Type Jo...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Bland-White-Garland syndrome with ventricular septal defect: late presentationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Bland-White-Garland syndrome has been reported generally to occur in an isolated lesion. Here, we report a case of Bland-White-Garland syndrome associated with a ventricular septal defect. Late onset of myocardial ischemia was noted in this patient, which we think is related to increased coronary steal due to regression of pulmonary hypertension caused by narrowing of the ventricular septal defect. At surgery, we temporally occluded the left main coronary trunk to cease the coronary steal phenomenon and augment the left coronary flow. Direct implantation of the left coronary artery and closure of th...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Successful repair for a giant coronary artery aneurysm with coronary arteriovenous fistula complicated by both right- and left-sided infective endocarditisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a rare case of a 65-year-old woman who underwent an emergent lifesaving heart operation for an undiagnosed right coronary artery aneurysm with a coronary arteriovenous fistula complicated by active infective endocarditis, which affected the aortic valve, mitral valve, and coronary sinus. We performed direct closure of the coronary arteriovenous fistula, ligation of the right coronary artery aneurysm, double coronary artery bypass grafting, and double valvular replacement. Five years after the operation, she had no sign of congestive heart failure or infection, and was not receiving antibiotics. Content Typ...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Desmoid tumor of the chest wall in an elderly womanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of desmoid tumor of the chest wall in a 79-year-old woman. The patient was referred to our hospital for management of a chest wall mass. Four months previously, the patient noted a small lump in the right lateral chest wall that had rapidly increased in size. Magnetic resonance imaging of the chest revealed a soft tissue tumor in the right lateral chest wall with unclear margins that extended into the intercostal muscles. Positron emission tomography with 18F-fluorodeoxyglucose (FDG) showed slight FDG accumulation at the lesion. Because open biopsy suggested a desmoid tumor, full-thickness chest wall r...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Intercostal artery pseudoaneurysm after thoracoscopic lung resectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a rare case of a ruptured intercostal artery pseudoaneurysm in a 59-year-old woman that occurred after a right upper lobectomy by video-assisted thoracoscopic surgery for lung cancer. The pseudoaneurysm was diagnosed by computed tomography and successfully treated with aneurysmectomy with proximal artery ligation, removing the hematoma. She improved and was discharged 1 month later. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11748-008-0369-xAuthors Hideki Kawai, Akita Red Cross Hospital Department of Thoracic Surgery 222-1 Naeshirosawa Saruta, Kamikitate, Akita 010-1495 JapanManabu Ito,...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Myocardial metastasis from squamous cell carcinoma of the esophagusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 62-year-old woman was admitted to our hospital because of cancer of the middle thoracic esophagus. We performed a right transthoracic subtotal esophagectomy with systemic three-field lymphadenectomy. Histopathological findings resulted in a diagnosis of well-differentiated squamous cell carcinoma staged as pT3N0M0, pStage IIA, with clear surgical margins. Although she had no clinical symptoms, solitary cardiac metastasis located in the ventricular septum close to the apex was detected on the follow-up computed tomography scans during postoperative month 6. Regardless of chemotherapy followed by ra...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Delayed diagnosis of traumatic diaphragmatic ruptureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report serves as a useful reminder that a medical history of severe blunt trauma should provoke a high index of suspicion for diaphragmatic rupture during annual medical surveillance. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11748-009-0418-0Authors Teruaki Mizobuchi, Matsudo City Hospital Department of Chest Surgery 4005 Kamihongo, Matsudo-shi Chiba 271-8511 JapanNaomichi Iwai, Matsudo City Hospital Department of Chest Surgery 4005 Kamihongo, Matsudo-shi Chiba 271-8511 JapanHiromasa Kohno, Matsudo City Hospital Department of Chest Surgery 4005 Kamihongo, Matsudo-shi Chiba 271-8511 JapanNao Ok...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Awake partial sternotomy pacemaker implantation under thoracic epidural anesthesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract An 82-year-old man with symptomatic bradycardia had infective endocarditis with tricuspid vegetation. The patient also had severe obstructive pulmonary disease, and endotracheal general anesthesia was contraindicated. Under satisfactory epidural anesthesia with catheterization at the T5/6 level, lower partial sternotomy was performed, and dual pacing electrodes were placed on the heart. Throughout the surgery, spontaneous breathing was maintained with a sufficient level of oxygenation. The postoperative course was uneventful. Although awake cardiac surgery under thoracic epidural anesthesia is chall...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Acute esophageal necrosis after lung cancer surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11748-009-0423-3Authors Kazuhiro Katsuhara, Ehime Prefectural Niihama Hospital Department of Surgery 3-1-1 Hongo, Niihama Ehime 792-0042 JapanShinji Takano, Ehime Prefectural Niihama Hospital Department of Surgery 3-1-1 Hongo, Niihama Ehime 792-0042 JapanYouta Yamamoto, Ehime Prefectural Niihama Hospital Department of Surgery 3-1-1 Hongo, Niihama Ehime 792-0042 JapanSigeharu Ueda, Ehime Prefectural Niihama Hospital Department of Surgery 3-1-1 Hongo, Niihama Ehime 792-0042 JapanKenji Nobuhara, Ehime Prefectural Niihama Hospital Department of Surgery 3-1-1 Hong...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Registry of the Japanese Society of Lung and Heart-Lung Transplantation: the official Japanese lung transplantation report 2008Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is the 2008 official report of the Japanese Society of Lung and Heart-Lung Transplantation. It summarizes the data for clinical lung transplantation during the period 1998–2007 and discusses the current status of Japanese lung transplantation. The overall 5-year survival rate was 67.0%: including 53.4% and 74.6% for deceased-donor lung transplantation and living-donor lobar lung transplantation groups, respectively. The total operation-related and 1-month mortality rates after surgery were 3.8% and 10.4%, respectively. These data are better, or at least acceptable, in comparison with the international r...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Clinical report on a computer-controlled hand-actuated stapling system for general lung surgery: the first application in JapanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The new computer-controlled stapling system may be safe and efficient for lung parenchymal tissue resection during open thoracic surgery. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-009-0407-3Authors Yukitoshi Satoh, Kitasato University School of Medicine Department of Thoracic Surgery 1-15-1 Kitasato, Sagamihara-shi Kanagawa 228-8555 JapanYoshio Matsui, Kitasato University School of Medicine Department of Thoracic Surgery 1-15-1 Kitasato, Sagamihara-shi Kanagawa 228-8555 JapanFumihiro Ogawa, Kitasato University School of Medicine Department of Thoracic Surgery 1-...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Irradiation inhibits vascular anastomotic stenosis in a canine modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Irradiation can inhibit anastomotic stenosis in a canine model. Adventitia is a factor in the creation of stenosis, and irradiation appears to target the adventitia. We speculate that there might be a possible role for intracoronary irradiation in the future to prevent anastomotic stenosis. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-009-0413-5Authors Takeshi Saito, Sendai Open Hospital Department of Cardiovascular Surgery Tsurugaya 5-22-1, Miyagino-ku Sendai 983-0824 JapanAtsushi Iguchi, Tohoku University Graduate School of Medicine Sendai JapanKoichi Tabayashi,...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Primary sarcoma of the right ventricle: surgical and adjuvant therapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe surgical and adjuvant therapeutic management of a right ventricular (RV) sarcoma and pulmonary artery occlusion. Echocardiographic evaluation of a 39-year-old man with exertional dyspnea revealed a tumor mass in the right ventricle, pulmonary trunk, and bilateral pulmonary arteries. The tumor was resected with concomitant pulmonary valvotomy, but the resection was incomplete. The RV outflow was reconstructed with an allograft patch, and a stentless valve was implanted for pulmonary valvular function. The pulmonary trunk and arteries were enlarged with allograft patches. The tumor was undifferentiated sarcom...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

In situ replacement of the thoracic aorta using an equine pericardial roll graft for an aortobronchial fistula due to aortic ruptureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 74-year-old woman with massive hemoptysis and shock who had been diagnosed with thoracic aortic rupture underwent in situ replacement of the thoracic aorta using an equine pericardial roll graft. The lower lobe of the left lung was resected because of a massive hematoma and adhesion to the wall of the thoracic aorta. Intraoperative microscopic examination of the resected aortic wall revealed Gram-positive bacteria (α-streptococcus in bacterial cultivation). Histology of the resected aorta revealed abscess formation in the media and adventitia of the aortic wall associated with disruption of the m...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Surgical repair of a sinus of a Valsalva aneurysm ruptured into the left ventricleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 47-year-old man presented with orthopnea. He had no infection or, in particular, infectious endocarditis. An echocardiogram and multislice computed tomography scan revealed a left sinus of Valsalva aneurysm (SVA) that had ruptured into the left ventricle, with severe aortic regurgitation. He was diagnosed with ruptured congenital SVA with severe aortic regurgitation and underwent closure of the aneurysmal mouth with a Dacron patch, and concomitant aortic valve replacement. The use of a Dacron patch to close the aneurysmal mouth of a ruptured congenital left SVA has not been reported previously in ...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Organizing pneumonia with an enlarging tumor-like lesion: immunohistochemical studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract An 86-year-old woman was transferred to our department for investigation of an abnormal enlarging pulmonary shadow with vascular convergence. She had no respiratory symptoms or laboratory data suggesting inflammatory disease. A pulmonary wedge resection was performed under video-assisted thoracic surgery. Pathology examination revealed that the tumor was organizing pneumonia and was composed of fibroblast-like spindle cells, macrophages, lymphoplasma cells, and collagen fibers. Immunohistochemical study revealed that the lesion was in the proliferative state with the relatively more Ki-67-positive f...
Source: General Thoracic and Cardiovascular Surgery - September 23, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Usefulness of suplatast tosilate for chronic cough following lung cancer surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The present study suggested the efficacy of IPD for controlling chronic dry cough after lung cancer surgery. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-009-0426-0Authors Hideaki Miyamoto, Juntendo University School of Medicine Department of General Thoracic Surgery 2-1-1 Hongo, Bunkyo-ku Tokyo 113-8421 JapanYukinori Sakao, Juntendo University School of Medicine Department of General Thoracic Surgery 2-1-1 Hongo, Bunkyo-ku Tokyo 113-8421 JapanMotoki Sakuraba, Juntendo University School of Medicine Department of General Thoracic Surgery 2-1-1 Hongo, Bunkyo-ku Tokyo ...
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Surgical treatment for papillary fibroelastoma of the aortic valveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of surgical treatment for a papillary fibroelastoma of the aortic valve. The patient was a 62-year-old woman who was asymptomatic for cardiac papillary fibroelastoma. Echocardiography demonstrated a mobile, rounded mass on the left coronary cusp of the aortic valve. The patient underwent surgical excision, had an uneventful recovery, and was discharged 10 days after the operation. Pathology examination confirmed papillary fibroelastoma. Surgical excision of the tumor is recommended for patients with symptoms, but the treatment of asymptomatic patients is controversial. We believe that surgical treatme...
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Thoracic and cardiovascular surgery in Japan during 2007Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Annual ReportDOI 10.1007/s11748-009-0460-yAuthors Committee for Scientific AffairsYuichi Ueda, Nagoya University Graduate School of Medicine Department of Cardiac Surgery Nagoya JapanYoshitaka Fujii, Nagoya City University Graduate School of Medical Sciences Oncology, Immunology and Surgery Nagoya JapanHiroyuki Kuwano, Gunma University, Graduate School of Medicine Department of General Surgical Science (Surgery 1) Maebashi Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 57 Journal Issue Volume 57...
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Lung cancer-associated tumor antigens and the present status of immunotherapy against non-small-cell lung cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Despite recent advances in surgery, irradiation, and chemotherapy, the prognosis of patients with lung cancer is still poor. Therefore, the development and application of new therapeutic strategies are essential for improving the prognosis of this disease. Significant progress in our understanding of tumor immunology and molecular biology has allowed us to identify the tumor-associated antigens recognized by cytotoxic T lymphocytes. Immune responses and tumor-associated antigens against not only malignant melanoma but also lung cancer have been elucidated at the molecular level. In a theoretical sen...
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Fulminant apical ballooning syndrome after replacement of a prosthetic aortic valveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 70-year-old woman was readmitted to our hospital with a fever of 39°C on the 30th day after replacement of a prosthetic aortic valve. She required percutaneous cardiopulmonary support for her heart failure and was weaned after 7 days. Echocardiography revealed an akinetic and aneurysmally dilated left ventricular apex and hyperdynamic basal segments. This case indicates that fulminant apical ballooning syndrome might be added to the list of potential complications after cardiac surgery. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11748-009-0414-4Authors Toshihiro Ohata, KKR S...
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Apicoaortic valved conduit with an apical connector for aortic stenosis with a calcified aortaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of apicoaortic bypass using an apical connector for severe aortic stenosis. A 74-year-old woman suffered from severe aortic stenosis, with a small aortic annulus and a severely calcified aorta. A valved conduit with an apical connector was placed between the left ventricular apex and the descending thoracic aorta because the risk of aortic valve replacement was high. Use of an apical connector facilitated a secure connection between the conduit and the left ventricular apex. The pressure gradient across the native aortic valve fell from 64 mm Hg before the operation to 19 mm Hg afterward. Apicoaortic ...
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Large bronchial granular cell tumorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a 20-year-old woman who underwent complete resection of a granular cell tumor (GCT). On chest computed tomography (CT) scan, a mass with a maximum diameter of 36 mm at the lower bronchus with atelectasis of the right lower lobe was noted. Bronchoscopic examination revealed a whitish mass in the truncus intermedius, and the middle and lower bronchus were unable to be seen. A cytopathological examination of the mass revealed GCT. A right middle and lower lobectomy was performed via a posterolateral thoracotomy. Microscopically, the tumor was composed of polygonal cells with oxyphilic granular cytoplasm and sma...
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Use of a Matsui-Kitamura stent-graft for endovascular repair of patent ductus arteriosus in an adult patientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case wherein closure of a large patent ductus arteriosus in an adult patient was achieved using a Matsui-Kitamura curved nitinol stent-graft. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s11748-008-0385-xAuthors Azumi Hamasaki, Sendai Kosei Hospital Department of Cardiovascular Surgery, Cardiovascular Center 4-15 Hirose-Machi, Aoba-Ku Sendai 980-0873 JapanHirofumi Midorikawa, Southern Tohoku General Hospital Department of Cardiovascular Surgery Koriyama, Fukushima JapanGen-ya Yaginuma, Sendai Kosei Hospital Department of Cardiovascular Surgery, Cardiovascular Center 4-15 Hirose-Machi, Aob...
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Erratum to Thoracic and cardiovascular surgery in Japan during 2003, 2004, 2005, and 2006Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory ErratumDOI 10.1007/s11748-009-0522-1Authors Teruhisa KazuiHiromi WadaHiromasa Fujita Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 57 Journal Issue Volume 57, Number 9 / September, 2009 (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Reoperation of the proximal aorta: impact of presternotomy extracorporeal circulation on clinical outcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Presternotomy extracorporeal circulation was not associated with any major adverse outcomes such as death, stroke, or renal failure. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-009-0432-2Authors Tomonobu Abe, Social Insurance Chukyo Hospital Department of Cardiovascular Surgery 1-1-10 Sanjyo, Minami-ku Nagoya 457-8510 JapanAkihiko Usui, Nagoya University Graduate School of Medicine Nagoya JapanMasaharu Yoshikawa, Toyota Kosei Hospital Department of Cardiovascular Surgery Toyota JapanHideki Oshima, Nagoya University Graduate School of Medicine Nagoya JapanToshiaki ...
Source: General Thoracic and Cardiovascular Surgery - September 15, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Imaging aid for thoracic surgery: multidetector-row computed tomography evaluation of the tracheobronchial structure and bronchial tube selection for one-lung anesthesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The 3D images demonstrated problematic areas of the tracheobronchial structure and helped the anesthesiologists select the most appropriate bronchial tube suitable for the tracheobronchial structure variations. Therefore, this technique is considered to contribute to safer performance of one-lung anesthesia. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-008-0386-9Authors Itsuko Okuda, Toranomon Hospital Department of Diagnostic Radiology 2-2-2 Toranomon Minato-ku Tokyo 105-8470 JapanHiromi Yamase, Toranomon Hospital Department of Anesthesiology Tokyo JapanShigeru O...
Source: General Thoracic and Cardiovascular Surgery - July 14, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

cDNA microarray analysis of esophageal cancer: discoveries and prospectsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Recent progress in molecular biology has revealed many genetic and epigenetic alterations that are involved in the development and progression of esophageal cancer. Microarray analysis has also revealed several genetic networks that are involved in esophageal cancer. However, clinical application of microarray techniques and use of microarray data have not yet occurred. In this review, we focus on the recent developments and problems with microarray analysis of esophageal cancer Content Type Journal ArticleCategory Current Topics Review ArticleDOI 10.1007/s11748-008-0406-9Authors Yutaka Shimada,...
Source: General Thoracic and Cardiovascular Surgery - July 14, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Tailor-made virtual lung: prevailing clinical applicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory EditorialDOI 10.1007/s11748-008-0409-6Authors Tadashi Akiba, Jikei University Kashiwa Hospital Department of Surgery 163-1 Kashiwashita Kashiwa, Chiba 277-8567 Japan Journal General Thoracic and Cardiovascular SurgeryOnline ISSN 1863-6713Print ISSN 1863-6705 Journal Volume Volume 57 Journal Issue Volume 57, Number 7 / July, 2009 (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - July 14, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Aortopulmonary fistula caused by penetrating atherosclerotic ulcer and intramural hematomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 75-year-old woman presented with chronic cough and hemoptysis. Chest computed tomography (CT) and aortography revealed a small, contrast-filled outpouching in the wall of the descending aorta, which was thought to be the source of bleeding. At thoracotomy, there were firm adhesions between the descending aorta and the left S6. The aorta was clamped and the adhesions were removed revealing a defect in the aortic wall with thrombus. The defect was sutured. A penetrating atherosclerotic ulcer and intramural hematoma were diagnosed based on the radiological and operative findings. Content Type Jour...
Source: General Thoracic and Cardiovascular Surgery - July 14, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Surgical approach to left subclavian artery aneurysm in Marfan syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of left subclavian artery aneurysm in a 48-year-old man with Marfan syndrome. Aneurysmectomy and interposition with an artificial graft were successfully performed through an infraclavicular incision by dividing the clavicle at its midshaft. The clavicle bone was reconstructed with a steel plate, and the postoperative course was uneventful. Because the arterial wall is fragile in cases of connective tissue disorders such as Marfan syndrome, our surgical approach was considered to be helpful for gentle maneuvering in an adequate operative field. Content Type Journal ArticleCategory Case ReportDOI 10...
Source: General Thoracic and Cardiovascular Surgery - July 14, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Solitary fibrous tumors of the pleura presenting satellite tumorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 29-year-old man presented with a mass in the left lower lung field on a chest radiograph obtained during a medical checkup. Computed tomography revealed a tumor adjacent to the diaphragm. A sessile tumor measuring 10.5 × 8.5 × 4.5 cm arising from the parietal pleura was resected. The tumor was accompanied by several little tumors on the nearby diaphragm. Pathologically, the major tumor consisted of typical spindle-shaped cells with myxoid degeneration. There was no increased cellularity, cellular pleomorphism, or a high mitotic count. In immunohistochemical studies, the spindle cells showed posi...
Source: General Thoracic and Cardiovascular Surgery - July 14, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals

Cisplatin-based chemotherapy followed by surgery for malignant nonseminomatous germ cell tumor of mediastinum: one institution’s experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Postchemotherapy surgical resection of the residual tumor plays an integral role in the management of patients with NSGCT. The presence of viable tumor cells in the resected specimens is associated with poor survival. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11748-008-0375-zAuthors Yukio Nakamura, Kinkichuo Chest Medical Center Department of Surgery, National Hospital Organization 1180 Nagasone-cho Sakai, Osaka 591-8555 JapanAkihide Matsumura, Kinkichuo Chest Medical Center Department of Surgery, National Hospital Organization 1180 Nagasone-cho Sakai, Osaka 591-8555 ...
Source: General Thoracic and Cardiovascular Surgery - July 14, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic and Cardiovascular Surgery Source Type: journals