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Multifocal Nodular Lymphoid Hyperplasia of the Lung Differently Identified by 18F-Fluorodeoxyglucose Positron Emission Tomography (FDG‐PET)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of surgically resected multifocal NLH which was differently identified by chest computed (CT) tomography appearance and FDG‐PET findings.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: journals

Schwannoma Mimicking Liver Tumoremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a liver tumor-mimicking schwannoma of the intercostal nerves. A 58-year-old woman presented with a painful lesion in the right subphrenic area and abdominal pain in the right upper quadrant for two months. Abdominal ultrasonography and magnetic resonance imaging revealed a tumor, 9.1 × 7.1 × 8.9 cm in size, with an inner cystic change in segment V and VI of the liver. The tumor was completely resected together with part of the 9th rib. Pathology confirmed a schwannoma and showed a tumor composed of spindle cells with oval to wavy nuclei. The patient was still asymptomatic at follo...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: journals

Central Large Pulmonary Arteriovenous Malformation with Aneurysmal Dilatationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 434-436DOI: 10.1055/s-2008-1038990AbstractA centrally located large pulmonary arteriovenous malformation (PAVM) with aneurysmal formation is uncommon and the optimal treatment remains unclear. Here we report a 63-year-old female with a large PAVM located in the pulmonary hilum presenting with dyspnea and a brain abscess. A muscle-sparing thoracotomy with lobectomy of the left upper lobe was successfully performed under the guidance of three-dimensional reconstruction imaging of the thoracic vasculature.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: journals

Three Cases of Intrathoracic Gossypiboma with Varying Morbidities Depending on the Time of Detectionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 432-434DOI: 10.1055/s-2008-1038962AbstractAn intrathoracic gossypiboma (surgical sponge retained within the thoracic cavity during surgery) is rare but causes serious surgical complications and presents with difficulties in the differential diagnosis. In this article, we describe three cases of intrathoracic gossypiboma identified with the help of exploratory surgery 22, 10 and 3 years after they had been retained after surgery. The radiological findings varied in these cases and were insufficient for an accurate preoperative diagnosis. Marked deterioration in the neighboring lung tissue wa...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: journals

Hybrid Approach: Vascular Surgical and Image-Guided Intervention for BroCa-induced Superior Vena Cava Syndrome (SVCS)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 427-431DOI: 10.1055/s-0029-1185880Abstract The aim of this study was to compare the outcome of a novel hybrid technique with the results of conventional approaches when treating tumor-induced superior vena cava syndrome (SVCS). The failure of a thrombectomy via transjugular aspiration led to an interdisciplinary approach to treat malignant SVCS. The technique is relatively unknown but is performable if vascular surgeons and interventional radiologists work side by side in the operating room. We give an in-depth description of the hybrid technique, including surgical thrombectomy of the SVC,...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Short Communications Source Type: journals

Right Coronary Artery Arising from the Pulmonary Trunkemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 424-426DOI: 10.1055/s-0029-1185338AbstractThe prevalence of coronary artery anomalies is reported to be around 0.3–1 %. An anomalous origin of the right coronary artery (RCA) is a rare condition but may lead to myocardial ischemia and sudden death. Diagnosis is mainly made by conventional coronary arteriography. Nowadays, multislice computed tomography is a new noninvasive imaging technique with excellent spatial resolution which can detect the origin and course of an anomalous coronary vessel. Here we report on a 67-year-old woman with an anomalous origin of the RCA arising fro...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Short Communications Source Type: journals

Traumatic Arteriovenous Fistula of the Internal Mammary Vesselsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 422-424DOI: 10.1055/s-2008-1039268AbstractAn uncommon case of traumatic arteriovenous fistula of the left internal mammary artery following penetrating chest trauma is presented. The patient developed a left parasternal machinery murmur six days after thoracotomy to repair a pericardial tamponade after a penetrating left parasternal stab wound. Selective digital subtraction angiography revealed pseudoaneurysm formation with fistulous connection of the left internal mammary artery to the adjacent vein. The fistula was successfully occluded with coil embolization.[...]© Georg Thieme Verlag K...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Short Communications Source Type: journals

Left Ventricle to Left Atrium Shunt via a Paravalvular Abscessemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report on a case of successful surgical management of a paravalvular communication between the left ventricle and the left atrium via an abscess cavity.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Short Communications Source Type: journals

Intrathoracic Application of Vacuum Wound Therapy Following Thoracic Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report our initial experience of the intrathoracic application of the VAC system after extended thoracic surgery. Thirteen patients (11 men, 2 women) with a median age of 60 years (range 41 to 82 years) with deep wound infections after thoracotomy (empyema = 3; lobectomy = 5; Pancoast = 1; pneumonectomy = 4) were treated primarily with the VAC system after initial surgical debridement. All patients had an increased risk for impaired wound healing (e.g., diabetes, obesity, empyema, steroids). The VAC system was removed when systemic signs of infection resolved and quantitat...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Original Thoracic Source Type: journals

Prognostic Value of 18-FDG Uptake in Early Stage NSCLCemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 413-416DOI: 10.1055/s-0029-1185733Abstract We assessed whether the standard uptake of 18-fluorodeoxyglucose (18-FDG) in non-small cell lung cancers (NSCLC) differed between stage I and non-stage I tumors. We reviewed 163 patients with NSCLC who underwent surgical lymph node dissection after tumor resection in 2002–2003. Patients with clinical stage I NSCLC who were investigated with preoperative positron emission tomography integrated computed tomography (PET‐CT) scans using 18-FDG uptake were included; those with N2 disease were excluded. We reviewed 55 patients with a mean fol...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Original Thoracic Source Type: journals

The Role of Meteorological Conditions on the Development of Spontaneous Pneumothoraxemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 409-412DOI: 10.1055/s-0029-1185721Abstract The aim of this study was to investigate the relationship between weather conditions and pneumothorax episodes in the patients with spontaneous pneumothorax (SP) admitted to our hospitals. One hundred and seventy-five patients diagnosed with SP and admitted to two hospitals in our area between January 2004 and January 2007 were included in this study. Data comparison was made between the days with and without pneumothorax. 159 of the patients (91 %) were male and 16 (9 %) were female. During the study a total of 202 SP episodes were obs...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Original Thoracic Source Type: journals

Identification of Immunohistochemical Prognostic Markers for Survival after Resection of Pulmonary Metastases from Colorectal Carcinomaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 403-408DOI: 10.1055/s-0029-1185820Abstract Although aggressive resection of pulmonary metastases prolongs the survival of patients with metastatic colorectal cancer, there is a need for predictive pathologic parameters to understand the key molecular events of metastatic progression. The aim of this study was to verify immunohistochemical markers in addition to established clinical parameters after surgery. From our subset of patients undergoing resection of pulmonary metastases from metastatic colorectal carcinoma, we analyzed 39 patients (23 men and 16 women) between 2003 and 2007. Only p...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Original Thoracic Source Type: journals

Impact of Graft Size and Commissural Resuspension Height on Aortic Valve Competence in Valve-Sparing Aortic Replacement under Physiological Pressures*email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 399-402DOI: 10.1055/s-0029-1185851Abstract Valve competence in valve-sparing aortic root replacement has been described as being influenced by commissural height as well as graft size. The aim of this study was to investigate the impact of a gradual reduction of commissural height and graft diameter on aortic insufficiency under physiological conditions in an model. Porcine aortic valves were reimplanted into a tubular graft and a native commissural height was obtained. Subsequently the height was reduced by 10 % and 20 %, respectively. To investigate the impact of graft size, a...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Original Cardiovascular Source Type: journals

Combined Aortic Root and Right Ventricular Outflow Tract Replacement with Mechanical Conduits in Adult Patients after Repeated Surgery for Congenital Heart Disease*email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 395-398DOI: 10.1055/s-0029-1185869Abstract To manage aortic root aneurysms and right ventricular outflow tract (RVOT) graft dysfunction in adult patients after repeated surgery for congenital heart disease, we performed combined prosthetic aortic root and RVOT replacement. The procedure was performed in 5 patients (2 truncus arteriosus, 2 variants of tetralogy of Fallot, and 1 congenital aortic stenosis), aged 23, 24, 27, 29, and 34 years, who presented with progressive dilation of the aortic root and aortic regurgitation as well as RVOT graft dysfunction. All patients had undergone a media...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Original Cardiovascular Source Type: journals

Predictors and Outcome of ICU Readmission after Cardiac Surgery*email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 391-394DOI: 10.1055/s-0029-1185852Abstract Readmission to the intensive care unit (ICU) after cardiac surgery is associated with higher costs and may be correlated with an increased mortality. We wanted to evaluate predictors of ICU readmission and to analyze the outcome of those patients. 3523 patients who underwent CABG and/or valve surgery between 2004 and 2007 were reviewed retrospectively. The reasons for readmission and the postoperative course were analyzed. Furthermore, perioperative risk factors for readmission were determined by multivariate regression analysis. Of the 3374 patien...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Original Cardiovascular Source Type: journals

CD14 Promoter Polymorphism (− 159C→t) is Not Associated with Myocardial Infarction or Coronary Artery Disease in Patients with Assumed High Genetic Riskemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 386-390DOI: 10.1055/s-0029-1185876Abstract Inflammation plays a major role in the pathogenesis of coronary artery disease (CAD) and myocardial infarction (MI). CD14 is the receptor for bacterial lipopolysaccharide in monocytes and mediates the production of proinflammatory cytokines. The promoter of the CD14 gene has a polymorphic site in position − 159 (C→T) and T-homozygotes have been shown to express higher amounts of CD14 by some investigators. We and others have found an association of the T-allele with past MI in former studies, but reports in the literature are cont...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Original Cardiovascular Source Type: journals

Regulation of Endothelial Nitric Oxide Synthase (eNOS) in Myocardium Subjected to Cardioplegic Arrestemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Thorac cardiovasc Surg 2009; 57: 379-385DOI: 10.1055/s-0029-1185873Abstract Nitric oxide (NO) production by both coronary endothelial cells and cardiomyocytes is thought to play a significant role in myocardial pathophysiology following ischemia/reperfusion (I/R). In thirteen pigs subjected to 1 hour cardioplegic arrest (CA) on CPB, left ventricular (LV) biopsies were collected prior to CPB (baseline), at 60 min CPA, at 15 and 30 min reperfusion on CPB, and at 120 min post CPB. LV specimens were immunocytochemically stained against phospho-eNOS, phospho-eNOS, phosphorylated ERK1/2, and AKT/PKB. Four addit...
Source: The Thoracic and Cardiovascular Surgeon - October 1, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Original Cardiovascular Source Type: journals

Regulation of endothelial nitric oxide synthase (eNOS) in myocardium subjected to cardioplegic arrest.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: ENOS activation during ischemia occurs through phosphorylation at Ser1177 mediated by Akt/PKB. ERK1/2 does not seem to be involved in myocardial eNOS regulation especially not via phosphorylation at eNOS (Thr495). PMID: 19795322 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Fischer UM, Klass O, Cox CS, Stock U, Antonyan A, Brixius K, Fischer JH, Mehlhorn U, Bloch W Tags: Thorac Cardiovasc Surg Source Type: journals

CD14 promoter polymorphism (- 159C-->t) is not associated with myocardial infarction or coronary artery disease in patients with assumed high genetic risk.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: The assumed weak association of the TT-genotype of the CD14 promoter polymorphism with MI could not be not established in a well-defined group of young patients with a high genetic risk. The association of the polymorphism with expression of sCD14 or mCD14 was not confirmed. PMID: 19795323 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Haberbosch W, Unkelbach K, Schuster D, Gardemann A, Tillmanns H, Hölschermann H Tags: Thorac Cardiovasc Surg Source Type: journals

Predictors and outcome of ICU readmission after cardiac surgery.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Patients after valve/combined surgery are more likely to require readmission to the ICU. Respiratory complications were the most common reasons for readmission. To reduce the readmission rate, it is necessary to treat cardio-respiratory problems early, particularly in patients showing predictive risk factors. PMID: 19795324 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Litmathe J, Kurt M, Feindt P, Gams E, Boeken U Tags: Thorac Cardiovasc Surg Source Type: journals

Combined aortic root and right ventricular outflow tract replacement with mechanical conduits in adult patients after repeated surgery for congenital heart disease.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Combined aortic root and RVOT replacement with mechanical conduits in adult patients after repeated surgery for congenital heart disease is a complex operation requiring long CPB time. However, this procedure has the potential to avoid a predictable reoperation associated with conventional biological graft replacement. PMID: 19795325 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ono M, Goerler H, Boethig D, Westhoff-Bleck M, Breymann T Tags: Thorac Cardiovasc Surg Source Type: journals

Impact of graft size and commissural resuspension height on aortic valve competence in valve-sparing aortic replacement under physiological pressures.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Valve competence is impaired both by the reduction of commissural height and by reduced graft size. In particular, reimplantation of aortic valves into undersized grafts promotes valve insufficiency even if commissural height is well adjusted. PMID: 19795326 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Babin-Ebell J, Freiherr Grote H, Sievers HH, Scharfschwerdt M Tags: Thorac Cardiovasc Surg Source Type: journals

Identification of immunohistochemical prognostic markers for survival after resection of pulmonary metastases from colorectal carcinoma.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Our results suggest that in addition to clinically prognostic factors, FOS-B expression has a debatable impact on patient survival. We conclude that the evaluation of molecular and clinical prognostic parameters at the time of pulmonary metastasectomy offers a greater understanding of the metastatic process and provides important information for patient selection. PMID: 19795327 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Pfannschmidt J, Bade S, Hoheisel J, Muley T, Dienemann H, Herpel E Tags: Thorac Cardiovasc Surg Source Type: journals

The role of meteorological conditions on the development of spontaneous pneumothorax.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: In our area, no relationship was observed between pneumothorax episodes and meteorological conditions in cases with SP, but attacks were found to occur more often in certain seasons and months. We believe that more significant results could be obtained if similar studies are conducted in other regions or maybe all over the country. PMID: 19795328 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Celik B, Kefeli Celik H, Hamzaçebi H, Demir H, Furtun K, Ortamevzi C Tags: Thorac Cardiovasc Surg Source Type: journals

Prognostic value of 18-FDG uptake in early stage NSCLC.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: High preoperative 18-FDG uptake of tumors was significantly associated with reduced overall patient survival. The SUVmax of the tumor and serum CEA levels demonstrated aggressive tumors and could be helpful preoperatively when considering patients for induction therapy or resection. PMID: 19795329 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Chen JC, Huang TW, Cheng YL, Chang H, Tzao C, Huang WS, Lee SC Tags: Thorac Cardiovasc Surg Source Type: journals

Intrathoracic application of vacuum wound therapy following thoracic surgery.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Intrathoracic vacuum therapy after extended thoracic surgery seems to be an effective and safe adjunct to conventional treatment modalities for the therapy of intrathoracic infections or deep wound infections. PMID: 19795330 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Groetzner J, Holzer M, Stockhausen D, Tchashin I, Altmayer M, Graba M, Bieselt R Tags: Thorac Cardiovasc Surg Source Type: journals

Left ventricle to left atrium shunt via a paravalvular abscess.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report on a case of successful surgical management of a paravalvular communication between the left ventricle and the left atrium via an abscess cavity. PMID: 19795331 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Gasparovic H, Smalcelj A, Brida M Tags: Thorac Cardiovasc Surg Source Type: journals

Traumatic arteriovenous fistula of the internal mammary vessels.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
An uncommon case of traumatic arteriovenous fistula of the left internal mammary artery following penetrating chest trauma is presented. The patient developed a left parasternal machinery murmur six days after thoracotomy to repair a pericardial tamponade after a penetrating left parasternal stab wound. Selective digital subtraction angiography revealed pseudoaneurysm formation with fistulous connection of the left internal mammary artery to the adjacent vein. The fistula was successfully occluded with coil embolization. PMID: 19795332 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Yerebakan C, Westphal B, Kröger JC, Steinhoff G Tags: Thorac Cardiovasc Surg Source Type: journals

Right coronary artery arising from the pulmonary trunk.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The prevalence of coronary artery anomalies is reported to be around 0.3-1 %. An anomalous origin of the right coronary artery (RCA) is a rare condition but may lead to myocardial ischemia and sudden death. Diagnosis is mainly made by conventional coronary arteriography. Nowadays, multislice computed tomography is a new noninvasive imaging technique with excellent spatial resolution which can detect the origin and course of an anomalous coronary vessel. Here we report on a 67-year-old woman with an anomalous origin of the RCA arising from the pulmonary trunk. The anomaly was diagnosed by cardiac catheterization and con...
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Baskurt M, Yýldýz A, Caglar IM, Kýlýckesmez K, Okcun B, Ozkan AA, Ersanlý M, Gurmen T Tags: Thorac Cardiovasc Surg Source Type: journals

Hybrid approach: vascular surgical and image-guided intervention for BroCa-induced superior vena cava syndrome (SVCS).email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Treatment provided the advantages associated with limited invasiveness, i.e., a faster and complication-free recovery period. The procedure may be a suitable alternative to open surgical intervention, as it involves less invasive trauma and has a reasonable risk-benefit ratio with a good chance of technical and clinical success. Further studies are warranted to better assess the complication rates with this hybrid technique. PMID: 19795334 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Halloul Z, Weber M, Ricke J, Smith B, Meyer F Tags: Thorac Cardiovasc Surg Source Type: journals

Three cases of intrathoracic gossypiboma with varying morbidities depending on the time of detection.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
An intrathoracic gossypiboma (surgical sponge retained within the thoracic cavity during surgery) is rare but causes serious surgical complications and presents with difficulties in the differential diagnosis. In this article, we describe three cases of intrathoracic gossypiboma identified with the help of exploratory surgery 22, 10 and 3 years after they had been retained after surgery. The radiological findings varied in these cases and were insufficient for an accurate preoperative diagnosis. Marked deterioration in the neighboring lung tissue was observed over time, and the patients who had gossypibomas for 22, 10 ...
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Okur HK, Okur E, Baran R Tags: Thorac Cardiovasc Surg Source Type: journals

Central large pulmonary arteriovenous malformation with aneurysmal dilatation.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A centrally located large pulmonary arteriovenous malformation (PAVM) with aneurysmal formation is uncommon and the optimal treatment remains unclear. Here we report a 63-year-old female with a large PAVM located in the pulmonary hilum presenting with dyspnea and a brain abscess. A muscle-sparing thoracotomy with lobectomy of the left upper lobe was successfully performed under the guidance of three-dimensional reconstruction imaging of the thoracic vasculature. PMID: 19795336 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Hsu PK, Hsu WH, Wu YC Tags: Thorac Cardiovasc Surg Source Type: journals

Schwannoma mimicking liver tumor.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a liver tumor-mimicking schwannoma of the intercostal nerves. A 58-year-old woman presented with a painful lesion in the right subphrenic area and abdominal pain in the right upper quadrant for two months. Abdominal ultrasonography and magnetic resonance imaging revealed a tumor, 9.1 x 7.1 x 8.9 cm in size, with an inner cystic change in segment V and VI of the liver. The tumor was completely resected together with part of the 9th rib. Pathology confirmed a schwannoma and showed a tumor composed of spindle cells with oval to wavy nuclei. The patient was still asymptomatic at follow-up after 36 months, with no si...
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Shih YC, Chen YL, Fang HY, Wu CY, Lin YC, Lin YM Tags: Thorac Cardiovasc Surg Source Type: journals

Multifocal nodular lymphoid hyperplasia of the lung differently identified by 18F-fluorodeoxyglucose positron emission tomography (FDG-PET).email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of surgically resected multifocal NLH which was differently identified by chest computed (CT) tomography appearance and FDG-PET findings. PMID: 19795338 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nakamura H, Miwa K, Haruki T, Adachi Y, Fujioka S, Taniguchi Y Tags: Thorac Cardiovasc Surg Source Type: journals

Cardiac surgery in Germany during 2008. A report on behalf of the German Society for Thoracic and Cardiovascular Surgery.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
All cardiac surgical procedures performed in 79 German cardiac surgical units throughout the year 2008 are illustrated in this report, based on a voluntary registry which is organized by the German Society for Thoracic and Cardiovascular Surgery. In 2008 a total of 99 176 cardiac surgical procedures (ICD and pacemakers procedures excluded) have been collected. More than 10.3 % of the patients were older than 80 years compared to 9.8 % in 2007. Hospital mortality in 47 337 isolated CABG procedures (11.3 % off-pump) was 2.8 %. In 22 243 isolated valve procedures a mortality of 4.7 % has been observed. This voluntary regi...
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Gummert JF, Funkat A, Beckmann A, Schiller W, Hekmat K, Ernst M, Haverich A Tags: Thorac Cardiovasc Surg Source Type: journals

Intraaortic balloon pumping in patients with right ventricular insufficiency after cardiac surgery: parameters to predict failure of IABP Support.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: In patients with IABP support for postcardiotomy cardiogenic shock, elevated serum lactate, elevated base deficit, hypotension, oliguria and large vasopressor doses are all predictors of mortality. In these patients, the use of another mechanical assist device should be considered in good time. Our study additionally shows that LCOS caused by predominantly right ventricular failure - particularly after CABG - may be an additional indication for IABP. PMID: 19707972 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Boeken U, Feindt P, Litmathe J, Kurt M, Gams E Tags: Thorac Cardiovasc Surg Source Type: journals

Left ventricular epicardial lead implantation via left minithoracotomy.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Left ventricular epicardial lead implantation via left anterior minithoracotomy is safe and effective. PMID: 19707973 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Lehr EJ, Ye C, Wang S Tags: Thorac Cardiovasc Surg Source Type: journals

Protection of saphenous vein graft from arterial pressure: an experimental study.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: It is suggested that supporting vein grafts externally with PTFE sufficiently protects the vein walls against damage from exposure to arterial pressure. If varicose veins are used as arterial grafts, supporting them with PTFE may be useful because of the good protection of endothelial and medial connective tissues, resulting in similar parameters to those of normal vein walls. PMID: 19707974 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kurdal AT, Ustundag N, Güven A, Iskesen I, Bozkurt K, Sirin BH Tags: Thorac Cardiovasc Surg Source Type: journals

Long-term surgical outcome in patients with Lung Cancer and coexisting severe COPD.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Patients with stage IA NSCLC and severe COPD may undergo curative surgical resection; however, postoperative complications and long-term survival remain unsolved problems. IP is a contraindication for surgery in patients with severe COPD. PMID: 19707975 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nakajima T, Sekine Y, Yamada Y, Suzuki H, Yasufuku K, Yoshida S, Suzuki M, Shibuya K, Fujisawa T, Yoshino I Tags: Thorac Cardiovasc Surg Source Type: journals

Multiple inflammatory myofibroblastic tumors involving lung and mediastinum: a rare clinical entity.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: IMTs are a rare clinical entity. An accurate preoperative diagnosis is difficult and complete resection remains the treatment of choice and leads to an excellent survival. PMID: 19707976 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Athanassiadi K, Laenger F, Dickgreber N, Haverich A Tags: Thorac Cardiovasc Surg Source Type: journals

Surgical management of secondary spontaneous pneumothorax in elderly patients with chronic obstructive pulmonary disease: retrospective study of 107 cases.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Surgical intervention is recommended in selected elderly COPD patients with SSP, with hypercapnia known as an operative contraindication. Additionally, surgery offers the advantage of intraoperative pleurodesis for the prevention of prolonged postoperative air leaks, while intrapleural injection of human fibrinogen is an effective procedure in the treatment of air leaks. PMID: 19707977 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Zhang Y, Jiang G, Chen C, Ding J, Zhu Y, Xu Z Tags: Thorac Cardiovasc Surg Source Type: journals

Role of surgery in a multidisciplinary approach to Superior Sulcus Tumors (SST): morbidity and prognostic factors for long-term success after resection.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Surgery has a role in the multidisciplinary approach, especially when we consider long-term survival. A multidisciplinary approach using neoadjuvant chemo and radiotherapy has a high rate of complete pathological response. It is also associated with a high incidence of postoperative distress syndrome. The 5-year survival is acceptable. PMID: 19707978 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Torre W, Garcia-Franco C, Tamura A, Gurpide A, Lopez-Picazo J, Aristu J, Moreno M, Pardo J Tags: Thorac Cardiovasc Surg Source Type: journals

Diaphragmatic injuries: a surgical challenge. Report of forty-one cases.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: A high index of suspect is vital for the diagnosis of diaphragmatic injuries in an emergency setting. The type of approach is closely related to the associated injuries. PMID: 19707979 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ozpolat B, Kaya O, Yazkan R, Osmanoğlu G Tags: Thorac Cardiovasc Surg Source Type: journals

Biodegradable mitral annuloplasty for congenital ischemic mitral regurgitation.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report the successful management of a 27-month-old girl with ALCAPA and severe mitral regurgitation using a biodegradable mitral annuloplasty ring. It could represent a novel tool for mitral valve repair in ALCAPA-associated ischemic mitral regurgitation. PMID: 19707980 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Myers PO, Beghetti M, Kalangos A Tags: Thorac Cardiovasc Surg Source Type: journals

Rare type of quadricuspid aortic valve requiring surgical replacement.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present here the case of a quadricuspid aortic valve discovered by intraoperative transesophageal echocardiography and successfully replaced with a mechanical aortic valve. PMID: 19707981 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Susak S, Torbica V, Velicki L, Golubovic M Tags: Thorac Cardiovasc Surg Source Type: journals

"When Aneurysm Ain't Aneurysm": sinus of Valsalva aneurysm mimicked by healed abscess cavity under the aortic valve.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In a 70-year-old patient with severe aortic valve stenosis, preoperative standard imaging (transthoracic echocardiography and angiography) detected an unclear subannular cavity structure. Initially interpreted as an aneurysm of Valsalva, the structure was identified intraoperatively as a huge chronic abscess cavity and exclusion was carried out by pericardial patch plasty. This case draws attention to the importance of a differential diagnosis of an abscess due to infective endocarditis in cases of unclear subannular structures rashly diagnosed as aneurysm of Valsalva. PMID: 19707982 [PubMed - in process] (Source: ...
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Emmert MY, Salzberg SP, Plass A, Behjati S, Felix C, Falk V, Siclari F, Gruenenfelder J Tags: Thorac Cardiovasc Surg Source Type: journals

Effect of ACE inhibition on the fibrinolytic system in patients requiring coronary artery bypass grafting.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Although PAI-1 activity levels are reduced after short-term treatment with ACE inhibitors in patients with stable angina pectoris while TPA antigen is unaffected, treatment with ACE inhibitors does not lead to a marked change in plasmin activation. PMID: 19707983 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Walter T, Szabo S, Kazmaier S, Suselbeck T, Borggrefe M, Hoffmeister HM Tags: Thorac Cardiovasc Surg Source Type: journals

Objective identification of the caudal border of station 1 for lung cancer surgery.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
During lung cancer surgery, a lack of appropriate anatomical landmarks makes the determination of lymph node stations arbitrary. With the aim of remedying this situation, we have focused on the confluence of the internal mammary vein (IMV) to the superior vena cava. Preoperative multidetector computed tomography (MDCT) makes it possible to accurately measure the distance between the caudal border of station 1 and the confluence of the IMV. This preoperative measurement makes the determination of station 1 more objective. PMID: 19707984 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ichimura H, Kikuchi S, Siotani S Tags: Thorac Cardiovasc Surg Source Type: journals

Paradoxical brain embolism caused by pulmonary arteriovenous fistula.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report here a case of special paradoxical brain embolism in a 40-year-old woman with neurological events who was diagnosed with medulla oblongata infarction. Contrast-enhanced pulmonary CT discovered that the patient had a pulmonary arteriovenous fistula (PAVF). The PAVF was later surgically resected. We conclude that if a patent foramen ovale cannot be confirmed by echocardiography, contrast-enhanced pulmonary CT scan could prove to be a helpful tool to detect another origin of a right-to-left shunt such as pulmonary arteriovenous fistula. PMID: 19707985 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Li QZ, Yao F, Yang LX, Xu ZY Tags: Thorac Cardiovasc Surg Source Type: journals

Primary pulmonary paraganglioma with Hodgkin's lymphoma.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present the case of a 21-year-old man who was treated with chemotherapy for Hodgkin's lymphoma. Only a partial response was noted so he underwent additional chemotherapy and involved field radiotherapy. PET-CT showed pathological activity in the lung parenchyma. Subsequent bronchoscopic biopsy showed paraganglioma and the patient underwent a left lower lobectomy. PMID: 19707986 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 29, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kavakli K, Ozturk M, Ongoru O, Gürkök S, Genc O Tags: Thorac Cardiovasc Surg Source Type: journals