Journal of Cardiothoracic Surgery

http://www.cardiothoracicsurgery.org/

List of Papers (Total 2,260)

Giant primary pleomorphic adenoma of the lung presenting as a post-traumatic pulmonary hematoma: a case report

Background Pleomorphic adenomas, also known as benign mixed tumors, are the most common tumors of glandular origin in the head and neck and although they are generally benign they can undergo malignant transformation. Primary pleomorphic adenomas of the lung are extremely rare tumors with less than 40 cases reported in the literature by now. This is the first case in the literature ...

Abnormal branching of the left lingular pulmonary artery diagnosed by three-dimensional computed tomographic angiography in a patient with lung cancer: a case report

Background In general, there are several anomalies of the pulmonary artery. The mediastinal lingular pulmonary artery is well-known for its abnormal branching from the pulmonary artery. However, other types of variation are rare. Case presentation We herein report the case of a patient with primary lung cancer who underwent left upper lobectomy in which the lingular pulmonary ...

Should salvage surgery be considered for local recurrence after definitive chemoradiation in locally advanced non-small cell lung cancer?

Background Incidence of local relapse after definitive chemoradiation (>59 Gy) for locally advanced non-small-cell lung cancer (NSCLC) is high, irrespective of high dose radiation applied. Experience with salvage lung resections in patients with locally relapsed NSCLC after definitive chemoradiation is limited. We present our series of salvage lung resections for local NSCLC ...

Stent dilatation of atretic aortic coarctation in an adult-case report and literature review

Background Patients with functional aortic interruption of the descending thoracic aorta at the isthmus due to severe coarctation in association with atretic lumen are extremely rare in the adult population. The management is challenging and carries high morbidity and mortality. Case presentation We describe successful percutaneous reconstruction using a covered stent in a similar ...

Is preoperative protein-rich nutrition effective on postoperative outcome in non-small cell lung cancer surgery? A prospective randomized study

Objective Protein-rich nutrition is necessary for wound healing after surgery. In this study, the benefit of preoperative nutritional support was investigated for non-small cell lung cancer patients who underwent anatomic resection. Methods A prospective study was planned with the approval of our institutional review board. Fifty-eight patients who underwent anatomic resection in ...

Pulmonary interstitial cholesterol crystals associated with diffuse lung cysts in adult: a case report and literature review

Background Cholesterol pneumonitis or endogenous lipoid pneumonia (ELP) result from the accumulation of endogenous cholesterol esters in the lungs, leading to a fibroblastic interstitial inflammatory process, and may be complicated by a secondary bacterial or fungal infection. Striking features were cholesterol clefts in the alveolar and interstitial spaces and alveolar ...

A clinical decision-making model for repeat surgical treatment of pectus Bar displacement: distance measurement after nuss procedure

Background Bar displacement is one of the most common and serious complications after the Nuss procedure. However, measurements of and factors affecting bar displacement have not been reported. The objectives of this study were to develop a decision model to guide surgeons considering repeat treatment and to estimate optimal cut-off values to determine whether reoperation to ...

In search of the ideal risk-scoring system for very high-risk cardiac surgical patients: a two-stage approach

Background Cardiac surgery patients at very high risk are difficult to stratify with the existing risk scores. The objective of this study is to assess the clinical performance of two existing risk stratification scores (EuroSCORE II and ACEF score) in the setting of very high-risk patients undergoing cardiac surgery, and to identify a possible strategy to better address this ...

Atypical initial presentation of Takayasu arteritis as isolated supra-valvular aortic stenosis

Background Among the vascular involvements of Takayasu arteritis, a supra-valvular aortic stenosis has been reported very rarely. We report a case of surgically corrected, supra-valvular aortic stenosis caused by Takayasu arteritis. Case presentation A 32-year-old female was diagnosed with supra-valvular aortic stenosis by transthoracic echocardiography for the evaluation of ...

Thoracoscopic lobectomy for pulmonary vein occlusion after radiofrequency catheter ablation of atrial fibrillation

Background Radiofrequency catheter ablation for paroxysmal atrial fibrillation is well established but not drawback free. Pulmonary vein stenosis is one of the complications and usually treated with stenting with the disadvantages of high re-stenosis rate and anticoagulant dependence. Case presentation Herein, we present the case of a 47 year-old lady, who suffered from fever and ...

Pre-operative localization of solitary pulmonary nodules with computed tomography-guided hook wire: report of 181 patients

Background Video-assisted thoracic surgery (VATS) is currently performed to diagnose and treat solitary pulmonary nodules (SPN). However, the intra-operative identification of deep nodules can be challenging with VATS as the lung is difficult to palpate. The aim of the study was to report the utility and the results of pre-operative computed tomography (CT)-guided hook wire ...

Novel three-sinus enlargement technique for supravalvular aortic stenosis without aortic transection

Background Although repair of a supravalvular aortic stenosis (SVAS) can be performed with low mortality rates, surgery for the complex form of SVAS continues to be associated with a high incidence of residual stenosis. Case presentation The patient was referred to our hospital at 1 month of age and was diagnosed with aortic valve stenosis (AS) by using echocardiography. Cardiac ...

Back-table procedure and auto-lung transplantation for locally advanced lung cancer: a case report

Background To avoid a pneumonectomy and preserve the lung parenchyma, a bronchovascular double-sleeve plasty including an extended sleeve lobectomy is a good choice for locally advanced lung cancer. Case presentation We describe a case with lung adenocarcinoma enrolled in our new protocol for ex situ auto-lung transplantation following an en bloc pneumonectomy and back table ...

Pitfalls in the management of isolated pulmonary Takayasu’s arteritis after surgery: a case report of an experience during 34 months after a pulmonary artery graft replacement

Background Several controversial matters still remain unresolved in the management of Takayasu’s arteritis, especially after vascular intervention. First, a definitive diagnostic tool has not been established to assess disease activity correctly. Second, the optimal medical regimen has not been established to prevent restenosis of the vascular lesion. Surgical treatments have been ...

Papillary fibroelastoma of the aortic valve in association with rheumatic heart disease: a case report

Background Papillary fibroelastoma (PFE) is a rare primary cardiac neoplasm that is usually discovered incidentally at autopsy or during cardiac surgery. PFE combined with rheumatic heart disease (RHD) is extremely rare, and only a few cases have been reported. Additionally, the growth rate of the tumor is unknown. Case Presentation Here, we present a very rare case of PFE of the ...

Clinical and mechanical factors associated with the removal of temporary epicardial pacemaker wires after cardiac surgery

Background Temporary pacemaker wires are placed in the majority of patients after cardiac surgery. There is no information on mechanical factors related to wire removal. Methods Clinical information related to temporary wire use and removal was prospectively collected from a large cardiac surgical unit over one year. Measurements of maximal tension that nurses and doctors would ...

Repeat transcatheter aortic valve implantation using a latest generation balloon-expandable device for treatment of failing transcatheter heart valves

Background Paravalvular leakage (PVL) is a known complication of transcatheter aortic valve implantation (TAVI) and is associated with poor outcome. Besides balloon-post-dilatation, valve-in-valve (ViV) procedures can be taken into consideration to control this complication. Herein we present initial experience with use of the latest generation balloon-expandable Edwards Sapien 3® ...

Video-assisted thoracic surgery for primary myelolipoma of the posterior mediastinum

Background Myelolipoma is an uncommon tumor comprising adipose tissue and normal hematopoietic cells and mainly occurs in the adrenal cortex. Mediastinal myelolipoma is very rare; we report a case of posterior mediastinal myelolipoma that required surgical resection. Case Presentation A 56-year-old male was diagnosed with a posterior mediastinal tumor by computed tomography. The ...

A technique modification in the cannulation to the innominate artery in the surgical treatment of aortic dissection

Background A modified cannulation strategy to innominate artery was introduced which differs from traditional cannulation method used in aortic surgeries. Case presentation Four patients suffering from aortic dissections with or without other cardiac diseasees underwent surgical treatment by using the modified canulation technique. All patients had an uneventful perioperative ...

Surgery corrects asynchrony of ribcage secondary to extra-thoracic tumor but leads to expiratory dysfunction during exercise

Background The effect of chest wall tumours on chest wall mechanics is uncertain even less is known about the effects of resection and reconstruction. Our aim is to study how chest wall mechanics are altered in chest wall sarcoma and to determine the effect of chest wall reconstruction on chest wall kinetics. Case presentation Using Optoelectronic Plethysmography (OEP), total and ...

Successful heart transplantation after prolonged cardiac arrest and extracorporeal life support in organ donor–a case report

Background Although heart transplantation is a successful therapy for patients suffering from end-stage heart failure, the therapeutic is limited by the lack of organs. Donor cardiac arrest is a classic hindrance to heart retrieval as it raises issues on post-transplant outcomes. Case presentation The present case reports a successful heart transplantation after prolonged donor ...

Current randomized control trials, observational studies and meta analysis in off-pump coronary surgery

The off-pump literature is divided into three eras: the “early phase” with results favouring off-pump surgery supported with randomized control trials (RCTs) mainly from Bristol, UK; an “intermediate phase” dominated by the results of the ROOBY trial and finally a more “contemporary phase” whereby the off/on-pump argument is unsettled. Although the literature has failed to project ...