Journal of the Egyptian Society of Cardio-Thoracic Surgery最新文献

{"title":"Aortic root operation for aortic aneurysm: Valve replacement versus valve sparing procedures","authors":"Yousry El-Saied Rizk ,&nbsp;Ibrahim Mohammed Kasab ,&nbsp;Mahmoud Mohammed Ghalwash ,&nbsp;Ahmed Mohammed Farag ,&nbsp;Ramadan Ibrahim Ouf ,&nbsp;Loay Aly Aljunaidy","doi":"10.1016/j.jescts.2018.11.007","DOIUrl":"10.1016/j.jescts.2018.11.007","url":null,"abstract":"<div><h3>Background</h3><p>Aortic root replacement (Bentall operation) or Aortic valve sparing (David operation) are alternative surgical techniques for the treatment of aortic root aneurysm. The aim of the current study was to compare our 30-days mortality, post-operative care and complications associated with both procedures.</p></div><div><h3>Methods</h3><p>From January 2015 to December 2017, 45 consecutive patients (40 men; 88.9%), with mean age 43.2 ± 6.55 years underwent either Bentall operation (Group A: 30 patients; 66.7%) or David operation (Group B: 15 patients; 33.3%); according to surgeons' preference or expertise.</p><p>Group A patients were significantly older (47.1 ± 7.6 vs. 39.3 ± 5.5 years; P = 0.001), more hypertensive (10 patients; 33.3% vs. none; P = 0.019), had higher serum creatinine level (1.3 ± 0.28 vs. 39.3 ± 5.5 vs. 1.07 ± 0.12 mg/dl; P = 0.004), larger LVEDD (6.03 ± 0.4 vs. 5.40 ± 0.16 cm; P &lt; 0.001) and lower EF% (56.6 ± 6.31 vs. 61.3 ± 3.51; P = 0.011) but needed shorter aortic cross clamp (101.8 ± 19.9 vs. 200 ± 16.9 min; P = 0.011) and bypass times (151.68 ± 17.2 vs. 266.6 ± 25.8 min; P &lt; 0.001); compared to Group B.</p></div><div><h3>Results</h3><p>Overall 30-day mortality was 6.7% in both groups: 2 patients in Group A and 1 patient in Group B. Mortalities were significantly older (54.3 ± 7.23 vs. 43.9 ± 7.6 years; P = 0.025), had larger aortic root (71.6 ± 1.31 vs. 61.2 + 0.78 cm: P = 0.037) and left ventricular end diastolic diameters (6.37 ± 0.68 vs. 5.79 ± 0.44 cm; P &lt; 0.038), needed prolonged mechanical ventilation (51.67 ± 24.39 vs. 92.33 ± 19.66 h; P = 0.007) and ICU stay (5.07 ± 1.98 vs. 8.33 ± 1.53 days; P = 0.008); compared to survivors. Group B patients had significantly longer aortic cross clamp and bypass times but showed Although 4 group B patients showed severe residual aortic regurge, compared to none in Group A (P = 0.23), yet. Other hospital complications were equally comparable.</p></div><div><h3>Conclusion</h3><p>Factors affecting our 30-days mortality were related to the severity of the disease. Both procedures could be valid alternatives, yet more cases of residual aortic regurge are expected with David operation, especially in the early learning curve.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 276-280"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.11.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76778285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoracoscopic decortication for stage III empyema; a minimal invasive approach in a delayed presentation disease","authors":"Hussein Elkhayat ,&nbsp;Mahmoud Sallam ,&nbsp;Maiada Kamal ,&nbsp;Esam M. Abdalla","doi":"10.1016/j.jescts.2018.10.003","DOIUrl":"10.1016/j.jescts.2018.10.003","url":null,"abstract":"<div><h3>Background</h3><p>Stage III empyema still a problem that thoracic surgeons should deal with. We try to reduce the postoperative pain and hospital stay for those patients with using a minimal invasive approach in every case.</p></div><div><h3>Methods</h3><p>Prospective study of all cases assigned for one surgeon with diagnosis of turbid and/or hemorrhagic pleural effusion that showed loculations with thick peal or failed simple chest tube drainage admitted to our thoracic surgery service. An informed consent was taken of a trial for thoracoscopic procedure (VATS) with the possibility of open surgery in case that thoracoscopy fail to proceed. Operative technique was to completely remove the fibrous peel at the surface of the lung without parietal decortication.</p></div><div><h3>Results</h3><p>Forty-seven patients who met the inclusion criteria were assigned for the study, 38 males and 9 females. Mean age was 45.32 (17-82 years). Twenty-eight cases need only drainage and debridement with lysis of fine adhesions without the need for visceral decortication. The remaining 19 cases were subjected to VATS decortication. Of the 19 cases of decortication, 2 cases (10.52%) need conversion to open thoracotomy and one case converted from uniportal to 2 ports approach. All cases of decorication were discharged with mean drainage days of 5.42 (2-30 days). Mean operative time for decortication cases was 116.68 min (86-140 min).</p></div><div><h3>Conclusions</h3><p>Stage III empyema is no longer an absolute contraindication for VATS with the fact that not all cases with a preoperative diagnosis of stage III empyema might need decortication. Moreover, VATS decortication is feasible with a reasonable operative time, short hospital stay and no mortality compared to historical control.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 301-307"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72553545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical management of congenital lobar emphysema: A 15 years experience in a tertiary thoracic surgery unit","authors":"Essam Elbadry Hashim Mohamed ,&nbsp;Ayman Mohamed Mohamed Abdel Ghaffar ,&nbsp;Khaled Mohamed Abdel-Aal ,&nbsp;Abdelhady Ahmed Helmy ,&nbsp;Mostafa Ashry","doi":"10.1016/j.jescts.2018.10.001","DOIUrl":"10.1016/j.jescts.2018.10.001","url":null,"abstract":"<div><h3>Background</h3><p>congenital lobar emphysema is a rare cause of respiratory distress in neonates and infants. It was treated by lobectomy since 1943.</p><p>The aim of this study was to present our experience in the diagnosis and surgical treatment of congenital lobar emphysema cases and highlight the effect of multi-displinary team work on the outcome.</p></div><div><h3>Methods</h3><p>We retrospectively analyzed data of patients operated for congenital lobar emphysema at cardiothoracic surgery department, Sohag university hospital over the period of 15 years starting from January 2000 and ending in December 2015.</p></div><div><h3>Results</h3><p>Total number of cases was fifty three. Males were 39 (74%) while females were 14 (26%). Mean age was 12 weeks (3 weeks - 15 months). Six patients (11%) had associated cardiac anomalies. Main clinical presentations were acute respiratory distress and recurrent chest infection. Left upper lobe was affected in 35 cases (66%), right upper lobe in 10 cases (19%) and right middle lobe in 8 cases (15%). All cases were subjected to anatomical lobectomy by thoracotomy. One patient was subjected to patent ductus arteriosus ligation simultaneously with left upper lobectomy at the same operative setting. Post operative complications were reported in 8 cases (15%) and one patient of them died from sepsis and respiratory failure (1.9%). Postoperatively, all surviving patients were followed up for one year in the outpatient clinic.</p></div><div><h3>Conclusions</h3><p>congenital lobar emphysema is a life threatening disease. Early diagnosis and surgical management by a multi-displinary team is the golden key for favorable and safe outcome.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 308-317"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73314961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of pump assisted beating mitral valve replacement in patients with chronic severe mitral regurgitation and left ventricular dysfunction. A clinical randomized trial","authors":"Mahmoud.A. Elghany Elsherif ,&nbsp;Mohamed.A.K. Salama Ayyad ,&nbsp;Hassan Elsawy ,&nbsp;Ali.A. Elwahab","doi":"10.1016/j.jescts.2018.11.004","DOIUrl":"10.1016/j.jescts.2018.11.004","url":null,"abstract":"<div><h3>Background</h3><p>As a natural extension of warm heart surgery, beating heart valve surgery was born. The fundamental question was posed: why arrest the heart if technically adequate valve procedures could be accomplished with continuous warm perfusion? So this study was carried out to evaluate the results of mitral valve replacement on beating heart in patients with chronic severe mitral regurgitation and left ventricular dysfunction.</p></div><div><h3>Methods</h3><p>Sixty patients underwent surgical correction of mitral insufficiency were prospectively randomized to 30 patients (group 1) mitral valve replacement using warm blood cardioplegia, and 30 patients (group II) mitral valve replacement using beating heart technique.</p></div><div><h3>Results</h3><p>Preoperatively, there was no significant difference between the two examined groups in age, sex, NYHA and echocardiographic data. The mitral surgical time (from beginning of opening of the left atrium till finishing left atrial closure) was significantly longer in the beating (group II) compared to the control (group I). However, the total bypass time was not significantly longer in the beating (group II) compared to the control (group I). The beating (group II) patients had shorter ventilation time and ICU stays time than in the control (group I). P value (0.003 and 0.049 respectively). Also (group II) patients had less incidence of low cardiac output status after surgery than the control (group I) (p value 0.007). The postoperative echocardiographic results showed a significant difference on LV myocardial function in favor of the beating technique (group II) over the cardioplegic technique (group I).</p></div><div><h3>Conclusions</h3><p>Beating heart mitral valve replacement has proven in our study to be associated with better LV function early postoperatively than mitral valve replacement using warm bloody cardioplegic arrest. This together with the absence of related perioperative mortality and the major complications suggests that it is safe and beneficial to LV function.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 257-263"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.11.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73879111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of in-vivo optical spectroscopy in assessment of cerebral perfusion in superior cavo-pulmonary shunt (Glenn)","authors":"Samy Amin,&nbsp;Hesham Abd El Fattah Shawky,&nbsp;Tarek Salah El Din Abd Allah Rezk,&nbsp;Ihab Mohammed Salah El Din El Sharkawy,&nbsp;Ashraf Mostafa Abd Raboh Mohammed","doi":"10.1016/j.jescts.2018.06.006","DOIUrl":"10.1016/j.jescts.2018.06.006","url":null,"abstract":"<div><h3>Background</h3><p>Bidirectional Glenn shunt is a well-established procedure performed as a part of the single ventricle palliation pathway. It may also provide definitive palliation in certain other patients. However, stroke and neurocognitive dysfunction are common after cardiac surgery with rates of approximately 3–6% and 30–50%, respectively. This study aimed to report and compare early post-operative neurological outcome after on-pump and off pump using temporary cavoatrial shunt in bidirectional Glenn shunt operation using a neurological monitor.</p></div><div><h3>Methods</h3><p>This prospective comparative non randomized controlled trial included 30 patients undergone Glenn shunt. The study was done at Kasr Alainy Hospitals (Abul Reesh Specialized Pediatric Japanese Hospital) Cairo University, Egypt in the period between October 2015 and October 2017. Patients were divided into two matching and equally-numbered groups: Group A contained 15 patients using cardiopulmonary bypass (CPB); while group B contained 15 patients without using CPB. Cerebral oximetry was done using INVOS.</p></div><div><h3>Results</h3><p>As regards operative time it was shorter in group B (p = 0.003), post-operative fits in group A 2 patients (13%), in group B 3 patients (20%), the difference was statistically insignificant (p &gt; 0.05). There was a significant correlation between the area under the curve (AUC) and neurological outcome (p = 0.01).</p></div><div><h3>Conclusions</h3><p>We suggest that pediatric INVOS system may help to reduce the high rate of brain injuries.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 3","pages":"Pages 199-204"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.06.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82899167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk scoring for prediction of postoperative bleeding in cardiac surgery","authors":"Islam Saber,&nbsp;Ahmed Mostafa Omran,&nbsp;Sameh Elameen,&nbsp;Ahmed Shafeek Ali","doi":"10.1016/j.jescts.2018.04.003","DOIUrl":"10.1016/j.jescts.2018.04.003","url":null,"abstract":"<div><h3>Background</h3><p>Morbidity and mortality after cardiac surgery can be caused by excessive bleeding which is a common and preventable cause. Excessive bleeding after cardiac operations can be classified to surgical or medical causes. The Papworth Bleeding Risk Score can be helpful in predicting the high risk patients for excessive bleeding.</p><p>The objective of this study was the evaluation of the ability of Papworth Bleeding Risk Score for prediction of excessive early bleeding after cardiac surgery in Egypt.</p></div><div><h3>Methods</h3><p>In this prospective single-center observational study carried out from September 2017 till December 2017, at National Heart Institute of Egypt enrolled 100 consecutive patients.</p><p>Adult patients who were plnned to undergo cardiac surgery with cardiopulmonary bypass were included. Exclusion criteria were Off pump surgeries, congenital heart diseases and known bleeding disorders. The aim was to identify patients with expected risk of an adverse excessive postoperative bleeding according to Papworth bleeding risk score. Postoperative bleeding, reopening and death were calculated.</p></div><div><h3>Results</h3><p>Total number of the bleeders were 17 cases, (4 high risk, 11 medium risk and 2 low risk). Three patients were reopened with only one patient because of surgical cause.</p></div><div><h3>Conclusions</h3><p>We consider this bleeding score as a simple, effective and discriminative modality to stratify cases into three risk groups to take the prophylactic measures with high risk patients and to avoid side effects of these measures in low risk patients.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 3","pages":"Pages 185-190"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90674379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Echocardiographic study of functional tricuspid regurgitation and results of tricuspid valve repair","authors":"Javid Raja ,&nbsp;Vivek Jaswal ,&nbsp;Shyam Kumar Singh Thingnam ,&nbsp;Harkant Singh ,&nbsp;Goverdhan Dutt Puri ,&nbsp;Ajay Bahl","doi":"10.1016/j.jescts.2018.05.005","DOIUrl":"10.1016/j.jescts.2018.05.005","url":null,"abstract":"<div><h3>Background</h3><p>Functional tricuspid regurgitation (FTR) is often neglected. No clear consensus has been reached on superiority of preoperative transthoracic (TTE) or intraoperative transesophageal echocardiography (TEE) in assessment of tricuspid regurgitation (TR) in rheumatic heart disease. There is still debate when to consider for surgical repair of FTR and its benefits.</p></div><div><h3>Methods</h3><p>A total of 50 patients with rheumatic heart disease involving mitral, aortic or both valves with moderate and severe TR were included in the study. TR was assessed using preoperative TTE and intraoperative TEE. 36 out of 50 patients underwent tricuspid valve repair. Two patients died in postoperative period. Results of tricuspid valve repair were studied in 34 patients after six months of surgery.</p></div><div><h3>Results</h3><p>TTE was superior in assessing tricuspid annulus size, central jet area, vena contracta, right atrium size and right ventricle systolic pressure. Patients undergoing tricuspid valve repair had better quality of life with significant improvement in grade of dyspnea, angina, pedal edema and hepatomegaly. The annulus size, jet velocity and right ventricle systolic pressure were significantly lower in patients who underwent tricuspid valve repair. Tricuspid valve should be repaired in all cases of moderate to severe TR with significant annular dilation (&gt;38 mm).</p></div><div><h3>Conclusions</h3><p>FTR is better assessed by TTE compared to intraoperative TEE. Concomitant TR correction (even in moderate degree of TR with tricuspid annulus ≥ 38 mm) should be strongly considered at the time of left side valve surgery resulting in better quality of life.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 3","pages":"Pages 163-170"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76572441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of use of social media in cardiothoracic surgery; surgeons' prospective","authors":"Hussein Elkhayat ,&nbsp;Mariam T. Amin ,&nbsp;Ahmed G. Thabet","doi":"10.1016/j.jescts.2018.07.003","DOIUrl":"10.1016/j.jescts.2018.07.003","url":null,"abstract":"<div><h3>Background</h3><p>Social media browsing became a daily activity of most people including physicians. The use of social media in healthcare can help patients, healthcare professionals, and researchers to keep more updated. However, there are concerns about the risks of using social media for healthcare providers including high rates of false information, and the opportunity cost of using physician time. This study aims to define how cardiothoracic surgeons used social media and the effect of its use on surgical practice and patients' management progress.</p></div><div><h3>Methods</h3><p>The present study was a cross-sectional pilot study based on online questionnaire. The convenient sample was recruited through announcement at cardiothoracic surgeons' Facebook groups and also by email invitations for members of cardiothoracic societies.</p></div><div><h3>Results</h3><p>The number of respondents was 83 physicians. About the half of the sample were Egyptians (50.6%). There was a statistically significant different between Egyptian and non- Egyptian cardiothoracic surgeons as regards time spent while using social media as Egyptians spent more time. Most of respondents used social media for official purposes as advertisement and patients' education. Thirty percent of surgeons thought that, the social media were sometimes relevant and helpful for their jobs and this was mainly by increasing communication with other colleagues.</p></div><div><h3>Conclusions</h3><p>Social media is modifying the nature of interaction between healthcare workers and patients. There is a significant need and a great opportunity for healthcare professionals to provide extra support for patients and their careers beyond the hospital walls using social media.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 3","pages":"Pages 231-236"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91442452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Hamburger procedure for the repair of post-infarction ventricular septal defect: A novel technique “On-pump beating approach with shunt calculation (Qp/Qs) as a guide”","authors":"Ihab Ali ,&nbsp;Badr Fayed ,&nbsp;Ahmed Hassan ,&nbsp;Mina Ata ,&nbsp;Maha Sadek El Derh ,&nbsp;Khaled Abdou ,&nbsp;Hoda Shokri","doi":"10.1016/j.jescts.2018.06.004","DOIUrl":"10.1016/j.jescts.2018.06.004","url":null,"abstract":"<div><p>Our case report describes a novel surgical strategy for the repair of antero-apical Post-infarction ventricular septal defect (PIVSD). We are reporting the management of 75 years old gentleman diagnosed with antero-apical PIVSD using the Hamburger procedure with the modification of performing it using the on -pump beating technique.</p><p>This technique has shown to be safe and effective for closure of PIVSD in critically ill patient due to unstable hemodynamics, ongoing ischemia or severely impaired LV and/or RV. This category of patients would not tolerate open ventriculotomy and patch repair using the conventional cardioplegic arrest technique.</p><p>In the absence of transesophageal echocardiography, shunt calculation (Qp/Qs) has been tested and proven to be a valid alternative to confirm closure of the defect.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 3","pages":"Pages 191-198"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91547152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Large intrapulmonary solitary fibrous tumor of right lower lobe","authors":"Vivek Jaswal,&nbsp;Reuben Lamiaki Kynta,&nbsp;Rana Sandip Singh,&nbsp;Harkant Singh","doi":"10.1016/j.jescts.2018.06.002","DOIUrl":"10.1016/j.jescts.2018.06.002","url":null,"abstract":"<div><p>Solitary fibrous tumor is a ubiquitous neoplasm that arises most commonly from the pleura. Solitary fibrous tumor arising within lung parenchyma has rarely been reported. It is therefore not well recognized. We present here a case of 30-year-old man with large intrapulmonary solitary fibrous tumor of right lower lobe with review of literature. Patient underwent wedge resection of tumor through right posterolateral thoracotomy via 6th intercoastal space using a stapling device. Patient had satisfactory postoperative recovery.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 3","pages":"Pages 228-230"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84818500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}