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Kyobu geka. The Japanese journal of thoracic surgery最新文献

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[Catamenial Pneumothorax During Endometriosis Treatment]. [子宫内膜异位症治疗期间的双肠膜气胸]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-03-01
Masahiro Matsuno, Katsuyuki Suzuki, Kyo Hirayama
{"title":"[Catamenial Pneumothorax During Endometriosis Treatment].","authors":"Masahiro Matsuno, Katsuyuki Suzuki, Kyo Hirayama","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Here, we report a case of catamenial pneumothorax that occurred during endometriosis treatment. A 46-year-old woman presented with a history of right pneumothorax. At 43 years of age, the patient was diagnosed with endometriosis and progesterone therapy was initiated. The patient developed rightsided chest pain and was diagnosed with right-sided pneumothorax. Video-assisted thoracoscopic surgery was performed, because of persistent air leakage. Intraoperative findings revealed a suspected pleural defect in the right upper lobe and multiple perforations around the central tendon of the right diaphragm. The pleural defect was resected, and the diaphragm surface was covered with a polyglycolic acid sheet. Pathologically, the diagnosis was associated with thoracic endometriotic pneumothorax, including immunostaining findings. Hormonal therapy was continued after discharge. The patient has remained free of recurrence for one year postoperatively.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 3","pages":"169-173"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Secondary Pneumothorax due to Rupture of Pulmonary Rheumatoid Nodule:Report of a Case]. [肺类风湿性结节破裂致继发性气胸1例报告]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-03-01
Takato Onda, Hidefumi Kita, Tsutomu Yoshida, Takuo Hayashi
{"title":"[Secondary Pneumothorax due to Rupture of Pulmonary Rheumatoid Nodule:Report of a Case].","authors":"Takato Onda, Hidefumi Kita, Tsutomu Yoshida, Takuo Hayashi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient is a 69-year-old man with a 15-year history of rheumatoid arthritis. He has admitted to our hospital due to dyspnea, and his chest computed tomography (CT) scan revealed right pneumothorax. Chest CT scan four months before the onset of pneumothorax demonstrated subpleural nodule with cavity in the right lung. After chest drainage treatment, video-assisted thoracic surgery was performed. The pulmonary nodule of his right upper lobe was successfully excised. The histopathological examination showed the features of a rheumatoid nodule with bacterial infection. Pneumothorax secondary to rheumatoid nodule is a rare complication of rheumatoid arthritis.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 3","pages":"236-239"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Neoplastic Cardiac Tamponade Manifesting as Left Ventricular Diastolic Dysfunction:Report of a Case]. 肿瘤性心包填塞表现为左室舒张功能不全1例。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-03-01
Hitoshi Suzuki, Makoto Tanabe, Kentaro Inoue, Mari Shinoda, Daisuke Ito, Shin Shomura
{"title":"[Neoplastic Cardiac Tamponade Manifesting as Left Ventricular Diastolic Dysfunction:Report of a Case].","authors":"Hitoshi Suzuki, Makoto Tanabe, Kentaro Inoue, Mari Shinoda, Daisuke Ito, Shin Shomura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Left ventricular( LV) tamponade is rare and can occur in special circumstances like regional pericardial effusion overlying LV. The therapeutic approach of LV tamponade is different according to the causative factor and the place of loculated pericardial effusion. We report a case of neoplastic cardiac tamponade manifesting as left ventricular diastolic dysfunction. A 78-year-old man with a history of aortic arch surgery and lung cancer surgery presented with dyspnea. Echocardiogram showed posterior loculated pericardial effusion and LV diastolic dysfunction. Pericardial window operation was performed, then revealed bloody effusion and cytodiagnosis examination revealed class V( adenocarcinoma). Atypical forms of cardiac tamponade with varied clinical presentations may be seen in patients after cardiac surgery. It is important to accurately understand the pathological condition through clinical progress and echocardiography, and to select an appropriate approach and surgical procedure.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 3","pages":"221-225"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Reduction of Downhill Esophageal Varices After Intra-thoracic Venous Reconstruction]. [胸内静脉重建后下坡食管静脉曲张的减少]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-03-01
Yukinari Nozawa, Yoshiaki Tanaka, Eiji Yoshikawa
{"title":"[Reduction of Downhill Esophageal Varices After Intra-thoracic Venous Reconstruction].","authors":"Yukinari Nozawa, Yoshiaki Tanaka, Eiji Yoshikawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient was a 54-year-old male. He underwent invasive seminoma resection, bypass grafting from the left subclavian vein to the right atrial appendage, and patch plasty of the superior vena cava( SVC) 18 years ago in 1990. In 1992, graft obstruction was demonstrated, and in 1994, subsequent downhill esophageal varices developed. Varices deteriorated to grade F3 with a red-colored sign in 2008. Therefore, bypass grafting from bilateral subclavian veins to the right atrial appendage was performed to prevent rupture. Endoscopy performed two weeks after surgery showed that the varices had improved to grade F1. The patient was discharged without adverse events. In 2023, the graft remained patent and the varices did not worsen. After SVC reconstruction, strict follow-up is necessary because fatal event in esophageal varices can occur owing to graft obstruction.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 3","pages":"184-188"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Staged Endovascular Aortic Repair for Thoracoabdominal and Aortic Arch Aneurysms]. [胸腹和主动脉弓动脉瘤的分阶段血管内修复]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-02-01
Atsutaka Aratame, Toshio Baba, Masanori Sakaguchi, Yosuke Sumii, Ryosuke Ieguchi, Takeshi Ikuta, Shinsuke Nishimura
{"title":"[Staged Endovascular Aortic Repair for Thoracoabdominal and Aortic Arch Aneurysms].","authors":"Atsutaka Aratame, Toshio Baba, Masanori Sakaguchi, Yosuke Sumii, Ryosuke Ieguchi, Takeshi Ikuta, Shinsuke Nishimura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In recent years, endovascular aortic repair has become one of the standard treatments for aortic aneurysms. However, when the aneurysm involves the branches of the abdominal aorta or the aortic arch, the procedure becomes more complex and often necessitates surgical reconstruction of the involved branches. To address these challenges, the use of physician-modified endografts in which fenestrations are manually created by physicians has been reported. This approach, known as fenestrated and branched endovascular aortic repair, involves the placement of small-diameter bridging stent grafts through the fenestrations, and its utility has recently been highlighted. Herein, we report a case of successful fenestrated and branched endovascular aortic repair using physician-modified endografts in a patient with both thoracoabdominal and aortic arch aneurysms.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 2","pages":"95-98"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Right Pyothorax Associated with Liver Abscess:Report of a Case]. 右脓胸合并肝脓肿1例。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-02-01
Takato Onda, Hidefumi Kita, Tsutomu Yoshida
{"title":"[Right Pyothorax Associated with Liver Abscess:Report of a Case].","authors":"Takato Onda, Hidefumi Kita, Tsutomu Yoshida","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient is a 66-year-old man. He came to our hospital with fever for two weeks. Based on blood sampling and abdominal computed tomography (CT) scan, a diagnosis of liver abscess was made, and antibiotic treatment was started, but symptoms did not improve, so percutaneous drainage was performed. One week later, he became dyspnea and chest CT scan revealed right pyothorax, so video-assisted thoracoscopic curettage was performed. It has been reported that liver abscesses are complicated by pyothorax in a few percent of cases. There are two hypotheses as to the mechanism. The one is the spread of inflammation from the liver abscess through the diaphragm into the pleural space, and the other is iatrogenic complication of percutaneous liver drainage.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 2","pages":"153-155"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Resection of Metastatic Lung Tumor with Abnormal Bronchial Bifurcation and Running Pulmonary Artery:Report of a Case]. 【肺转移瘤伴异常支气管分叉及肺动脉走行术1例】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-02-01
Takaki Fujimura, Takehiko Okagawa, Seijiro Niimi
{"title":"[Resection of Metastatic Lung Tumor with Abnormal Bronchial Bifurcation and Running Pulmonary Artery:Report of a Case].","authors":"Takaki Fujimura, Takehiko Okagawa, Seijiro Niimi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient is a 69-year-old woman who underwent surgery for rectal cancer in January 202X. In July 202X+2, computed tomography (CT) revealed a nodule shadow with a maximum diameter of 4 mm in S1 of the right lung. After three months, the nodule increased in size. Based on the patient's history, a metastatic lung tumor was suspected, and the patient underwent surgical resection. Preoperative CT revealed the presence of B1 tracheobronchus and abnormal running of A1. B 1 was more centrally located than usual and branched directly from the trachea, whereas A1 branched from the main pulmonary artery trunk. S1 segmentectomy was performed for suspected metastatic lung tumor nodule in S1. Abnormal running of the pulmonary artery poses a risk of vascular injury during surgery. In the case of abnormal bronchial branching, the pulmonary vessels may be abnormal, and it is important to recognize such abnormalities using contrast-enhanced or three-dimensional CT preoperatively.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 2","pages":"149-152"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Rupture of Intercostal Aneurysm Associated with von Recklinghausen's Disease:Report of a Case]. 肋间动脉瘤破裂合并von Recklinghausen病1例报告
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-02-01
Shin Sakamoto, Soki Kurumisawa, Hirohiko Akutsu, Arata Muraoka, Mamoru Arakawa, Naoyuki Kimura, Koji Kawahito
{"title":"[Rupture of Intercostal Aneurysm Associated with von Recklinghausen's Disease:Report of a Case].","authors":"Shin Sakamoto, Soki Kurumisawa, Hirohiko Akutsu, Arata Muraoka, Mamoru Arakawa, Naoyuki Kimura, Koji Kawahito","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vascular lesions, including aneurysms, are rare but well-documented complications of von Recklinghausen's disease. Although aneurysms associated with this condition are often asymptomatic, rupture can lead to life-threatening events such as hemothorax. We report a 63-year-old male with von Recklinghausen's disease who presented with sudden onset of chest pain. Imaging revealed left-side hemothorax, and contrast-enhanced computed tomography( CT) suggested rupture of the left 10th intercostal artery. Given his hemodynamic stability, percutaneous coil embolization was performed. Angiography revealed two adjacent aneurysms at the origin of the left 10th intercostal artery, both of which were successfully embolized. Postoperative course was uneventful, and the patient was discharged on postoperative day 6. This case highlights the importance of considering vascular complications in von Recklinghausen's disease and supports the efficacy and safety of coil embolization in managing ruptured intercostal artery aneurysms.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 2","pages":"144-147"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Surgical Outcomes of Stanford Type A Acute Aortic Dissection in the Patients Aged 85 Years or Above]. [85岁及以上Stanford A型急性主动脉夹层手术疗效分析]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-02-01
Shinji Mizuta, Satoru Sato, Shintaro Nakajima, Akira Osanai, Junpei Yamamoto, Masaru Sawazaki
{"title":"[Surgical Outcomes of Stanford Type A Acute Aortic Dissection in the Patients Aged 85 Years or Above].","authors":"Shinji Mizuta, Satoru Sato, Shintaro Nakajima, Akira Osanai, Junpei Yamamoto, Masaru Sawazaki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This retrospective analysis assessed surgical outcomes in patients aged 85 years or older who underwent emergency open thoracic aortic surgery for acute Stanford type A dissection between 2012 and 2025. Among 352 patients, 27 were classified as very elderly. Compared to younger cohorts, this group exhibited a higher prevalence of DeBakey typeⅡ dissection and thrombotic false lumen occlusion, with a lower incidence of malperfusion. The majority underwent hemiarch replacement. In-hospital mortality was low at 3.7%, and postoperative complication rates were comparable to the control group. Due to slow functional recovery, the proportion of patients discharged directly home was reduced. Despite a limited follow-up rate, three-year outcomes-including overall survival (77.4%), freedom from aortic-related mortality( 91.7%), and distal reoperation-free survival( 91.7%)-were favorable. The implementation of advanced techniques, such as staged thoracic endovascular aortic repair (TEVAR) and zone 0 TEVAR utilizing the retrograde in-situ branched stent graft (RIBS) method, effectively minimized the necessity for reintervention via thoracotomy or laparotomy. These findings underscore the clinical viability of surgical intervention in selected very elderly patients, notwithstanding inherent limitations such as referral bias and incomplete longitudinal data.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 2","pages":"83-87"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Brachiocephalic Artery Graft Occlusion Caused by Compression from a Pseudoaneurysm at the Proximal Anastomosis After Total Arch Replacement]. [全弓置换术后近端吻合假性动脉瘤压迫所致的头臂动脉移植物闭塞]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2026-02-01
Yuri Suzuki, Jun Hayashi, Yoshinori Kuroda, Masahiro Mizumoto, Shuto Hirooka, Shingo Nakai, Kimihiro Kobayashi, Kentaro Akabane, Tomonori Ochiai, Miku Konaka, Tetsuro Uchida
{"title":"[Brachiocephalic Artery Graft Occlusion Caused by Compression from a Pseudoaneurysm at the Proximal Anastomosis After Total Arch Replacement].","authors":"Yuri Suzuki, Jun Hayashi, Yoshinori Kuroda, Masahiro Mizumoto, Shuto Hirooka, Shingo Nakai, Kimihiro Kobayashi, Kentaro Akabane, Tomonori Ochiai, Miku Konaka, Tetsuro Uchida","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 75-year-old man, who had undergone total arch replacement for a thoracic aortic aneurysm 4 years earlier, presented with transient left hemiplegia and right upper extremity weakness. Contrast-enhanced computed tomography (CT) revealed a large pseudoaneurysm at the proximal anastomosis of the ascending aortic graft, compressing and occluding the brachiocephalic graft. Surgical resection of the pseudoaneurysm and ascending aortic graft replacement with a 1-branched graft were performed. Cardiopulmonary bypass was established via peripheral vessels prior to re-median sternotomy. Thrombi were removed from the brachiocephalic graft, followed by replacement of the ascending aorta with a branched artificial graft for the brachiocephalic artery. The patient was discharged without complications. We report a rare case of transient hemiplegia due to brachiocephalic graft compression by a pseudoaneurysm.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"79 2","pages":"90-94"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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