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

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[Coronary Artery Bypass Graft Surgery in a Single Coronary Artery Originating from the Right Aortic Sinus:Report of a Case]. 【单冠状动脉源自右主动脉窦的冠状动脉搭桥手术一例】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Hironobu Sugiyama, Nobuyuki Yoshitani, Kuntae Ahn, Takuya Misato, Taro Hayashi
{"title":"[Coronary Artery Bypass Graft Surgery in a Single Coronary Artery Originating from the Right Aortic Sinus:Report of a Case].","authors":"Hironobu Sugiyama, Nobuyuki Yoshitani, Kuntae Ahn, Takuya Misato, Taro Hayashi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Coronary artery anomalies (CCAs) are a group of congenital conditions characterized by abnormal origin or course. Coronary artery bypass graft( CABG) surgery in this single coronary artery( SCA) is rarely reported. In this case, A 41-year-old male patient presented with exertional dyspnea and productive cough. The echocardiogram showed a moderately dilated left ventricular (LV) with mild LV systolic impairment and coronary angiography (CAG) revealed the left main coronary artery arises from the right coronary ostium with the right coronary artery. In addition, occlusion in right coronary mid-portion and distal circumflex and moderate to severe stenosis in proximal left anterior descending artery was identified. Considering the significant atherosclerosis and the subpulmonic course of this SCA, CABG with sequential anastomosis of saphenous vein was performed. Postoperatively, he made good progress and was discharged day 6 after surgery without any complication.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"604-607"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959329","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
[Abdominal Aortic Bifurcation Occlusion Caused by a Left Atrial Myxoma:Report of a Case]. 【左心房黏液瘤致腹主动脉分叉闭塞1例】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Akihiro Sasahara, Yoshihiko Onishi, Ko Shibata, Masaki Nie, Kuniyoshi Ohara
{"title":"[Abdominal Aortic Bifurcation Occlusion Caused by a Left Atrial Myxoma:Report of a Case].","authors":"Akihiro Sasahara, Yoshihiko Onishi, Ko Shibata, Masaki Nie, Kuniyoshi Ohara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 30-year-old male patient who reported a medical history of bronchial asthma and diabetes mellitus presented with bilateral leg pain and weakness during exercise. He experienced leg numbness for the previous six months. Imaging detected a thromboembolic occlusion in the abdominal aorta, along with a left atrial mass. He underwent an emergency embolectomy with a Fogarty balloon catheter;however, persistent embolism at the aortic bifurcation required surgical embolus removal. The embolus consisted of both fresh thrombus and mucous-like tumor tissue, which was determined as a myxoma. Further left atrial mass assessment indicated a myxoma. After successful revascularization and left atrial mass removal, the patient recovered without complications, and he was discharged home 24 days after rehabilitation.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"630-633"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959302","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
[Frozen Elephant Trunk Technique with Semi-circumferential Aortic Arch Incision for Distal Arch Aortic Aneurism Rupture:Report of a Case]. 冷冻象鼻技术半环形主动脉弓切开治疗远端主动脉弓动脉瘤破裂1例。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Takanori Tokuda, Yuki Yamada
{"title":"[Frozen Elephant Trunk Technique with Semi-circumferential Aortic Arch Incision for Distal Arch Aortic Aneurism Rupture:Report of a Case].","authors":"Takanori Tokuda, Yuki Yamada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An 82-year-old man was admitted to our hospital with chest pain as a chief complaint and diagnosed with a ruptured aortic aneurysm in the distal arch by contrast-enhanced computed tomography (CT). The patient underwent surgery using artificial heart-lung and selective cerebral extracorporeal circulation, and a semi-circumferential aortic arch incision was made around the anterior surface of the aortic arch. An open stent graft was inserted through the incision, trimmed to fit the size, and the aortic wall and the stent graft were fixed with 3-0 proline continuous sutures, and finally the incision was closed with 3-0 proline. This method was useful because it may shorten the operation time and decrease the amount of blood loss compared to the common aortic arch replacement with frozen elephant trunk.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"613-616"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959288","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
[Thymic Lymphoepithelial Carcinoma:Report of a Case]. 胸腺淋巴上皮癌1例报告。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Kenji Miura, Naoki Kawabata, Koichiro Iwanaga
{"title":"[Thymic Lymphoepithelial Carcinoma:Report of a Case].","authors":"Kenji Miura, Naoki Kawabata, Koichiro Iwanaga","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thymic lymphoepithelial carcinoma (LEC) is a rare subtype of thymic cancer and reported in 6% of thymic carcinoma. In terms of histopathology, it closely mimics undifferentiated tumors that originate in the nasopharynx, and in half of the cases, it has been associated to the Epstein-Barr (EB) virus infection. Seven reports have been published on the result of surgical resection, particularly in the early stages of thymic LEC. Recurrence was reported in three patients, and one patient died. In our case, the patient underwent video-assisted thoracoscopic surgery for a partial thymectomy and thymomectomy and was alive without recurrence 92 months after the surgery without adjuvant therapy.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"643-647"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959428","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
[Leadless Pacemaker Implantation During Tricuspid Valve Surgery in the Presence of a Permanent Pacemaker with Tricuspid Regurgitation:Report of a Case]. [在三尖瓣手术中，在有三尖瓣返流的永久性起搏器存在的情况下，无铅起搏器植入：1例报告]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Kurato Tokunaga, Takayuki Ueno, Yukinori Moriyama, Hiroyuki Yamamoto
{"title":"[Leadless Pacemaker Implantation During Tricuspid Valve Surgery in the Presence of a Permanent Pacemaker with Tricuspid Regurgitation:Report of a Case].","authors":"Kurato Tokunaga, Takayuki Ueno, Yukinori Moriyama, Hiroyuki Yamamoto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 74-year-old man was implanted with a permanent pacemaker for sick sinus syndrome ten years earlier and permanent atrial fibrillation( AF). Echocardiography indicated progressive severe tricuspid regurgitation (TR) and right ventricular systolic dysfunction with tricuspid annular dilatation and tricuspid valve tethering. The pacemaker lead passing through the tricuspid valve may have contributed to TR, therefore we decided to perform tricuspid valve surgery, pacemaker lead removal, and leadless pacemaker implantation simultaneously during open heart surgery. Tricuspid annuloplasty was performed with the spiral suspension technique. The leadless pacemaker was anchored to the apical septum of the right ventricle through the tricuspid valve with endoscopic guidance, and left atrial appendage closure was performed for permanent AF. The patient was discharged on postoperative day 18 without major complications. He has been doing well with mild TR on transthoracic echocardiography as of three years post-operation.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"593-596"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959364","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
[Thoracic Aortic Stent-graft Treatment for Pseudoaneurysm in Advanced Esophageal Cancer:Report of Two Cases]. 胸主动脉支架移植治疗晚期食管癌假性动脉瘤2例报告
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Yosuke Tanaka, Makoto Kusakizako, Taku Nakagawa, Koki Yokawa, Tomonori Higuma, Kazunori Yoshida, Hidehumi Obo, Hidetaka Wakiyama
{"title":"[Thoracic Aortic Stent-graft Treatment for Pseudoaneurysm in Advanced Esophageal Cancer:Report of Two Cases].","authors":"Yosuke Tanaka, Makoto Kusakizako, Taku Nakagawa, Koki Yokawa, Tomonori Higuma, Kazunori Yoshida, Hidehumi Obo, Hidetaka Wakiyama","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Aortic pseudoaneurysm is a rare complication of advanced esophageal cancer. While emergency open aortic surgery is associated with high operative mortality, massive bleeding without treatment is fatal. On the other hand, thoracic endovascular aortic repair (TEVAR) for pseudoaneurysm is far less invasive. We experienced two cases of aortic pseudoaneurysm successfully treated by TEVAR. Case 1:68-year-old male. During preoperative adjuvant chemotherapy for advanced esophageal cancer, he was diagnosed with esophageal non-aortic fistula by computed tomography (CT). Case 2:80-year-old woman. She complained dysphagia, and CT revealed an aortic pseudoaneurysm associated with mediastinal perforation of advanced esophageal cancer and direct invasion to the descending aorta. Considering their general condition, they underwent minimally invasive TEVAR. Clinical condition dramatically improved and they become able to eat well, and they were transferred to the hospice until they died of cachexia due to progression of esophageal cancer.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"622-625"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959391","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
[Intraoperative Catheter Embolization for Pulmonary Artery Injury Caused by a Pulmonary Artery Catheter]. 【术中导管栓塞治疗肺动脉导管损伤】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Kazuya Terazono, Atsushi Nagasawa, Hiroyuki Ueda, Yuki Wada, Hironori Mihara, Akira Marui, Nobuhisa Ohno
{"title":"[Intraoperative Catheter Embolization for Pulmonary Artery Injury Caused by a Pulmonary Artery Catheter].","authors":"Kazuya Terazono, Atsushi Nagasawa, Hiroyuki Ueda, Yuki Wada, Hironori Mihara, Akira Marui, Nobuhisa Ohno","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report two cases of intraoperative transcatheter embolization for pulmonary artery injury caused by a pulmonary artery catheter( PAC). The 1st case who had severe mitral regurgitation and tricuspid regurgitation with giant left and right atrium underwent mitral and tricuspid annuloplasty. The 2nd case woman underwent aortic valve replacement and coronary artery bypass grafting. Sudden massive hemoptysis occurred during weaning from cardiopulmonary bypass in both cases, and pulmonary artery injury due to PAC was diagnosed. Both cases underwent pulmonary arteriography via the main pulmonary artery trunk and transcatheter embolization, and successful hemostasis was obtained. During intraoperative endovascular treatment, an approach via the main pulmonary artery trunk is very useful for diagnosis and treatment.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"575-579"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959296","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
[Main Trunk Interposition for Adult Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Using a Great Saphenous Vein:Report of a Case]. [经大隐静脉介入治疗成人左冠状动脉异常起源地肺动脉1例]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Ken Chen, Akio Masuda, Haruki Mikoshiba, Tomohiro Iwakura, Tomoki Shimokawa
{"title":"[Main Trunk Interposition for Adult Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Using a Great Saphenous Vein:Report of a Case].","authors":"Ken Chen, Akio Masuda, Haruki Mikoshiba, Tomohiro Iwakura, Tomoki Shimokawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 54-year-old woman was incidentally diagnosed with anomalous origin of the left coronary artery from the pulmonary artery( ALCAPA) during a pre-treatment screening computed tomography( CT) scan for alopecia areata. She had no cardiac symptoms, but cardiac magnetic resonance imaging( MRI) revealed late gadolinium enhancement (LGE) in the mid-anterior wall of the left ventricle, indicating myocardial ischemia. Median sternotomy was performed, with the left main trunk (LMT) was transected from the main pulmonary artery. Initially, reconstruction with an expanded polytetrafluoroethylene(ePTFE) graft was attempted, but the fragility of the vessel wall led to a change in strategy. A saphenous vein graft( SVG) was interposed between the aorta and LMT. The defect in the pulmonary artery was reconstructed with a bovine pericardial patch. Postoperative progress was favorable. Coronary CT during the one-year follow-up confirmed patency of the SVG and suggested regression of collateral circulation, indicating improved perfusion through the newly established graft.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"608-611"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959310","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
[Primary Lung Cancer that Developed Lung Abscess after Bronchoscopy and Was Cured by Surgery:Report of a Case]. 原发性肺癌经支气管镜检查并发肺脓肿手术治愈1例。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Kenji Kimura, Norimasa Itou, Masahiro Yoshimura, Ichinosuke Kuza
{"title":"[Primary Lung Cancer that Developed Lung Abscess after Bronchoscopy and Was Cured by Surgery:Report of a Case].","authors":"Kenji Kimura, Norimasa Itou, Masahiro Yoshimura, Ichinosuke Kuza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient was a 72-year-old man. Chest computed tomography (CT) scan revealed a mass in the right lower lobe, so he underwent bronchoscopy. The pathological findings revealed squamous cell carcinoma. He was discharged the day after the examination, but was admitted to the hospital seven days later for fever. Chest CT scan showed a lung abscess at the site of the mass in the right lower lobe, so he was admitted to the hospital on an emergency basis. After admission, treatment with tazobactam and piperacin 13.5 g/day was started, but there was little improvement, so the decision was made to perform surgery, and a right lower lobectomy was performed via thoracotomy five days after the admission. The postoperative course was uneventful, and the patient was discharged on the 19th day after surgery. As the surgery was immediately performed after confirming that antimicrobial agents were ineffective, the patient was cured without any complications.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"635-637"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959379","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
[Successful Identification of Thoracic Duct with Tumor-related Chylothorax by Fluorescence Imaging with Indocyanine Green via Inguinal Lymph Node]. [腹股沟淋巴结吲哚菁绿荧光显像成功鉴别胸导管与肿瘤相关乳糜胸]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-08-01
Hisashi Matsuoka, Ryo Yamada, Emi Takehara, Norihiro Hokimoto, Mitsuteru Yoshida, Nobuyuki Tanida
{"title":"[Successful Identification of Thoracic Duct with Tumor-related Chylothorax by Fluorescence Imaging with Indocyanine Green via Inguinal Lymph Node].","authors":"Hisashi Matsuoka, Ryo Yamada, Emi Takehara, Norihiro Hokimoto, Mitsuteru Yoshida, Nobuyuki Tanida","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 60-year-old woman underwent treatment for breast cancer. She underwent thoracic drainage and was treated with dietary restriction for tumor-related chylothorax. However, after a lack of improvement, she underwent surgical ligation of the thoracic duct. Indocyanine green (ICG) fluorescence with inguinal lymph node puncture was used to identify the thoracic duct. This technique was effective in intraoperatively identifying the main and collateral branches of the thoracic duct. Inguinal lymph node puncture is a simple procedure. Because the presence of collateral branches is a factor in the failure of thoracic duct ligation, this method, which can also identify the collateral branches of the thoracic duct during surgery, may increase the success rate of thoracic duct ligation.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 8","pages":"571-574"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959464","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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