发布求助
文献互助 智能选刊 最新文献

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

筛选
英文 中文
[Pseudoaneurysm Arose from the Side Branch of Vascular Graft after Thoracic Aortic Replacement]. 【胸主动脉置换术后血管移植侧支产生假性动脉瘤】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Masahiko Kawamura, Isao Nishijima, Shigenobu Senaha, Mitsuyoshi Shimoji, Yukio Kuniyoshi
{"title":"[Pseudoaneurysm Arose from the Side Branch of Vascular Graft after Thoracic Aortic Replacement].","authors":"Masahiko Kawamura, Isao Nishijima, Shigenobu Senaha, Mitsuyoshi Shimoji, Yukio Kuniyoshi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient is a 52-year-old man. He underwent ascending aortic replacement for acute aortic dissection 21 years ago and aortic root replacement 15 years ago. During postoperative follow up, a pseudoaneurysm of the ascending aorta was found. Cause of the pseudoaneurysm was supposed to be injury of the anastomotic site by a sternal wire. Since the pseudoaneurysm was enlarging, operation was indicated. Incising the pseudoaneurysm, we did not find silk threads that were used for ligation of the side branch of the vascular graft, and there was bleeding from the side branch. It is reported that silk threads lose strength in vivo over time. Previously, we had ligated side branches of vascular grafts only with silk threads. This experience led us to add polypropylene sutures for ligation of side branches.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"426-429"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528614","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 Descending Aorta Mural Thrombus Treated with Stent Graft:Report of a Case]. 【支架移植治疗胸降主动脉壁血栓1例】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Takanori Tokuda, Yuki Yamada
{"title":"[Thoracic Descending Aorta Mural Thrombus Treated with Stent Graft:Report of a Case].","authors":"Takanori Tokuda, Yuki Yamada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 43-year-old male patient was admitted to our hospital with chest oppression and received percutaneous coronary intervention with a diagnosis of myocardial infarction. Two months after the event, he was referred to our department because the enhanced computed tomography (CT) image revealed a low-density area on the descending aorta, which was suspicious of a mobile plaque. He had no symptoms and there were no other signs suggesting embolization or metastatic tumor in CT image. Enhanced magnetic resonance imaging (MRI) or positron emission tomography (PET) image revealed no enhancement in the lesion and we diagnosed it as mural thrombosis on the descending aorta. We performed thoracic endovascular aortic repair( TEVAR) to compress the intra-aortic thrombus. He had no complication such as thromboembolism in the procedure and also had a good course for two years after the procedure.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"466-469"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528566","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
[Bilateral Peripheral Pulmonary Artery Aneurysms:Report of a Case]. [双侧肺周围动脉瘤1例报告]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Yasuhiro Takayama, Isao Matsumoto, Seiichi Kakegawa, Satoshi Nishikawa, Takashi Wada, Daisuke Saito, Nobuhiro Tanaka
{"title":"[Bilateral Peripheral Pulmonary Artery Aneurysms:Report of a Case].","authors":"Yasuhiro Takayama, Isao Matsumoto, Seiichi Kakegawa, Satoshi Nishikawa, Takashi Wada, Daisuke Saito, Nobuhiro Tanaka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulmonary artery aneurysms are extremely rare and can be fatal if ruptured. We report the case of a 72-year-old man who underwent coil embolization of bilateral peripheral pulmonary artery aneurysms. Ten years ago, a left upper lobe nodule was incidentally noted on a chest computed tomography (CT). The nodule was suspected as a benign tumor and followed up. As it gradually enlarged, the patient referred to our hospital. Chest CT showed a 2.0-cm nodule in S1+2 of the left lung and a 0.6-cm nodule in S10 of the right lung. Contrast-enhanced CT showed that each nodule had the same contrast enhancement as the pulmonary artery. The left upper lobe nodule and the right lower lobe nodule were connected by a shunt with A1+2b and A10. They were diagnosed as pulmonary artery aneurysms, and coil embolization was performed. Eighteen months later, no enlargement of the pulmonary artery aneurysms or new lesions were observed.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"474-478"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528606","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
[Cholesterol Granuloma Arising in the Thymus:Report of a Case]. 胸腺胆固醇肉芽肿1例
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Kenji Kimura, Norimasa Itou, Masahiro Yoshimura, Ichinosuke Kuza, Toshiko Sakuma
{"title":"[Cholesterol Granuloma Arising in the Thymus:Report of a Case].","authors":"Kenji Kimura, Norimasa Itou, Masahiro Yoshimura, Ichinosuke Kuza, Toshiko Sakuma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient was a 64-year-old man who was found to have an abnormal shadow in the anterior mediastinum on a chest computed tomography( CT) scan during a health check. He was admitted for diagnosis and treatment, and underwent thoracoscopic thymic and thymic tumor removal. The postoperative course was uneventful, and the patient was discharged on the 4th postoperative day. Histopathological examination revealed numerous foreign body giant cells and cholesterol crystals in the thymus tissue, and the patient was diagnosed with cholesterol granuloma. One cause of cholesterol granuloma is trauma. Trauma was suspected as the cause in this case because the patient had bruised his chest in a traffic accident eight years ago. It is difficult to diagnose cholesterol granuloma from image findings, and surgical resection is necessary for diagnosis and treatment to differentiate it from malignant diseases.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"479-481"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528608","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
[Left Ventriculoplasty for Ventricular Septal Rupture and Left Ventricular Aneurysm Following Acute Myocardial Infarction:Report of a Case]. [急性心肌梗死后左心室成形术治疗室间隔破裂和左心室动脉瘤1例]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Yoshinobu Watabe, Koji Sato, Taiki Ito, Satoru Wakasa
{"title":"[Left Ventriculoplasty for Ventricular Septal Rupture and Left Ventricular Aneurysm Following Acute Myocardial Infarction:Report of a Case].","authors":"Yoshinobu Watabe, Koji Sato, Taiki Ito, Satoru Wakasa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 70-year-old man with acute myocardial infarction underwent percutaneous coronary intervention (PCI) for the diagonal branch. Eight days after PCI, the patient presented worsening heart failure. Transthoracic echocardiography( TTE) and enhanced computed tomography( CT) revealed ventricular septal rupture( VSR) and left ventricular aneurysm( LVA). After establishing cardiopulmonary bypass, the LVA was longitudinally excised along the left anterior descending artery( LAD). A septal anterior ventricular exclusion( SAVE) procedure was performed using a bovine pericardial patch to exclude the LVA and VSR. The VSR was directly closed with pledgeted sutures. Additionally, coronary artery bypass grafting was performed to the LAD using the left internal thoracic artery. The patient was discharged without any complications.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"449-453"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528611","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
[Maze Surgery Using the General-purpose Cryosurgical Unit 'Freeze Stick M']. [迷宫手术使用通用冷冻手术单元“冷冻棒M”]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Takehiko Matsuo, Takahide Takeda, Masahide Kawatou, Fumie Takai, Kazuhiro Takatoku, Hiromasa Kira, Yasuyuki Fujimoto, Haruka Fujimoto, Ryo Nakanishi, Kazuyoshi Kanno, Tadashi Ikeda, Kenji Minatoya
{"title":"[Maze Surgery Using the General-purpose Cryosurgical Unit 'Freeze Stick M'].","authors":"Takehiko Matsuo, Takahide Takeda, Masahide Kawatou, Fumie Takai, Kazuhiro Takatoku, Hiromasa Kira, Yasuyuki Fujimoto, Haruka Fujimoto, Ryo Nakanishi, Kazuyoshi Kanno, Tadashi Ikeda, Kenji Minatoya","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Maze surgery for atrial fibrillation (AF) has increasingly utilized disposable cryoablation and radiofrequency devices. However, reusable ablation devices are preferred for reducing healthcare costs. At our department, the general-purpose cryosurgical unit \"Freeze Stick M\" has been used for maze surgery and intercostal nerve block during left thoracotomy, effectively minimizing postoperative pain.</p><p><strong>Patients and methods: </strong>Between August 2016 and July 2024, 44 patients underwent arrhythmia surgery for AF (36 chronic AF, 8 paroxysmal AF). The mean age was 71.9±7.6 years, with 66% males. Surgical procedures included biatrial maze (25 cases), pulmonary vein isolation (16 cases), left atrial maze (2 cases), and right atrial maze (1 case), all with left atrial appendage closure. Outcomes were compared between the SIM group( Freeze Stick M) and AC group( AtriCure).</p><p><strong>Results: </strong>The 30-day mortality rate was 2.3%. Postoperative survival was 90.0% at 1 year, 81.0% at 3 and 5 years, and 67.5% at 7 years. AF-free rates at discharge were 76.2%( SIM) vs. 73.9%( AC). For chronic AF, AF-free rates at 5 years were 41.9%( SIM) vs. 38.5%( AC)(p=0.168).</p><p><strong>Conclusion: </strong>The general-purpose cryosurgical unit \"Freeze Stick M\" performed similarly to the Atri-Cure device as a lesion-creation device.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"411-417"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528612","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
[Study of the Characteristics of Lung Cancer Surgery Cases in the Elderly and the Usefulness of the Japanese National Clinical Database Risk Calculator]. [老年人肺癌手术病例特点及日本国家临床数据库风险计算器的有效性研究]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-06-01
Teruhisa Kawaguchi, Fumiaki Watanabe, Katsutoshi Adachi
{"title":"[Study of the Characteristics of Lung Cancer Surgery Cases in the Elderly and the Usefulness of the Japanese National Clinical Database Risk Calculator].","authors":"Teruhisa Kawaguchi, Fumiaki Watanabe, Katsutoshi Adachi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>We examined the utility of the National Clinical Database( NCD) risk calculator in assessing the risk of postoperative complications in elderly patients undergoing lung cancer surgery.</p><p><strong>Methods: </strong>We included 360 cases of primary lung cancer surgery involving lobectomy or more resection performed at our department from May 2012 to December 2021. We divided the patients into two groups based on age (75 years and older, or less than 75 years) and retrospectively analyzed the correlation between the four risk scores of the NCD risk calculator, the incidence of postoperative complications, and the NCD risk calculator.</p><p><strong>Results: </strong>In the group aged 75 years and older, there was a significant decrease in respiratory function and significantly higher scores on the NCD risk calculator. When comparing the correlation between the presence of postoperative complications and the \"death or severe complication score,\" the area under the curve( AUC) as a risk scoring system was 0.710.</p><p><strong>Conclusion: </strong>The NCD risk calculator is suggested to be a useful tool for assessing the risk of surgical complications in elderly patients.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 6","pages":"420-425"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528617","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
[Angiolipoma Arising in the Posterior Mediastinum:Report of a Case]. 后纵隔血管脂肪瘤1例。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-05-01
Takato Onda, Hidefumi Kita, Tsutomu Yoshida, Takuo Hayashi
{"title":"[Angiolipoma Arising in the Posterior Mediastinum:Report of a Case].","authors":"Takato Onda, Hidefumi Kita, Tsutomu Yoshida, Takuo Hayashi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient was an 82-year-old man. A posterior mediastinal tumor was noted on chest computed tomography (CT). Magnetic resonance imaging (MRI) scan showed a high signal on both T1- and T2-weighted imaging. Lipoma was suspected, but since the border with the vertebral body was partially unclear, video-assisted tumor resection was performed for diagnosis and treatment purposes. Finally, we diagnosed it as non-infiltrating angiolipoma. Angiolipoma is a benign tumor that accounts for 5-17% of all lipomas. Pathologically, they can be divided into two types:infiltrating and non-infiltrating. Most are non-infiltrating, but recurrent cases of the infiltrating type have been reported. Angiolipoma commonly occurs in subcutaneous tissues of the upper extremity and trunk, but we report a rare case that occurred in the posterior mediastinum.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 5","pages":"399-401"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528557","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
[Effectiveness of Decompressive Craniectomy for Severe Cerebral Infarction Caused by Stanford Type A Acute Aortic Dissection:Report of a Case]. 【Stanford A型急性主动脉夹层致严重脑梗死减压开颅术1例疗效观察】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-05-01
Masayuki Shimada, Toru Yasutsune, Masayoshi Umesue
{"title":"[Effectiveness of Decompressive Craniectomy for Severe Cerebral Infarction Caused by Stanford Type A Acute Aortic Dissection:Report of a Case].","authors":"Masayuki Shimada, Toru Yasutsune, Masayoshi Umesue","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The optimal surgical management of Stanford type A acute aortic dissection complicated by severe cerebral infarction remains controversial. We present a case of a 48-year-old man with Stanford type A acute aortic dissection complicated by malperfusion of the right common carotid artery. His consciousness was deteriorating preoperatively, and we performed an emergent aortic root replacement and partial aortic arch replacement. He suffered a severe cerebral edema with a brain herniation caused by cerebral infarction after the surgery. Decompressive craniectomy saved his life and improved his neurologic functions, and he has become able to communicate well. It is suggested that the decompressive craniectomy for the severe cerebral infarction after a surgery for type A acute aortic dissection with cerebral malperfusion is a good option for better neurologic outcomes.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 5","pages":"395-398"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528561","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
[Cardiac Angiosarcoma with Cardiac Tamponade due to Ruptured Right Atrium:Report of a Case]. 【右心房破裂致心脏血管肉瘤合并心包填塞1例】。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-05-01
Atsushi Kawakami, Yutaka Kobayashi, Ikumi Osawa, Masatoshi Sunada, Gaku Uchino, Shuta Kitaoka, Naomichi Uchida
{"title":"[Cardiac Angiosarcoma with Cardiac Tamponade due to Ruptured Right Atrium:Report of a Case].","authors":"Atsushi Kawakami, Yutaka Kobayashi, Ikumi Osawa, Masatoshi Sunada, Gaku Uchino, Shuta Kitaoka, Naomichi Uchida","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Primary angiosarcoma of the heart is extremely rare with poor prognosis. A 39-year-old man presented to his physician for evaluation of fever and pericardial pain and was referred to our department for further management. The patient's condition stabilized after pericardiocentesis;however, the cause of cardiac tamponade remained undetermined on admission. Transesophageal echocardiography and electrocardiography-synchronized contrast-enhanced computed tomography (CT) revealed a suspected source of bleeding in the right atrium, necessitating open chest surgery. Preoperative imaging showed no evidence of a tumor;however, intraoperatively, we observed a suspected right atrial tumor, which was resected, followed by repair using a bovine pericardial patch. Histopathological examination confirmed diagnosis of angiosarcoma. Angiosarcoma is often diagnostically challenging in the early stages, and multiple examinations are important for early diagnosis and treatment.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 5","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528558","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信