Korean Journal of Thoracic and Cardiovascular Surgery最新文献

Levoatrial Cardinal Vein: Occluder Embolization and Complication Management 左心房心静脉：闭塞器栓塞和并发症处理

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2021-06-05 Epub Date: 2020-10-28 DOI: 10.5090/jcs.20.037

Ilker Mercan, Muhammet Akyuz, Baris Guven, Onur Isik

引用次数: 0

Quadriplegia after Mitral Valve Replacement in an Infective Endocarditis Patient with Cervical Spine Spondylitis 一名患有颈椎病的感染性心内膜炎患者接受二尖瓣置换术后四肢瘫痪

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2021-06-05 Epub Date: 2020-10-28 DOI: 10.5090/jcs.20.060

Ji Min Lee, Seon Yeong Heo, Dong Kyu Kim, Jong Pil Jung, Chang Ryul Park, Yong Jik Lee, Gwan Sic Kim

引用次数: 0

Eighteen Years of Follow-up after Resection of a Giant Coronary Artery Aneurysm and Reconstruction with a Vein Graft 切除巨大冠状动脉动脉瘤并用静脉移植进行重建后的 18 年随访

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2021-06-05 Epub Date: 2020-11-11 DOI: 10.5090/jcs.20.109

Yelee Kwon, Chong Bin Park, Pil Je Kang, Won Chul Cho

引用次数: 0

Thoracomyoplasty for Chronic Empyema and Osteoradionecrosis of the Chest Wall 治疗慢性肺水肿和胸壁骨坏死的胸廓成形术

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2021-06-05 Epub Date: 2020-11-25 DOI: 10.5090/jcs.20.087

Jeong In Hong, Hong Ju Shin, Won-Min Jo, Jae Seung Shin, Jinwook Hwang

引用次数: 0

Avoiding Venous Anastomotic Dehiscence of an Arteriovenous Graft in a Super-Obese Patient. 超级肥胖患者动静脉移植物避免静脉吻合口破裂。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-12-05 DOI: 10.5090/kjtcs.20.015

Miju Bae

{"title":"Avoiding Venous Anastomotic Dehiscence of an Arteriovenous Graft in a Super-Obese Patient.","authors":"Miju Bae","doi":"10.5090/kjtcs.20.015","DOIUrl":"https://doi.org/10.5090/kjtcs.20.015","url":null,"abstract":"Surgeons avoid creating arteriovenous fistulae in obese patients owing to deep vessels, cannulation complications, and inconsistent outcomes. We describe placing an arteriovenous polytetrafluoroethylene (PTFE) graft between the brachial artery and axillary vein to avoid these complications. A 39-year-old super-obese woman with end-stage renal disease had undergone several hemodialysis access procedures on both arms. We traced the course of the arteriovenous graft course with the patient sitting and lying down. The ideal course was more accurate with the patient sitting; thus, the patient sat when the course was drawn, before lying on the operating bed. The PTFE graft was placed between the right brachial artery and axillary vein, according to the course in the opposite arm. No anastomotic dehiscence or pseudoaneurysm has taken place during 2 years of follow-up. In super-obese patients, the ideal course for arteriovenous grafts should be drawn while they are sitting, avoiding skin folds. This tip could avoid anastomotic dehiscence and pseudoaneurysm between the axillary vein and a PTFE graft.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"53 6","pages":"417-419"},"PeriodicalIF":0.0,"publicationDate":"2020-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/ca/KJTCV-53-417.PMC7721517.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38479424","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}

引用次数: 0

Surgical Outcomes of Kommerell Diverticulum. Kommerell憩室的手术效果。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-12-05 DOI: 10.5090/kjtcs.20.071

Young Kern Kwon, Sung Jun Park, Suk Jung Choo, Tae Jin Yun, Jae Won Lee, Joon Bum Kim

{"title":"Surgical Outcomes of Kommerell Diverticulum.","authors":"Young Kern Kwon, Sung Jun Park, Suk Jung Choo, Tae Jin Yun, Jae Won Lee, Joon Bum Kim","doi":"10.5090/kjtcs.20.071","DOIUrl":"https://doi.org/10.5090/kjtcs.20.071","url":null,"abstract":"Background: We aimed to assess the clinical outcomes of patients who underwent surgical repair of Kommerell diverticulum (KD) with individualized surgical methods.Methods: A retrospective analysis was performed of adult patients (aged ≥17 years) who underwent surgery to treat KD between June 2008 and October 2019.Results: Nine patients (median age, 45 years; range, 19-67 years; 7 men) underwent surgical repair. The indications for surgical therapy were acute aortic dissection in 2 patients, the presence of compressive symptoms due to dilated KD in 4 patients, and aneurysm growth in 3 patients. Various surgical techniques were used: (1) resection of the diverticulum stump and revascularization of the aberrant subclavian artery (n=3), (2) one-stage total-arch replacement including the diverticulum segment (n=3), and (3) hybrid repair (n=3). Early mortality occurred in 1 case of hybrid repair. Transient paraparesis occurred in a patient who underwent total arch repair as part of complicated acute aortic dissection. During follow-up (median duration, 30 months; range, 7-130 months), no late death or associated aortic complications were documented. All survivors were free from symptoms and had no abnormal findings on follow-up computed tomography.Conclusion: With a customized surgical approach and appropriate consideration of patient- specific anatomy and associated comorbidities, KD can be repaired with favorable outcomes.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"53 6","pages":"346-352"},"PeriodicalIF":0.0,"publicationDate":"2020-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/73/56/KJTCV-53-346.PMC7721514.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38692257","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}

引用次数: 7

Left Hemitruncus Treated Along with Ventricular Septal Defect in a Neonate. 新生儿左半鼻窦炎合并室间隔缺损的治疗。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-12-05 DOI: 10.5090/kjtcs.20.020

Jun Hee Lee, Hong Ju Shin, Jae Seung Shin

引用次数: 0

Optimal Tricuspid Annular Size for Tricuspid Annuloplasty in Patients with Less-Than-Moderate Functional Tricuspid Regurgitation. 轻度功能性三尖瓣反流患者三尖瓣环成形术的最佳三尖瓣环尺寸。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-12-05 DOI: 10.5090/kjtcs.19.075

Jae Woong Choi, Kyung Hwan Kim, Su Chan Lim, Sue Hyun Kim, Suk Ho Sohn, Yeiwon Lee, Ho Young Hwang

{"title":"Optimal Tricuspid Annular Size for Tricuspid Annuloplasty in Patients with Less-Than-Moderate Functional Tricuspid Regurgitation.","authors":"Jae Woong Choi, Kyung Hwan Kim, Su Chan Lim, Sue Hyun Kim, Suk Ho Sohn, Yeiwon Lee, Ho Young Hwang","doi":"10.5090/kjtcs.19.075","DOIUrl":"https://doi.org/10.5090/kjtcs.19.075","url":null,"abstract":"Background: We evaluated the association between tricuspid annular dilatation and the development of moderate or severe tricuspid regurgitation (TR). Additionally, we determined the optimal tricuspid annular dilatation threshold to use as an indicator for tricuspid annuloplasty in patients with less-than-moderate functional TR (FTR).Methods: Between August 2007 and December 2014, 227 patients with less-than-moderate TR underwent mitral valve surgery without a tricuspid valve (TV) procedure. The TV annular diameter was measured via transthoracic echocardiography. The TV annular index (TVAI) was calculated as the TV annular diameter divided by the body surface area. The mean duration of echocardiographic follow-up was 42.0 months (interquartile range, 9.3-66.6 months).Results: Eight patients (3.5%) developed moderate or severe TR. The rate of freedom from development of moderate or severe TR at 5 years was 96.2%. TV annular diameter, left atrial diameter, preoperative atrial fibrillation, and TVAI were found to be associated with the development of moderate or severe TR in the univariate analysis. A cut-off TVAI value of 19.8 mm/m2 was found to predict the development of moderate or severe TR, and a significant difference was observed in the development of TR of this severity based on this cut-off (p<0.001).Conclusion: The progression of TR was not infrequent in patients with untreated lessthan- moderate FTR. An aggressive treatment approach can be helpful to prevent the progression of FTR for patients with risk factors, especially TVAI greater than 19.8 mm/m2.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"53 6","pages":"325-331"},"PeriodicalIF":0.0,"publicationDate":"2020-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/0d/KJTCV-53-325.PMC7721521.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38479420","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}

引用次数: 0

A Giant Pseudo-Aneurysm on the Anastomosis Site for a Redo Bentall Operation due to Behçet Disease Treated by Thoracic Endovascular Aortic Aneurysm Repair with a Custom-Made Stent Graft. 胸椎血管内主动脉瘤定制支架修复术治疗因behet病行重做本特尔手术吻合处巨大假性动脉瘤

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-12-05 DOI: 10.5090/kjtcs.20.010

Jongyun Won, Jae Seung Jung, Jun Hee Lee, Young Ki Jung, Ho Sung Son

引用次数: 0

Predictors of Mortality after Surgery for Empyema Thoracis in Chronic Kidney Disease Patients. 慢性肾脏疾病患者胸腹脓肿手术后死亡率的预测因素。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-12-05 DOI: 10.5090/kjtcs.20.111

Mohan Venkatesh Pulle, Harsh Vardhan Puri, Belal Bin Asaf, Sukhram Bishnoi, Manish Malik, Arvind Kumar

{"title":"Predictors of Mortality after Surgery for Empyema Thoracis in Chronic Kidney Disease Patients.","authors":"Mohan Venkatesh Pulle, Harsh Vardhan Puri, Belal Bin Asaf, Sukhram Bishnoi, Manish Malik, Arvind Kumar","doi":"10.5090/kjtcs.20.111","DOIUrl":"https://doi.org/10.5090/kjtcs.20.111","url":null,"abstract":"Background: Surgical treatment of empyema thoracis in patients with chronic kidney disease is challenging, and few studies in the literature have evaluated this issue. In this study, we aim to report the surgical outcomes of empyema and to analyze factors predicting perioperative mortality in patients with chronic kidney disease.Methods: This retrospective study included data from 34 patients with chronic kidney disease (estimated glomerular filtration rate <60 mL/min/1.73 m2 for 3 or more months) who underwent surgery for empyema between 2012 and 2020. An analysis of demographic characteristics and perioperative variables, including complications, was carried out. Postoperative mortality was the primary outcome measure.Results: Patients' age ranged from 20 to 74 years with a 29-to-5 male-female ratio. The majority (n=19, 55.9%) of patients were in end-stage renal disease (ESRD) requiring maintenance hemodialysis. The mean operative time was 304 minutes and the mean intraoperative blood loss was 562 mL. Postoperative morbidity was observed in 70.5% of patients (n=24). In the subgroup analysis, higher values for operative time, blood loss, intensive care unit stay, and complications were found in ESRD patients. The mortality rate was 38.2% (n=13). In the univariate and multivariate analyses, poor performance status (Eastern Cooperative Oncology Group >2) (p=0.03), ESRD (p=0.02), and late referral (>8 weeks) (p<0.001) significantly affected mortality.Conclusion: ESRD, late referral, and poor functional status were poor prognostic factors predicting postoperative mortality. The decision of surgery should be cautiously assessed given the very high risk of perioperative morbidity and mortality in these patients.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"53 6","pages":"392-399"},"PeriodicalIF":0.0,"publicationDate":"2020-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/20/19/KJTCV-53-392.PMC7721523.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38639900","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}

引用次数: 0