Korean Journal of Thoracic and Cardiovascular Surgery最新文献_第3页

Delayed Treatment of Iatrogenic Brachial Arteriovenous Fistula. 医源性肱动静脉瘘的延迟治疗。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-12-05 DOI: 10.5090/kjtcs.20.019

Young-Jin Youn, Chang Wan Kim, Il Hwan Park, Chun Sung Byun

引用次数: 2

Thoracomyoplasty for Chronic Empyema and Osteoradionecrosis of the Chest Wall. 胸肌成形术治疗慢性脓胸和胸壁放射性骨坏死。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-11-25 DOI: 10.5090/kjtcs.20.087

J. Hong, H. Shin, W. Jo, J. Shin, Jinwook Hwang

引用次数: 0

A Risk Prediction Model for Operative Mortality after Heart Valve Surgery in a Korean Cohort. 韩国队列心脏瓣膜手术后手术死亡率的风险预测模型。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-11-18 DOI: 10.5090/kjtcs.20.102

H. Kim, J. Kim, Seon-Ok Kim, S. Yun, Sak Lee, C. Lim, J. Choi, H. Hwang, Kyung-Hwan Kim, S. Lee, J. Yoo, K. Sung, H. Je, Soon Chang Hong, Y. Kim, Sung-Hyun Kim, B. Chang

{"title":"A Risk Prediction Model for Operative Mortality after Heart Valve Surgery in a Korean Cohort.","authors":"H. Kim, J. Kim, Seon-Ok Kim, S. Yun, Sak Lee, C. Lim, J. Choi, H. Hwang, Kyung-Hwan Kim, S. Lee, J. Yoo, K. Sung, H. Je, Soon Chang Hong, Y. Kim, Sung-Hyun Kim, B. Chang","doi":"10.5090/kjtcs.20.102","DOIUrl":"https://doi.org/10.5090/kjtcs.20.102","url":null,"abstract":"Background\u0000This study aimed to develop a new risk prediction model for operative mortality in a Korean cohort undergoing heart valve surgery using the Korea Heart Valve Surgery Registry (KHVSR) database.\u0000\u0000\u0000Methods\u0000We analyzed data from 4,742 patients registered in the KHVSR who underwent heart valve surgery at 9 institutions between 2017 and 2018. A risk prediction model was developed for operative mortality, defined as death within 30 days after surgery or during the same hospitalization. A statistical model was generated with a scoring system by multiple logistic regression analyses. The performance of the model was evaluated by its discrimination and calibration abilities.\u0000\u0000\u0000Results\u0000Operative mortality occurred in 142 patients. The final regression models identified 13 risk variables. The risk prediction model showed good discrimination, with a c-statistic of 0.805 and calibration with Hosmer-Lemeshow goodness-of-fit p-value of 0.630. The risk scores ranged from -1 to 15, and were associated with an increase in predicted mortality. The predicted mortality across the risk scores ranged from 0.3% to 80.6%.\u0000\u0000\u0000Conclusion\u0000This risk prediction model using a scoring system specific to heart valve surgery was developed from the KHVSR database. The risk prediction model showed that operative mortality could be predicted well in a Korean cohort.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47325585","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: 2

Quadriplegia after Mitral Valve Replacement in an Infective Endocarditis Patient with Cervical Spine Spondylitis. 感染性心内膜炎合并颈椎病患者二尖瓣置换术后四肢疼痛。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-10-28 DOI: 10.5090/kjtcs.20.060

J. M. Lee, S. Heo, D. K. Kim, J. Jung, C. Park, Yong Jik Lee, G. Kim

引用次数: 1

Hemodynamic Performance of Pericardial Bioprostheses in the Aortic Position. 主动脉位置心包生物假体的血流动力学性能。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-10-05 DOI: 10.5090/kjtcs.19.099

Haeju Lee, Ho Young Hwang, Suk Ho Sohn, Jae Woong Choi, Jun-Bean Park, Kyung Hwan Kim, Ki-Bong Kim

{"title":"Hemodynamic Performance of Pericardial Bioprostheses in the Aortic Position.","authors":"Haeju Lee, Ho Young Hwang, Suk Ho Sohn, Jae Woong Choi, Jun-Bean Park, Kyung Hwan Kim, Ki-Bong Kim","doi":"10.5090/kjtcs.19.099","DOIUrl":"https://doi.org/10.5090/kjtcs.19.099","url":null,"abstract":"Background: This study was conducted to evaluate the hemodynamic performance and the incidence of prosthesis-patient mismatch (PPM) after aortic valve replacement (AVR) using bovine pericardial valves (Carpentier-Edwards Perimount Magana and Magna Ease).Methods: In total, 216 patients (mean age, 70.0±10.5 years) who underwent AVR using stented bovine pericardial valves and had follow-up echocardiography between 3 months and 2 years (mean, 12.0±6.6 months) after surgery were enrolled. The implanted valve sizes were 19, 21, 23, and 25 mm in 32, 56, 99, and 29 patients, respectively.Results: On follow-up echocardiography, the mean transvalvular pressure gradients for the 19-mm, 21-mm, 23-mm, and 25-mm valves were 13.3±4.4, 12.6±4.2, 10.5±3.9, and 10.2± 3.7 mm Hg, respectively. The effective orifice area (EOA) was 1.25±0.26, 1.54±0.31, 1.81±0.41, and 1.87±0.33 cm2, respectively. These values were smaller than those suggested by the manufacturer for the corresponding sizes. No patients had PPM, when based on the reference EOA. However, moderate (EOA index ≤0.85 cm2/m2) and severe (EOA index ≤0.65 cm2/m2) PPM was present in 56 patients (11.8%) and 9 patients (1.9%), respectively, when using the measured values.Conclusion: Carpentier-Edwards Perimount Magna and Magna Ease bovine pericardial valves showed satisfactory hemodynamic performance with low rates of PPM, although the reference EOA could overestimate the true EOA for individual patients.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"53 5","pages":"285-290"},"PeriodicalIF":0.0,"publicationDate":"2020-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/96/1e/KJTCV-53-285.PMC7553830.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38457409","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: 4

Minimally Invasive Approach to Esophageal Perforation after Endoscopic Ultrasound-Guided Fine-Needle Aspiration: A Report of 2 Cases. 超声内镜引导下细针穿刺后食管穿孔的微创入路2例报告。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-10-05 DOI: 10.5090/kjtcs.19.064

Anna C M Geraedts, Pieter P H L Broos, Michiel H M Gronenschild, Frank L J Custers, Karel W E Hulsewe, Yvonne L J Vissers, Erik R de Loos

引用次数: 0

Pleural Metastasis of Atypical Bronchial Carcinoid. 不典型支气管类癌的胸膜转移。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-10-05 DOI: 10.5090/kjtcs.19.098

Eugeniy Igorevich Zinchenko, Olga Sergeevna Maslak, Vadim Grigorievich Pischik, Aleksandr Dmitrievich Obornev, Aleksandr Igorevich Kovalenko

引用次数: 0

Acute Type A Aortic Dissection in a Patient with Situs Inversus Totalis. 完全性倒位患者的急性A型主动脉夹层。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-10-05 DOI: 10.5090/kjtcs.20.006

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

引用次数: 1

Genetic Features of Lung Adenocarcinoma with Ground- Glass Opacity: What Causes the Invasiveness of Lung Adenocarcinoma? 肺腺癌磨玻璃样混浊的遗传特征:肺腺癌侵袭性的原因?

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-10-05 DOI: 10.5090/kjtcs.20.013

Dohun Kim, Jong-Young Lee, Jin Young Yoo, Jun Yeun Cho

{"title":"Genetic Features of Lung Adenocarcinoma with Ground- Glass Opacity: What Causes the Invasiveness of Lung Adenocarcinoma?","authors":"Dohun Kim, Jong-Young Lee, Jin Young Yoo, Jun Yeun Cho","doi":"10.5090/kjtcs.20.013","DOIUrl":"https://doi.org/10.5090/kjtcs.20.013","url":null,"abstract":"Background: Lung adenocarcinoma (LUAD) with ground-glass opacity (GGO) can become aggravated, but the reasons for this aggravation are not fully understood. The goal of this study was to analyze the genetic features and causes of progression of GGO LUAD.Methods: LUAD tumor samples and normal tissues were analyzed using an Illumina HiSeq 4000 system. After the tumor mutational burden (TMB) was calculated, the identified mutations were classified as those found only in GGO LUAD, those present only in non- GGO LUAD, and those common to both tissue types. Ten high-frequency genes were selected from each domain, after which protein interaction network analysis was conducted.Results: Overall, 227 mutations in GGO LUAD, 212 in non-GGO LUAD, and 48 that were common to both tumor types were found. The TMB was 8.8 in GGO and 7.8 in non-GGO samples. In GGO LUAD, mutations of FCGBP and SFTPA1 were identified. FOXQ1, IRF5, and MAGEC1 mutations were common to both types, and CDC27 and NOTCH4 mutations were identified in the non-GGO LUAD. Protein interaction network analysis indicated that IRF5 (common to both tissue types) and CDC27 (found in the non-GGO LUAD) had significant biological functions related to the cell cycle and proliferation.Conclusion: In conclusion, GGO LUAD exhibited a higher TMB than non-GGO LUAD. No clinically meaningful mutations were found to be specific to GGO LUAD, but mutations involved in the epithelial-mesenchymal transition or cell cycle were found in both tumor types and in non-GGO tissue alone. These findings could explain the non-invasiveness of GGO-type LUAD.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"53 5","pages":"250-257"},"PeriodicalIF":0.0,"publicationDate":"2020-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/1c/KJTCV-53-250.PMC7553832.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38457408","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: 2

Traumatic Peripheral Arterial Injury with Open Repair: A 10-Year Single-Institutional Analysis. 外伤性外周动脉损伤开放性修复:10年单一机构分析。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-10-05 DOI: 10.5090/kjtcs.19.087

Hoseong Cho, Up Huh, Chung Won Lee, Seunghwan Song, Seon Hee Kim, Sung Woon Chung

{"title":"Traumatic Peripheral Arterial Injury with Open Repair: A 10-Year Single-Institutional Analysis.","authors":"Hoseong Cho, Up Huh, Chung Won Lee, Seunghwan Song, Seon Hee Kim, Sung Woon Chung","doi":"10.5090/kjtcs.19.087","DOIUrl":"https://doi.org/10.5090/kjtcs.19.087","url":null,"abstract":"Background: We report our 10-year experience with traumatic peripheral arterial injury repair at an urban level I trauma center.Methods: Between January 2007 and December 2016, 28 adult trauma patients presented with traumatic peripheral arterial injuries. Data were retrospectively collected on demographic characteristics, the mechanism of injury, the type of vascular injury, and physiological status on initial assessment. The analysis also included the Mangled Extremity Severity Score (MESS), Injury Severity Score, surgical procedures, and outcome variables including limb salvage, hospital stay, intensive care unit stay, and postoperative vascular complications.Results: Four (14.3%) patients required amputation due to failed revascularization. MESS significantly differed between patients with blunt and penetrating trauma (8.2±2.2 vs. 5.8±1.3, respectively; p=0.005). The amputation rate was not significantly different between patients with blunt and penetrating trauma (20% vs. 0%, respectively; p=0.295). The overall mortality rate was 3.6% (1 patient).Conclusion: Blunt trauma was associated with higher MESS than penetrating trauma, and amputation was more frequent. In particular, patients with blunt trauma had significantly higher MESS than patients with penetrating trauma (8.2±2.2 vs. 5.8±1.3, respectively; p=0.005), and amputation was performed when revascularization failed in cases of blunt trauma of the lower extremity. Therefore, particular care is needed in making treatment decisions for patients with peripheral arterial injuries caused by blunt trauma.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"53 5","pages":"291-296"},"PeriodicalIF":0.0,"publicationDate":"2020-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/de/KJTCV-53-291.PMC7553829.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38457410","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: 4