Korean Journal of Thoracic and Cardiovascular Surgery最新文献_第9页

Surgical Outcomes for Native Valve Endocarditis. 原生瓣膜心内膜炎的手术效果。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-02-01 Epub Date: 2020-02-05 DOI: 10.5090/kjtcs.2020.53.1.1

Bong Suk Park, Won Yong Lee, Yong Joon Ra, Hong Kyu Lee, Byung Mo Gu, Jun Tae Yang

{"title":"Surgical Outcomes for Native Valve Endocarditis.","authors":"Bong Suk Park, Won Yong Lee, Yong Joon Ra, Hong Kyu Lee, Byung Mo Gu, Jun Tae Yang","doi":"10.5090/kjtcs.2020.53.1.1","DOIUrl":"https://doi.org/10.5090/kjtcs.2020.53.1.1","url":null,"abstract":"Background: The aim of this study was to evaluate the short-term and long-term results of surgical treatment for native valve endocarditis (NVE) and to investigate the risk factors associated with mortality.Methods: Data including patients' characteristics, operative findings, postoperative results, and survival indices were retrospectively obtained from Hallym University Sacred Heart Hospital.Results: A total of 29 patients underwent surgery for NVE (affecting the mitral valve in 20 patients and the aortic valve in 9) between 2003 and 2017. During the follow-up period (median, 46.9 months; interquartile range, 19.1-107.0 months), the 5-year survival rate was 77.2%. In logistic regression analysis, body mass index (p=0.031; odds ratio [OR], 0.574; 95% confidence interval [CI], 0.346-0.951), end-stage renal disease (ESRD) (p=0.026; OR, 24.0; 95% CI, 1.459-394.8), and urgent surgery (p=0.010; OR, 34.5; 95% CI, 2.353-505.7) were significantly associated with in-hospital mortality. Based on Cox proportional hazard regression analysis, the statistically significant predictors of long-term outcomes were hypertension, ESRD, and urgent surgery.Conclusion: Surgical treatment for NVE is associated with considerable mortality. The in-hospital mortality and 5-year survival rates of this study were 13.8% and 77.2%, respectively. Underlying conditions, including hypertension and ESRD, and urgent surgery were independent risk factors for unfavorable outcomes.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"53 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/86/c9/kjtcv-53-001.PMC7006608.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37670601","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

Cerebral Air Embolism and Cardiomyopathy Secondary to Large Bulla Rupture during a Pulmonary Function Test. 肺功能试验中继发于大球囊破裂的脑空气栓塞和心肌病。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2020-02-01 Epub Date: 2020-02-05 DOI: 10.5090/kjtcs.2020.53.1.34

Ha Lee, Hyun Soo Lee, Dulk Hwan Moon, Sungsoo Lee

引用次数: 0

Unusual Communication between the Pulmonary Artery and Vieussens' Arterial Ring Causing Infective Endocarditis. 肺动脉与Vieussens动脉环之间异常的交通导致感染性心内膜炎。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2019-12-01 Epub Date: 2019-12-05 DOI: 10.5090/kjtcs.2019.52.6.425

Sang Ho Lee, Taek Yong Ko, Seong Ho Cho

引用次数: 1

Atypical Thymic Carcinoid in a Patient with Zollinger-Ellison Syndrome. Zollinger-Ellison综合征患者的非典型胸腺类癌。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2019-12-01 Epub Date: 2019-12-05 DOI: 10.5090/kjtcs.2019.52.6.420

Jiyun Lee, Kwanyong Hyun, Mi Hyoung Moon, Seok Whan Moon, Jae Kil Park, Si Young Choi, Young Jo Sa, Kyung Soo Kim

引用次数: 0

Assessment of the Initial Risk Factors for Mortality among Patients with Severe Trauma on Admission to the Emergency Department. 急诊重症外伤患者死亡的初始危险因素评估

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2019-12-01 Epub Date: 2019-12-05 DOI: 10.5090/kjtcs.2019.52.6.400

Hyun Oh Park, Jun Young Choi, In Seok Jang, Jong Duk Kim, Jae Won Choi, Chung Eun Lee

{"title":"Assessment of the Initial Risk Factors for Mortality among Patients with Severe Trauma on Admission to the Emergency Department.","authors":"Hyun Oh Park, Jun Young Choi, In Seok Jang, Jong Duk Kim, Jae Won Choi, Chung Eun Lee","doi":"10.5090/kjtcs.2019.52.6.400","DOIUrl":"https://doi.org/10.5090/kjtcs.2019.52.6.400","url":null,"abstract":"Background: For decades, trauma has been recognized globally as a major cause of death. Reducing the mortality of patients with trauma is an extremely pressing issue, particularly for those with severe trauma. An early and accurate assessment of the risk of mortality among patients with severe trauma is important for improving patient outcomes.Methods: We performed a retrospective medical record review of 582 patients with severe trauma admitted to the emergency department between July 2011 and June 2016. We analyzed the associations of in-hospital mortality with the baseline characteristics and initial biochemical markers of patients with severe trauma on admission.Results: The overall in-hospital mortality rate was 14.9%. Multivariate logistic regression analysis showed that the patient's Rapid Emergency Medicine Score (REMS; odds ratio [OR], 1.186; 95% confidence interval [CI], 1.018-1.383; p=0.029), Emergency Trauma Score (EMTRAS; OR, 2.168; 95% CI, 1.570-2.994; p<0.001), serum lactate levels (SLL; OR, 1.298; 95% CI, 1.118-1.507; p<0.001), and Injury Severity Score (ISS; OR, 1.038; 95% CI, 1.010-1.130; p=0.021) were significantly associated with in-hospital mortality.Conclusion: The REMS, EMTRAS, and SLL can easily and rapidly be used as alternatives to the injury severity score to predict in-hospital mortality for patients who present to the emergency department with severe trauma.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"52 6","pages":"400-408"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/3d/kjtcv-52-400.PMC6901184.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37453563","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

Effects of Preoperative Autologous Blood Donation in Patients Undergoing Minimally Invasive Cardiac Surgery. 微创心脏手术患者术前自体献血的效果。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2019-12-01 Epub Date: 2019-12-05 DOI: 10.5090/kjtcs.2019.52.6.385

Mi Hee Lim, Hyung Gon Je, Min Ho Ju, Ji Hye Lee, Hye Rim Oh, Ye Ri Kim

{"title":"Effects of Preoperative Autologous Blood Donation in Patients Undergoing Minimally Invasive Cardiac Surgery.","authors":"Mi Hee Lim, Hyung Gon Je, Min Ho Ju, Ji Hye Lee, Hye Rim Oh, Ye Ri Kim","doi":"10.5090/kjtcs.2019.52.6.385","DOIUrl":"https://doi.org/10.5090/kjtcs.2019.52.6.385","url":null,"abstract":"Background: Preoperative autologous blood donation (PABD) is a conservation strategy for reducing allogenic blood transfusion (ABT) during minimally invasive cardiac surgery (MICS). We aimed to evaluate the effects of PABD on the frequency of ABT and clinical outcomes in patients undergoing MICS.Methods: We enrolled 113 patients (47.8±13.1 years, 50 men) undergoing MICS without preoperative anemia (hemoglobin >11 g/dL) between 2014 and 2017. Of these patients, 69 (the PABD group) donated autologous blood preoperatively and were compared to the non-PABD group (n=44). We analyzed the frequency of perioperative ABT and clinical outcomes.Results: Baseline characteristics did not significantly differ between groups, although preoperative hemoglobin levels were lower in the PABD group. All operations were performed using a minimally invasive approach. Patients' surgical profiles were similar. There were no cases of mortality or significant differences in early postoperative outcomes. During the early postoperative period, hemoglobin levels were higher in the PABD group. No significant difference was found in the frequency of ABT.Conclusion: Although the PABD group had higher postoperative hemoglobin levels, there was no clear clinical benefit in the early postoperative period, despite a great deal of effort and additional cost. Additional PABD in the setting of strict policies for blood conservation was ineffective in reducing ABT for young and relatively healthy patients who underwent MICS.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"52 6","pages":"385-391"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/53/39/kjtcv-52-385.PMC6901189.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37453561","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

Thromboexclusion Treatment for Recurrent Aortic Aneurysm: Still an Option in Select Cases. 血栓排除治疗复发性主动脉瘤:仍然是一个选择的情况下。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2019-12-01 Epub Date: 2019-12-05 DOI: 10.5090/kjtcs.2019.52.6.416

Jung Suk Choi, Hwan Wook Kim

引用次数: 0

Outcomes of Carotid Endarterectomy according to the Anesthetic Method: General versus Regional Anesthesia. 根据麻醉方法进行颈动脉内膜切除术的结果:全身麻醉与区域麻醉。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2019-12-01 Epub Date: 2019-12-05 DOI: 10.5090/kjtcs.2019.52.6.392

Jong Won Kim, Up Huh, Seunghwan Song, Sang Min Sung, Jung Min Hong, Areum Cho

{"title":"Outcomes of Carotid Endarterectomy according to the Anesthetic Method: General versus Regional Anesthesia.","authors":"Jong Won Kim, Up Huh, Seunghwan Song, Sang Min Sung, Jung Min Hong, Areum Cho","doi":"10.5090/kjtcs.2019.52.6.392","DOIUrl":"https://doi.org/10.5090/kjtcs.2019.52.6.392","url":null,"abstract":"Background: The surgical strategies for carotid endarterectomy (CEA) vary in terms of the anesthesia method, neurological monitoring, shunt usage, and closure technique, and no gold-standard procedure has been established yet. We aimed to analyze the feasibility and benefits of CEA under regional anesthesia (RA) and CEA under general anesthesia (GA).Methods: Between June 2012 and December 2017, 65 patients who had undergone CEA were enrolled, and their medical records were prospectively collected and retrospectively reviewed. A total of 35 patients underwent CEA under RA with cervical plexus block, whereas 30 patients underwent CEA under GA. In the RA group, a carotid shunt was selectively used for patients who exhibited negative results on the awake test. In contrast, such a shunt was used for all patients in the GA group.Results: There were no cases of postoperative stroke, cardiovascular events, or mortality. Nerve injuries were noted in 4 patients (3 in the RA group and 1 in the GA group), but they fully recovered prior to discharge. Operative time and clamp time were shorter in the RA group than in the GA group (119.29±27.71 min vs. 161.43±20.79 min, p<0.001; 30.57±6.80 min vs. 51.77±13.38 min, p<0.001, respectively). The hospital stay was shorter in the RA group than in the GA group (14.6±5.05 days vs. 18.97±8.92 days, p=0.022). None of the patients experienced a stroke or restenosis during the 27.23±20.3-month follow-up period.Conclusion: RA with a reliable awake test reduces shunt use and decreases the clamp and operative times of CEA, eventually resulting in a reduced length of hospital stay.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"52 6","pages":"392-399"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/93/kjtcv-52-392.PMC6901188.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37453562","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: 8

Lymphangiographic Interventions to Manage Postoperative Chylothorax. 淋巴管造影介入治疗术后乳糜胸。

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2019-12-01 Epub Date: 2019-10-05 DOI: 10.5090/kjtcs.2019.52.6.409

Hyuncheol Jeong, Hyo Yeong Ahn, Hoon Kwon, Yeong Dae Kim, Jeong Su Cho, Jungseop Eom

{"title":"Lymphangiographic Interventions to Manage Postoperative Chylothorax.","authors":"Hyuncheol Jeong, Hyo Yeong Ahn, Hoon Kwon, Yeong Dae Kim, Jeong Su Cho, Jungseop Eom","doi":"10.5090/kjtcs.2019.52.6.409","DOIUrl":"https://doi.org/10.5090/kjtcs.2019.52.6.409","url":null,"abstract":"Background: Postoperative chylothorax may be caused by iatrogenic injury of the collateral lymphatic ducts after thoracic surgery. Although traditional treatment could be considered in most cases, resolution may be slow. Radiological interventions have recently been developed to manage postoperative chylothorax. This study aimed to compare radiological interventions and conservative management in patients with postoperative chylothorax.Methods: We retrospectively reviewed periprocedural drainage time, length of hospital stay, and nil per os (NPO) duration in 7 patients who received radiological interventions (intervention group [IG]) and in 9 patients who received conservative management (non-intervention group [NG]).Results: The baseline characteristics of the patients in the IG and NG were comparable; however, the median drainage time and median length of hospital stay after detection of chylothorax were significantly shorter in the IG than in the NG (6 vs. 10 days, p=0.036 and 10 vs. 20 days, p=0.025, respectively). NPO duration after chylothorax detection and total drainage duration were somewhat shorter in the IG than in the NG (5 vs. 7 days and 8 vs. 14 days, respectively).Conclusion: This study showed that radiological interventions reduced the duration of drainage and the length of hospital stay, allowing an earlier return to normal life. To overcome several limitations of this study, a prospective, randomized controlled trial with a larger number of patients is recommended.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"52 6","pages":"409-415"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/44/kjtcv-52-409.PMC6901187.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37453564","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: 5

Lymph Node Status after Neoadjuvant Chemoradiation Therapy for Esophageal Cancer according to Radiation Field Coverage 食管癌症新辅助化疗放疗后淋巴结的放射野覆盖情况

Korean Journal of Thoracic and Cardiovascular Surgery Pub Date : 2019-10-01 DOI: 10.5090/kjtcs.2019.52.5.353

Sang Yoon Kim, Samina Park, I. Park, Y. T. Kim, C. Kang

{"title":"Lymph Node Status after Neoadjuvant Chemoradiation Therapy for Esophageal Cancer according to Radiation Field Coverage","authors":"Sang Yoon Kim, Samina Park, I. Park, Y. T. Kim, C. Kang","doi":"10.5090/kjtcs.2019.52.5.353","DOIUrl":"https://doi.org/10.5090/kjtcs.2019.52.5.353","url":null,"abstract":"Background To explore the effect of radiation on metastatic lymph nodes (LNs) after neoadjuvant chemoradiation therapy (nCRT), we examined the metastatic features of LNs according to their inclusion in the radiation field. Methods The patient group included 88 men and 2 women, with a mean age of 61.1±8.1 years, who underwent esophagectomy and lymphadenectomy after nCRT. Dissected LNs were compared in terms of clinical suspicion of metastasis, nodal station, and inclusion in the radiation field. Results LN positivity did not differ between LNs that were inside (in-field [IF]) and outside (out-field [OF]) of the radiation field (IF: 40 of 465 [9%], OF: 40 of 420 [10%]; p=0.313). In clinical N+ nodal stations, IF stations had a lower incidence of metastasis than OF stations (IF/cN+: 16 of 142 [11%], OF/cN+: 9/30 [30%]; p=0.010). However, in clinical N- nodal stations, pathological positivity was not affected by whether the nodal stations were included in the radiation field (IF/cN-: 24 of 323 [7%], OF/cN-: 31 of 390 [8%]; p=0.447). Conclusion Radiation therapy for nCRT could downstage clinically suspected nodal metastasis. However, such therapy was ineffective when used to treat nodes that were not suspicious for metastasis. Because significant numbers of residual metastases were identified irrespective of coverage by the radiation field, lymphadenectomy should be performed to ensure complete removal of residual nodal metastases after nCRT.","PeriodicalId":38678,"journal":{"name":"Korean Journal of Thoracic and Cardiovascular Surgery","volume":"52 1","pages":"353 - 359"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43814421","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