Kouhei Ishidou, Aina Hirofuji, Naohiro Wakabayashi, Hiroyuki Kamiya
{"title":"Aorto-Right Atrial Fistula after Minimally Invasive Tricuspid Valve Repair: A Report of Two Cases.","authors":"Kouhei Ishidou, Aina Hirofuji, Naohiro Wakabayashi, Hiroyuki Kamiya","doi":"10.1055/s-0040-1718552","DOIUrl":"https://doi.org/10.1055/s-0040-1718552","url":null,"abstract":"<p><p>We experienced two cases of postoperative iatrogenic aorto-right atrial fistula (ARAF) after tricuspid valve repair (TVR) using minimally invasive cardiac surgery (MICS) technique. In both the cases, the flow of ARAF passed through the sinus of Valsalva near the noncoronary cusp (NCC)/right coronary cusp (RCC) commissure or NCC to right atrium. The quality of the fine needle used in the MICS technique may be inferior to that used in conventional surgery; ARAF after TVR could be a unique pitfall with the MICS technique.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"9 1","pages":"e55-e57"},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1718552","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38719705","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}
Lena Reichert, Ioannis Bougioukas, Ralf Seipelt, Hanno Huwer
{"title":"Partial Anomalous Pulmonary Venous Return Diagnosed by Central Catheter Misplacement.","authors":"Lena Reichert, Ioannis Bougioukas, Ralf Seipelt, Hanno Huwer","doi":"10.1055/s-0040-1715432","DOIUrl":"https://doi.org/10.1055/s-0040-1715432","url":null,"abstract":"<p><p>Anomalous venous connections of the left lung can either affect all of the veins or only the upper lobe. They mostly drain into the innominate vein. We present the case of a patient who underwent a coronary bypass operation and was prepared with insertion of central lines including Swan-Ganz catheter through both the internal jugular veins. Blood gas analysis obtained from these catheters suggested the presence of a left-to-right shunt. CT (computed tomography) imaging confirmed a pulmonary venous anomaly with misplacement of the left-sided catheter in an abnormal pulmonary vein. Such a rare condition can be suspected by obtaining arterialized blood samples and measuring the mean pressure through central catheters.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"9 1","pages":"e37-e39"},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1715432","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38418532","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}
Sujana Dontukurthy, Yoshikazu Yamaguchi, Joseph D Tobias
{"title":"Persistent Left Superior Vena Cava Suggested by an Unusual Central Venous Pressure Waveform.","authors":"Sujana Dontukurthy, Yoshikazu Yamaguchi, Joseph D Tobias","doi":"10.1055/s-0040-1708474","DOIUrl":"https://doi.org/10.1055/s-0040-1708474","url":null,"abstract":"<p><p><b>Background</b> A persistent left superior vena cava (PLSVC) is the most common congenital anomaly of the thoracic venous return. <b>Case Description</b> During atrial septal defect repair, a pulmonary artery (PA) catheter was placed via the left internal jugular vein. Although placement of the PA catheter in the main PA was confirmed by transesophageal echocardiography, the central venous pressure (CVP) waveform was abnormal. Intraoperatively, the PA catheter was seen exiting the coronary sinus with the CVP port within the coronary sinus. <b>Conclusions</b> The diagnosis of PLSVC is discussed and the differential diagnosis of the abnormal \"ventricular\" pattern of the CVP waveform is reviewed.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"9 1","pages":"e15-e17"},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1708474","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37889932","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}
{"title":"Combined Coronary Artery Bypass Grafting, Aortic, and Lung Carcinoma Surgery.","authors":"Nora Goebel, Ulrich F W Franke","doi":"10.1055/s-0040-1710321","DOIUrl":"https://doi.org/10.1055/s-0040-1710321","url":null,"abstract":"<p><p><b>Background</b> Patients presenting with several cardiothoracic conditions that need to be addressed surgically require individual decision making as evidence remains inconclusive and combined surgical procedures carry an elevated perioperative risk. <b>Case Description</b> We present the case and management of a 73-year-old male with myocardial infarction due to three-vessel disease and left main stem stenosis, calcified aortic aneurysm, and right-sided non-small cell lung carcinoma. <b>Conclusion</b> High-risk combined surgery should be indicated with scrutiny after individual consideration by an experienced heart team.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"9 1","pages":"e21-e23"},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1710321","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37982608","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}
{"title":"Single Atrium and Miscarriages.","authors":"Fatos Kojqiqi, Arben Kojqiqi, Ismet Jusufi, Besnik Kojcici","doi":"10.1055/s-0039-3402765","DOIUrl":"https://doi.org/10.1055/s-0039-3402765","url":null,"abstract":"<p><p><b>Background</b> A single atrium is a very rare heart condition, in which the inter atrial septum is missing. These congenital heart defects usually are surgically corrected after birth. <b>Case Presentation</b> We present a successful surgical repair of a single atrium (SA) in a 27-year-old woman, who has a complete missing of the atrial septum, without coexisting valvular pathology. The SA diameter was 9.97 × 6.18 cm and the Systemic blood flow/pulmonary blood flow (Qp/Qs) was 4.1 due to the single atrium. Surgical correction consisted of creating a new atrial septum, using a double-velor patch. At first- and second-year follow up, the patient was in a very good condition and without any symptoms present. We consider that the diagnoses of single atrium, especially in child bearing women, should be done in appropriate time, to avoid miscarriages, preterm births and other complications associated. <b>Conclusion</b> There are many case reports that show good surgical repair of single atrium and without late complications. In our case, we have obtained a very good surgical repair, without AV bundle damage and no residual shunt demonstrated on intraoperative transesophageal echocardiography.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"9 1","pages":"e4-e8"},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-3402765","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37682929","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}
Yong Zhang, Minhua Fang, Zengwei Wang, Huishan Wang
{"title":"Traditional Atriopulmonary Connection Fontan with Excellent Outcome for 32 Years.","authors":"Yong Zhang, Minhua Fang, Zengwei Wang, Huishan Wang","doi":"10.1055/s-0040-1708528","DOIUrl":"https://doi.org/10.1055/s-0040-1708528","url":null,"abstract":"<p><p>Although the traditional right atrial-pulmonary artery (RA-PA) Fontan has been replaced by the total cavopulmonary connection, some RA-PA Fontan patients still have good outcome. We report a 37-year-old male who underwent traditional Fontan 32 years ago with the diagnosis of L-transposition of great arteries, subvalvular pulmonary stenosis and cardiac dextroversion. Among the recent CTA, electroconvulsive therapy, catheterization and angiography, pulsatile PA, uniform pulmonary blood, normal PA pressure and resistance were observed in this patient. The traditional RA-PA Fontan may be an alternative surgical procedure.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"9 1","pages":"e18-e20"},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1708528","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38019373","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}
Raphael Tasar, Sophie Tkebuchava, Mahmoud Diab, Torsten Doenst
{"title":"An 86-Year-Old Female with Mitral Regurgitation and Significant Pectus Excavatum.","authors":"Raphael Tasar, Sophie Tkebuchava, Mahmoud Diab, Torsten Doenst","doi":"10.1055/s-0039-1700881","DOIUrl":"https://doi.org/10.1055/s-0039-1700881","url":null,"abstract":"<p><p><b>Background</b> We report the case of minimally invasive mitral valve repair in an 86-year-old female with symptomatic structural mitral regurgitation and severe pectus excavatum. <b>Case Description</b> The case summarizes four areas of repetitive heart team discussions. First, should an 86-year-old patient still be treated invasively? Second, if so, should treatment be interventional or surgical? Third, if surgical, should we replace or repair at that age and fourth which surgical access is best with respect to her chest deformation? <b>Conclusion</b> We chose to surgically repair the valve using a minimally invasive approach. The patient was extubated 3 hours after surgery and discharged after 7 days.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"8 1","pages":"e37-e40"},"PeriodicalIF":0.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1700881","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37486111","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}
{"title":"Bronchial Fistula and Pneumomediastinum after EBUS-TBNA Following Mediastinoscopy.","authors":"Ioannis Bougioukas, Ralf Seipelt, Hanno Huwer","doi":"10.1055/s-0039-1688476","DOIUrl":"https://doi.org/10.1055/s-0039-1688476","url":null,"abstract":"<p><p><b>Background</b> Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a very useful diagnostic tool for the assessment of enlarged mediastinal and hilar lymph nodes. It is a safe procedure with a low risk of complications. <b>Case Description</b> We report a case of bronchial fistula and pneumomediastinum after EBUS-TBNA, which was performed shortly after a mediastinoscopy. Due to the extent of the bronchial lesion, a surgical closure of the bronchial fistula was necessary. The patient recovered completely. <b>Conclusion</b> The performance of EBUS-TBNA shortly after a mediastinoscopy should not be recommended to avoid possible procedure-related complications.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"8 1","pages":"e11-e13"},"PeriodicalIF":0.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1688476","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37221331","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}
Xiaoming Zhang, Tao Ji, Longhai Yang, Yi Liu, Hongsheng Lin, Huiyu Pan, Zizi Zhou
{"title":"Surgical Treatment of Tracheal Lipoma after Multiple Bronchoscopy Interventions and Placements of a Tracheal Stent.","authors":"Xiaoming Zhang, Tao Ji, Longhai Yang, Yi Liu, Hongsheng Lin, Huiyu Pan, Zizi Zhou","doi":"10.1055/s-0039-1688903","DOIUrl":"https://doi.org/10.1055/s-0039-1688903","url":null,"abstract":"<p><p><b>Background</b> The majority of adult primary tracheal tumors are malignant; however, as one type of benign tumors, lipoma is extremely uncommon. <b>Case Description</b> We report a case where lipoma was first misdiagnosed as bronchial asthma, followed by sudden aggravation of dyspnea after trauma, and computed tomography (CT) examination of the neck and chest confirmed a tracheal tumor. Through multiple bronchoscopy interventions and placements of a tracheal stent, little therapeutic benefit was discovered, and resection of the tracheal tumor combined with tracheal end-to-end anastomosis was performed to ultimately achieve a cure. <b>Conclusion</b> Primary tracheal tumors should be highly suspected in patients with recurrent and gradually worsening dyspnea; timely cervical, thoracic CT and bronchoscopy can provide an accurate diagnosis. Surgical radical resection is the only way to cure all benign tracheal tumors such as lipoma.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"8 1","pages":"e20-e23"},"PeriodicalIF":0.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1688903","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37381951","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}
{"title":"Perioperative Endocarditis Management in a Patient with Homozygous Sickle Cell Disease.","authors":"Malgorzata Gozdzik, Sergio Mariotti, Michele Genoni, Alicja Zientara","doi":"10.1055/s-0038-1676962","DOIUrl":"https://doi.org/10.1055/s-0038-1676962","url":null,"abstract":"<p><p><b>Background</b> Homozygous sickle cell disease (SCD) compounded with bacterial endocarditis makes open-heart surgery a multidisciplinary challenge. <b>Case description</b> A 45-year-old African male patient with homozygous SCD presented with right heart decompensation, tricuspid regurgitation, and endocarditis of the aortic valve. Blood coulters were positive for coagulase-negative staphylococci. An emergent double valve replacement was successfully performed involving a multidisciplinary team. <b>Conclusion</b> Homozygous SCD is associated with an increased risk of preoperative vaso-occlusive complications. Surgery with cardiopulmonary bypass can be performed, if hypothermia, hypoxia, acidosis, or low-flows are being avoided. Due to the lack of data, the adequate approach is still intuitive and requires standardization.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"8 1","pages":"e1-e4"},"PeriodicalIF":0.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1676962","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36911649","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}