Olayinka Ogunmuyiwa, Philipp Rellecke, Artur Lichtenberg, Alexander Assmann
{"title":"Muscular Mitral Chord Contribution to Left Ventricular Outflow Tract Obstruction in HOCM.","authors":"Olayinka Ogunmuyiwa, Philipp Rellecke, Artur Lichtenberg, Alexander Assmann","doi":"10.1055/s-0039-1692155","DOIUrl":"https://doi.org/10.1055/s-0039-1692155","url":null,"abstract":"<p><p>Papillary muscle anomaly with a muscular chord directly attached to the anterior mitral leaflet is a rare mitral valve disease. A 62-year-old man with systolic anterior motion of the anterior mitral leaflet and hypertrophic obstructive cardiomyopathy presented to surgical intervention after unsuccessful transcoronary ablation of septal hypertrophy with alcohol. Intraoperative findings revealed a primarily not detected anomalous muscular mitral chord (0.8 × 2.2 cm) connecting the base of the A1 segment to the anterolateral papillary muscle. Resection of this chord and additional septal myectomy treated systolic anterior motion and obstruction of the outflow tract. In spite of the infrequent occurrence, anomalies of the subvalvular apparatus, such as muscular chords, should be ruled out by thorough transesophageal echocardiography imaging before decision on the therapeutical strategy.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"8 1","pages":"e18-e19"},"PeriodicalIF":0.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1692155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37338494","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}
Christopher Gaisendrees, Kaveh Eghbalzadeh, Navid Mader, Thorsten C W Wahlers
{"title":"Intracardiac Metastasis from a Large Cell Neuroendocrine Lung Carcinoma.","authors":"Christopher Gaisendrees, Kaveh Eghbalzadeh, Navid Mader, Thorsten C W Wahlers","doi":"10.1055/s-0039-1698406","DOIUrl":"https://doi.org/10.1055/s-0039-1698406","url":null,"abstract":"<p><p>Primary malignant tumors of the heart are rare; the biggest group is sarcomas. Cardiac metastases make up the biggest group of secondary cardiac tumors. We present a rare case of cardiac metastasis (3.1 × 3.2 × 2.8 cm) localized in the right atrium, originating from a large cell neuroendocrine lung carcinoma, with close contact to the tricuspid valve and inferior cava vein.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"8 1","pages":"e41-e43"},"PeriodicalIF":0.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1698406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37486112","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}
Jerry Easo, Malte Book, Samer Hakmi, Alexander Weymann
{"title":"Misplaced Ventricular Lead via an Atrial Septal Defect-Percutaneous Extraction.","authors":"Jerry Easo, Malte Book, Samer Hakmi, Alexander Weymann","doi":"10.1055/s-0039-1687821","DOIUrl":"https://doi.org/10.1055/s-0039-1687821","url":null,"abstract":"<p><p><b>Background</b> Necessity for lead removal in this case was after 12 years due to mitral valve regurgitation caused by retraction of the posterior leaflet by the inadvertently misplaced lead. <b>Case Description</b> This history describes a 45-year-old woman with history of multiple cardiac operations at young age with an abandoned defibrillator lead via a patent atrial septal defect. Lead extraction was performed with first described use of rotational dilating sheaths to reduce emboli risk, hoping to avoid a fourth surgical procedure with high risk. <b>Conclusions</b> Percutaneous lead removal using rotational sheaths is possible even for misplaced leads after long-time intervals with acceptable operative risk.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"8 1","pages":"e8-e10"},"PeriodicalIF":0.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1687821","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37176804","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}
Hartwig H C von Oehsen, Benjamin A Högerle, Christian Giebels, Hans-Joachim Schäfers
{"title":"Mitral Valve Surgery in a Patient 50 Years after a Pneumonectomy.","authors":"Hartwig H C von Oehsen, Benjamin A Högerle, Christian Giebels, Hans-Joachim Schäfers","doi":"10.1055/s-0039-1688805","DOIUrl":"https://doi.org/10.1055/s-0039-1688805","url":null,"abstract":"<p><p><b>Background</b> Patients who survive long after pneumonectomy may develop heart valve disease. The consecutive operations can be complex because of the challenging anatomical conditions and the limited physiologic reserves of the patient. <b>Case Presentation</b> The subject is a 78-year-old patient who underwent a left-sided pneumonectomy for a metastasized testicular tumor 50 years ago. At 32 and 37 years postpneumonectomy, mitral regurgitation was manifested, and valve repair was performed. Bioprosthetic mitral valve replacement and tricuspid valve reconstruction became necessary 44 years postpneumonectomy. The patient was fully recovered. <b>Conclusion</b> In case of relevant heart valve disease after pneumonectomies, heart valve surgeries are feasible.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"8 1","pages":"e14-e17"},"PeriodicalIF":0.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1688805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37284304","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":"Internal Endoconduit Technique during Transcatheter Aortic Valve Implantation.","authors":"Osamu Sakai, Katsuhiko Oka, Tomoya Inoue, Hitoshi Yaku","doi":"10.1055/s-0038-1676963","DOIUrl":"https://doi.org/10.1055/s-0038-1676963","url":null,"abstract":"<p><p>The transfemoral approach is the least invasive transcatheter aortic valve implantation (TAVI) approach, but the diameter of the iliofemoral arteries needs to exceed 5 mm. We report a case of limited access transfemoral TAVI by the \"internal endoconduit technique,\" which is well known as a safe and effective dilatational technique for thoracic endovascular aortic repair. Subsequently, we could deliver the device without iliac artery injury and we performed transfemoral TAVI.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"8 1","pages":"e5-e7"},"PeriodicalIF":0.3,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1676963","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36854092","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":"A Case of Inferior Vena Cava Thrombosis Induced by Left Iliac Vein Stents.","authors":"Wei Wei, Xuemei Jiang, Bo Xu, Yikuan Chen","doi":"10.1055/s-0038-1672212","DOIUrl":"https://doi.org/10.1055/s-0038-1672212","url":null,"abstract":"<p><p>Stents have been widely used to restore the patency of the iliac vein in the treatment of its obstruction. However, various complications related to those stents have been reported. This case report covers a 67-year-old male who was diagnosed with left iliofemoral venous post-thrombotic syndrome with recurrent acute deep venous thrombosis. Thrombosis of the inferior vena cava was induced by pronounced extension of left iliac vein stents. Extending stents in this way covers the outlet of the contralateral common iliac vein and may induce thrombosis in the inferior vena cava.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e39-e42"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1672212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36715686","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}
Joel L Ramirez, Anatoly Urisman, Jasleen Kukreja, Johannes R Kratz
{"title":"Surgical Management of Pulmonary Mucormycosis in Third-Trimester Pregnancy.","authors":"Joel L Ramirez, Anatoly Urisman, Jasleen Kukreja, Johannes R Kratz","doi":"10.1055/s-0038-1660806","DOIUrl":"https://doi.org/10.1055/s-0038-1660806","url":null,"abstract":"<p><p><b>Background</b> Pulmonary mucormycosis is a rare fungal infection that carries a high mortality. Given the rarity of this disease, its management has not been well established. <b>Case Description</b> We report a 36-year-old female presenting with right middle and lower lobe pulmonary mucormycosis during the third trimester of pregnancy. Diagnosis was established using chest computed tomography followed by bronchoalveolar lavage and lung biopsy. Prompt initiation of amphotericin B and right middle and lower lobe lobectomy resulted in maternal survival and fetal viability. <b>Conclusion</b> This favorable outcome is attributed to extensive communication between treatment teams in addition to comprehensive surgical planning.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e27-e29"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1660806","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36287705","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}
Greg J Haro, Eric J Seeley, David M Jablons, Johannes R Kratz
{"title":"Central Airway Obstruction Due to Tracheal Glomus Tumor.","authors":"Greg J Haro, Eric J Seeley, David M Jablons, Johannes R Kratz","doi":"10.1055/s-0038-1675411","DOIUrl":"https://doi.org/10.1055/s-0038-1675411","url":null,"abstract":"<p><p><b>Background</b> Tracheal glomus tumors are rare mesenchymal neoplasms that have the potential to cause malignant, central airway obstruction. They require a thoughtful approach to safely secure the airway and definitively resect the tumor. <b>Case Description</b> We report the clinical course of a 25-year-old man in severe respiratory distress secondary to tracheal glomus tumor and the subsequent surgical management. <b>Conclusion</b> Due to their hypervascular nature, greater familiarity with tracheal glomus tumors is needed to ensure appropriate preoperative planning and intervention.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e43-e45"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1675411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36755263","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}
Nawras Diab, Clarence Pingpoh, Matthias Siepe, Friedhelm Beyersdorf, Ahmed Kharabish, Martin Czerny
{"title":"Emergency Repair of a Perforated Mycotic Aneurysm with a Self-made Pericardial Tube-graft.","authors":"Nawras Diab, Clarence Pingpoh, Matthias Siepe, Friedhelm Beyersdorf, Ahmed Kharabish, Martin Czerny","doi":"10.1055/s-0038-1636940","DOIUrl":"https://doi.org/10.1055/s-0038-1636940","url":null,"abstract":"<p><p>A 63-year-old female with a history of kidney transplantation was admitted for emergency repair of a perforated mycotic aneurysm of the right subclavian artery (RSA) in combination with a paravertebral and posterior mediastinal abscess. After resection of the aneurysm and after radical local debridement, orthotopic repair was performed with a self-made pericardial tube graft from the brachiocephalic bifurcation to the thoracic outlet. The paravertebral and posterior mediastinal abscess was drained. The postoperative course was uneventful. Using a self-made readily available pericardial neo-tube enlarges the armamentarium of handling complex infective surgical scenarios and presents a smart alternative to alloplastic vascular reconstruction.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e9-e11"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1636940","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35945989","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}
Felix Fleißner, Jan D Schmitto, L Christian Napp, Issam Ismail
{"title":"Erratum: Rupture of the Free Left Ventricular Wall: A Novel Approach for Reconstruction.","authors":"Felix Fleißner, Jan D Schmitto, L Christian Napp, Issam Ismail","doi":"10.1055/s-0039-1688950","DOIUrl":"https://doi.org/10.1055/s-0039-1688950","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/s-0038-1642613.].</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e53"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1688950","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37236702","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}