Georg Schlachtenberger, Stephen Gerfer, Axel Kröner, Thorsten Wahlers
{"title":"Angiosarcoma of the Left Atrium: A Case Report.","authors":"Georg Schlachtenberger, Stephen Gerfer, Axel Kröner, Thorsten Wahlers","doi":"10.1055/s-0038-1627443","DOIUrl":"https://doi.org/10.1055/s-0038-1627443","url":null,"abstract":"<p><p><b>Background</b> Primary cardiac tumors are rare, and many diagnosed tumors are benign with an incidence of 0.001% to 0.03%. The primary angiosarcoma is one of the malignant entities. <b>Discussion</b> We discuss a case report of a 76-year-old male who underwent a preoperative diagnosis for an upcoming shoulder operation when his cardiologist diagnosed a large cardiac tumor. The patient was referred to our department where he received further diagnostics. The transesophageal echocardiography and the cardiac-magnetic resonance imaging showed a massive tumor with a dimension of 8.6 × 5.6 cm with no signs of malignity. <b>Method</b> The operation was performed by standard median sternotomy. The tumor was adherent to the septum and the left atrium, and we were able to remove the specimen in toto. Pathological examinations showed an angiosarcoma with neovascularization and core expression of ERG+ and cytoplasmic expression of CD31+/CD34+, due to the size of the mass. The resection of primary cardiac tumors is mostly the therapy of choice, but in this case concerning an angiosarcoma the prognosis is poor, considering that the angiosarcoma responds very badly to chemotherapy and radiotherapy.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e4-e6"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1627443","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35856752","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}
Ashraf Rad, Ulrich Lange, Bartholomaeus Makowski, Thomas Held, Jürgen Schönwälder, Michael Schmoeckel
{"title":"An Unusual Complication of Pericarditis.","authors":"Ashraf Rad, Ulrich Lange, Bartholomaeus Makowski, Thomas Held, Jürgen Schönwälder, Michael Schmoeckel","doi":"10.1055/s-0038-1676034","DOIUrl":"https://doi.org/10.1055/s-0038-1676034","url":null,"abstract":"<p><p><b>Background</b> According to current guidelines, acute pericarditis is an inflammatory pericardial syndrome with or without pericardial effusion. <b>Case Description</b> We report on a patient who was treated for purulent pericarditis and developed a fistula from the ascending aorta to the right ventricle (RV), leading to cardiac decompensation. Operative closure of the aortic and RV perforation solved the problem. <b>Conclusion</b> Bacterial pericarditis may lead to life-threatening complications. Early diagnosis and immediate therapy are essential for a successful outcome.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e50-e52"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1676034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36804313","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}
Ahmed F Elmahrouk, Mohamed F Ismail, Abdulbadee Bugis, Nashwa Badawy, Hesham Mohamed Aboelghar, Tamer Hamouda, Ahmed Jamjoom
{"title":"Staged Surgical Palliation for HLHS in a Girl with Severe Factor X Deficiency.","authors":"Ahmed F Elmahrouk, Mohamed F Ismail, Abdulbadee Bugis, Nashwa Badawy, Hesham Mohamed Aboelghar, Tamer Hamouda, Ahmed Jamjoom","doi":"10.1055/s-0038-1637743","DOIUrl":"https://doi.org/10.1055/s-0038-1637743","url":null,"abstract":"<p><p><b>Background</b> Factor X deficiency (also known as Stuart-Prower factor deficiency) is an autosomal recessive extremely rare hereditary hematologic disorder, affecting around 1:1,000,000 of the general population. <b>Case Presentation</b> This case report describes a patient with hypoplastic left heart syndrome and severe factor X deficiency, who underwent staged surgical palliation. From stage 1 Norwood palliation, through superior cavopulmonary anastomosis and ending with total cavopulmonary connection with satisfactory hemostasis and no significant perioperative bleeding complication. <b>Conclusion</b> The need to maintain hemostasis while aiming to prevent intracardiac thrombosis requires multidisciplinary team approach including hematologist, cardiac surgeon, pediatric cardiac intensivist, and anesthesiologist along with meticulous hemostasis during surgery and careful monitoring of coagulation profile in the postoperative period.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e12-e15"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1637743","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35945990","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}
Magdalena L Laux, Michael Erb, Frank Hoelschermann, Johannes M Albes
{"title":"Successful Surgical Abdominal Aortic Debranching Preceding Stent Graft Implantation: A Case Report.","authors":"Magdalena L Laux, Michael Erb, Frank Hoelschermann, Johannes M Albes","doi":"10.1055/s-0038-1660834","DOIUrl":"https://doi.org/10.1055/s-0038-1660834","url":null,"abstract":"<p><p><b>Background</b> Acute endovascular aneurysm repair with stent grafts (thoracic endovascular aortic repair [TEVAR]) is safe and feasible. <b>Case Description</b> A 64-year-old female presented with a perforated aortic aneurysm of the thoracic descending aorta. Primary TEVAR resulted in good management of the perforation but a type Ib endoleakage remained postoperatively. To place another stent, abdominal debranching with saphenous vein bypass to the celiac trunk was required. In the same session, another endograft was inserted successfully. <b>Conclusion</b> Abdominal debranching is a safe alternative to open aortic repair in acute thoracic and abdominal aneurysms, instead of waiting for a custom-made device.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e24-e26"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1660834","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36287704","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, Ulrich Molitoris, Wiebke Rösler, Christian Kühn
{"title":"Primary Cardiac B-Non-Hodgkin Lymphoma Disguised as a Pacemaker Endocarditis.","authors":"Felix Fleißner, Ulrich Molitoris, Wiebke Rösler, Christian Kühn","doi":"10.1055/s-0038-1660807","DOIUrl":"https://doi.org/10.1055/s-0038-1660807","url":null,"abstract":"<p><p><b>Background</b> Pacemaker infections rates are high compared with the incidence of primary malignant cardiac tumors. However, they can look alike in diagnostics and patient presentation. <b>Case Description</b> We hereby report a rare case of a suspected pacemaker endocarditis which in fact turned out to be a primary cardiac B cell lymphoma. The lymphoma was removed surgically. <b>Conclusion</b> Sometimes we encounter the unexpected. Suboptimal preoperative diagnostics certainly lead to the faulty conclusion of an endocarditis. Nonetheless, even such an enhanced primary cardiac tumor can be resected with good clinical outcome and long-term survival.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e18-e20"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1660807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36287703","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":"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-0038-1642613","DOIUrl":"https://doi.org/10.1055/s-0038-1642613","url":null,"abstract":"<p><p><b>Background</b> A rupture of the free wall of the left ventricle is a rarely seen complication of myocardial infarction and represents an absolute cardiac emergency. <b>Case Description</b> We hereby present a case of a 64-year-old patient with a rupture of the free left ventricular wall. The patient was treated in an emergent operation with a novel reconstruction method of the left ventricular wall and was discharged 30 days after the initial operation. <b>Conclusion</b> Left ventricular free wall rupture is rarely described in the literature, which might be because of high mortality in underdiagnosed cases. Therefore, early imaging by echo or computed tomography (CT) is essential for detecting this dangerous condition. Once diagnosed, urgent surgery is mandatory to save the life of the patient.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e30-e32"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1642613","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36287706","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":"German Virtues in an International Journal.","authors":"Andreas Böning, Bernd Niemann","doi":"10.1055/s-0038-1675402","DOIUrl":"https://doi.org/10.1055/s-0038-1675402","url":null,"abstract":"","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e46"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1675402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36755264","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}
Andreas Kirschbaum, Timm Greulich, Nikolas Mirow, Detlef K Bartsch
{"title":"An Unusual Case of Noncatamenial Recurrent Pneumothorax.","authors":"Andreas Kirschbaum, Timm Greulich, Nikolas Mirow, Detlef K Bartsch","doi":"10.1055/s-0038-1667318","DOIUrl":"https://doi.org/10.1055/s-0038-1667318","url":null,"abstract":"<p><p>In a 28-year-old female, seven recurrent pneumothoraces occurred during a period of 2 years despite multiple thoracic interventions, all on the left thoracic side. Despite profound differential diagnostic analysis, the underlying cause remains unclear. An accumulation of conditions in this patient affecting only the left half of the body is remarkable: sinistral glaucoma as an infant, a sinistral pigmentation disorder, and a sinistral Bochdalek hernia.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e36-e38"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1667318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36388214","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}
Ahmed F Elmahrouk, Tamer Hamouda, Mohamed F Ismail, Ahmed Jamjoom
{"title":"Transposition of Great Arteries with Left Main Coronary Artery Atresia-Case Report.","authors":"Ahmed F Elmahrouk, Tamer Hamouda, Mohamed F Ismail, Ahmed Jamjoom","doi":"10.1055/s-0038-1637737","DOIUrl":"https://doi.org/10.1055/s-0038-1637737","url":null,"abstract":"<p><p><b>Background</b> The coronary artery anatomy in patients with transposition of the great artery (TGA) is a contributing factor for outcome in arterial switch procedure. <b>Case Presentation</b> A full-term, 7-day-old baby boy diagnosed as dextro-TGA (dTGA) with intact ventricular septum. Intraoperatively, the left coronary sinus had a blind indentation from which a firm cord-like left main coronary artery originates. Procedure completed as usual for a routine arterial switch operation. <b>Conclusion</b> About 5% of patients with D-TGA have a single coronary artery. Assessment of blood flow to all branches intraoperatively is mandatory to choose between either transfer of single ostium or bypass grafting to the other coronary system.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e16-e17"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1637737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35945991","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":"Cardiac Graft from Donors with Extracorporeal Support-A Report of Two Cases.","authors":"Bernd Panholzer, Katharina Huenges, Jochen Cremer, Assad Haneya","doi":"10.1055/s-0038-1661410","DOIUrl":"https://doi.org/10.1055/s-0038-1661410","url":null,"abstract":"<p><p>The persistent global shortage of organ donors is still a major limitation for transplantation. Experiences of heart transplantation from donors with extracorporeal support are rare. Here, we report from two cases of donors who were supported by extracorporeal membrane oxygenation due to acute circulatory failure. In both cases, the direct postoperative course was uneventful and free from major complications. The patients were discharged to a rehabilitation clinic. Our experience suggests that the use of heart organ from carefully selected donors with extracorporeal support is possible and may lead to an excellent outcome.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"7 1","pages":"e33-e34"},"PeriodicalIF":0.3,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0038-1661410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36287707","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}