Markus Liebrich, Michael Scheid, Frank Uhlemann, Wolfgang B Hemmer
{"title":"Valve-sparing reimplantation technique for treatment of neoaortic root dilatation late after the arterial switch operation: raising the bar.","authors":"Markus Liebrich, Michael Scheid, Frank Uhlemann, Wolfgang B Hemmer","doi":"10.1055/s-0034-1387130","DOIUrl":"https://doi.org/10.1055/s-0034-1387130","url":null,"abstract":"<p><p>Neoaortic root dilatation can develop during long-term follow-up after an arterial switch operation (ASO). Although few patients require surgical reintervention, significant valve regurgitation is still an important cause of late morbidity. We report on a 15-year-old boy with significant dilatation of the neoaortic root that was treated with the valve-sparing reimplantation technique. There is only one reported case of valve-preserving surgery late after the ASO. Valve preservation is believed to be superior to valve replacement in patients with aortic regurgitation due to better hemodynamic performance and avoidance of anticoagulation therapy. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"16-8"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1387130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152161","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}
Rwakaryebe Muhoozi, Fenglei Yu, Jingqun Tang, Xiang Wang
{"title":"Transient palsy of recurrent laryngeal nerve postresection of giant substernal goiter.","authors":"Rwakaryebe Muhoozi, Fenglei Yu, Jingqun Tang, Xiang Wang","doi":"10.1055/s-0034-1368099","DOIUrl":"https://doi.org/10.1055/s-0034-1368099","url":null,"abstract":"<p><p>We report a case of a female patient aged 46 years with a history of nodular goiter for which she had a subtotal thyroidectomy 31 years ago. She was referred to the emergency department of our hospital because of dyspnea and chest pain for 20 days, then developed cyanosis and edema of the head and upper extremities. Chest X-ray revealed tracheal repulsion. Cervical and thoracic computed tomography showed a giant solid and a cystic mass in the anterior mediastinum and bilateral pleural effusion. The neck ultrasound did not show any thyroid masses. An exploratory thoracotomy with extensive resection considering the anatomical relation of the mass and the adjacent structures was planned. Immediately after the operation, the patient developed airway complications that resolved in 7 days. The tumor was confirmed pathologically as nodular goiter. The overall outcome of the patient was positive; she is healthy after more than 12 months of follow-up. This report examines the approach to diagnosis and management of one of the most common surgical complication associated with substernal goiters. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"51-4"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1368099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152081","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 Rare Case of Dacron Graft Rupture due to Friction against a Rib.","authors":"Katsuhiko Matsuyama, Masahiko Kuinose, Nobusato Koizumi, Toru Iwahashi, Kayo Toguchi, Hitoshi Ogino","doi":"10.1055/s-0034-1383827","DOIUrl":"https://doi.org/10.1055/s-0034-1383827","url":null,"abstract":"<p><p>A 54-year-old man underwent aortic repair for the infected thoracoabdominal aneurysm with a woven Dacron graft (Vascutek, Renfrewshire, Scotland) treated with gentian violet. Four months later, he complained of sudden back pain, resulting in preshock status. Computed tomographic scans showed massive hematoma around the Dacron graft, suggesting graft rupture. Initially, emergency thoracic endovascular aortic repair was performed, which was subsequently followed by open repair. The Dacron graft had a small hole, which was completely compatible with the site contacting with the rib. The graft rupture was considered due to its friction against the rib. We report on a rare event of mechanical Dacron graft rupture after the thoracoabdominal aortic replacement. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"71-2"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1383827","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33153075","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}
Torulv Holst, Josef Reichert, Peter Haldenwang, Vadim Moustafine, Matthias Bechtel, Justus Strauch, Stephan Knipp
{"title":"Special report: 26-year durability of a bioprosthesis implanted in a 21-year-old patient.","authors":"Torulv Holst, Josef Reichert, Peter Haldenwang, Vadim Moustafine, Matthias Bechtel, Justus Strauch, Stephan Knipp","doi":"10.1055/s-0034-1364323","DOIUrl":"https://doi.org/10.1055/s-0034-1364323","url":null,"abstract":"<p><p>The choice of prosthetic heart valve type is largely dependent upon patient's age at implantation and on what, in his eyes, seems more pertinent: avoidance of complications associated with anticoagulation of mechanical valves or structural valve deterioration of bioprosthetic valves. Long lasting and new promising concepts such as transcatheter aortic valve implantation are promoting the use of bioprosthesis even in younger patients. However, it is up to the individual patient to decide. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"3-5"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1364323","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152157","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":"Saphenous vein graft aneurysms: a growing problem? Presentation of two cases and surgical management.","authors":"Alicja Zientara, Omer Dzemali, Dragan Odavic, Michele Genoni","doi":"10.1055/s-0034-1371700","DOIUrl":"https://doi.org/10.1055/s-0034-1371700","url":null,"abstract":"<p><p>Background Saphenous vein graft aneurysm is a rare complication after coronary artery bypass grafting leading to reoperations. Case Description In two patients with giant aneurysms, the subclavian artery and femoral vein were cannulated. The first patients' operation was combined with aortic valve replacement. The pulsating mass could be removed. The second patients' operation was planned as an off-pump coronary artery bypass grafting. Upon surgical entry, the aneurysm ruptured and the operation was continued as on-pump beating-heart procedure. Conclusion Because of better follow-up and increasing use of diagnostics, more patients with graft aneurysms will be identified. The question about a treatment algorithm might be answered by aging population and improved survival. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"23-6"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1371700","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152163","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}
Markus Schlömicher, Peter Lukas Haldenwang, Josef Reichert, Vadim Moustafine, Matthias Bechtel, Justus Thomas Strauch
{"title":"Chronic pericardial hematoma with suppression of the right ventricle: a rare complication of a coronary artery aneurysm.","authors":"Markus Schlömicher, Peter Lukas Haldenwang, Josef Reichert, Vadim Moustafine, Matthias Bechtel, Justus Thomas Strauch","doi":"10.1055/s-0034-1386720","DOIUrl":"https://doi.org/10.1055/s-0034-1386720","url":null,"abstract":"<p><p>We present a case of a 67-year-old patient referred to our department with a pericardial mass lesion measuring 11 × 4 × 7.5 cm as diagnosed in computed tomography scan. The patient showed a history of progredient dyspnea. Video-assisted thoracoscopy as well as an explorative full sternotomy to resect the mass lesion had been performed at the referring hospital subsequently before admission to our department. Intermittent hemodynamic instability caused the procedure to stop and a transfer to the cardiothoracic surgery department, following which a resternotomy was performed. Inspection of the surgical site and subsequent intraoperative rapid section revealed an old organized and dense pericardial hematoma adherent to the right ventricle. The suspicion of covered coronary artery perforation led to an intraoperative coronary angiography, which revealed a large proximal coronary aneurysm of the right coronary artery and a subtotal stenosis of the circumflex branch. The hematoma could be removed with decompression of the right ventricle under cardiopulmonary bypass conditions. The further postoperative course was uncomplicated with retransfer to the referring hospital on the postoperative day 8. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"27-30"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1386720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152164","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}
Thilo Noack, Lukas Lehmkuhl, Joerg Seeburger, Friedrich Wilhelm Mohr
{"title":"Minimally invasive mitral valve repair in a marfan patient with severe scoliokyphosis.","authors":"Thilo Noack, Lukas Lehmkuhl, Joerg Seeburger, Friedrich Wilhelm Mohr","doi":"10.1055/s-0034-1364322","DOIUrl":"https://doi.org/10.1055/s-0034-1364322","url":null,"abstract":"Abstract A 26-year-old female Marfan patient with extensive scoliokyphosis presented with severe mitral valve regurgitation. The patient was treated with minimally invasive mitral valve repair via a right lateral minithoracotomy. In this report, we discuss the operative procedure followed in this special case and the current literature.","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"1-2"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1364322","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33151709","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}
Wojciech Dudek, Waldemar Schreiner, Johanna Strehl, Horia Sirbu
{"title":"Spontaneous Pneumothorax due to Ectopic Deciduosis: A Case Report.","authors":"Wojciech Dudek, Waldemar Schreiner, Johanna Strehl, Horia Sirbu","doi":"10.1055/s-0034-1383511","DOIUrl":"https://doi.org/10.1055/s-0034-1383511","url":null,"abstract":"<p><p>This report presents a 20-week pregnant 38-year-old woman with right-sided pneumothorax due to pulmonary deciduosis. Initial pleural drainage was ineffective. Video-assisted thoracoscopy revealed areas of consolidation within the lung parenchyma. A wedge resection with partial pleurectomy was performed. Histopathological examination showed subpleural decidual implants. The patient made a full recovery and was discharged on day 5. Videoscopic inspection of the lung parenchyma and pleura with resection of decidual foci is the recommended treatment for pneumothorax in pregnant women with pleuropulmonary deciduosis in whom classical pleural drainage is ineffective. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"58-60"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1383511","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152083","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}
Peter Roth, Christian Heiss, Ahmed Koshty, Bernd Niemann, Andreas Boening
{"title":"Posttraumatic arteriovenous fistula of the distal posterior tibial artery as cause of delayed wound healing in an unrecognized arterial injury.","authors":"Peter Roth, Christian Heiss, Ahmed Koshty, Bernd Niemann, Andreas Boening","doi":"10.1055/s-0033-1363167","DOIUrl":"https://doi.org/10.1055/s-0033-1363167","url":null,"abstract":"<p><p>Background Cases of posttraumatic arteriovenous (AV) fistula of the distal lower limb are rarely reported. Time from trauma to diagnosis varies from hours to years. Case Description This case report of a 51-year-old male patient shows very impressively the extensive consequences of an unrecognized traumatic AV fistula. The fistula developed here after a car accident led to a massive healing delay in a pilon fracture of the tibia and a wound, resulting in almost 1 year immobilization, 20 operations, and extensive pain drug therapy. After surgical revision of the fistula, bone and wound healing improved quickly. Conclusions The possibility of an AV fistula should be considered in case of persistent swelling after high-energy trauma of an extremity. The therapy of choice is surgery and the long-term result of successful fistula ligature is excellent. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"67-70"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0033-1363167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33153074","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}
Christoph B Wiedenroth, Stefan Guth, Andreas Rolf, Eckhard Mayer
{"title":"Chronic thromboembolic pulmonary hypertension after pulmonary embolism, thrombolysis, catheter fragmentation, and embolectomy.","authors":"Christoph B Wiedenroth, Stefan Guth, Andreas Rolf, Eckhard Mayer","doi":"10.1055/s-0034-1376176","DOIUrl":"https://doi.org/10.1055/s-0034-1376176","url":null,"abstract":"<p><p>A 21-year-old male patient with massive acute pulmonary embolism was treated by thrombolysis, interventional thrombus fragmentation, and surgical pulmonary embolectomy. Within the following 2 years, the patient developed progressive dyspnea at exertion. Chronic thromboembolic pulmonary hypertension was diagnosed by right-heart catheter, VQ scan, magnetic resonance, and conventional pulmonary angiography. A normalization of the patient's exercise capacity and pulmonary hemodynamics could be achieved by pulmonary endarterectomy and patch reconstruction of the right main pulmonary artery. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"55-7"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1376176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152082","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}