Lukas Frey, Christoph Starck, Volkmar Falk, Simon Sündermann
{"title":"Diastolic aorto-right-atrial fistulation in aortic and tricuspid valve endocarditis.","authors":"Lukas Frey, Christoph Starck, Volkmar Falk, Simon Sündermann","doi":"10.1055/s-0034-1381746","DOIUrl":"https://doi.org/10.1055/s-0034-1381746","url":null,"abstract":"<p><p>Background Aorto-right-atrial fistula in native valve endocarditis is very rare. Case Description A 45-year-old woman was referred with an endocarditis with a perforated right cusp of the aortic valve with at least moderate insufficiency and an affected tricuspid annulus with vegetations. In addition to this, an aorto-cavitary fistula from the aortic sinus to the right atrium with a holodiastolic left-right shunt had been detected. Streptococci viridans were found as underlying pathogen. Complete replacement of the aortic root and resection of the fistula were performed with good result. Conclusion Endocarditis with fistula formation is rare and has to be treated aggressively. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"19-22"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1381746","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152162","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":"Left atrial appendage enlarged by coronary artery fistula after surgical closure of appendage.","authors":"Takamitsu Terasaki, Tamaki Takano, Haruki Tanaka","doi":"10.1055/s-0034-1387823","DOIUrl":"https://doi.org/10.1055/s-0034-1387823","url":null,"abstract":"<p><p>Two years previously, a 73-year-old man with mitral regurgitation underwent mitral annuloplasty and left atrial appendage (LAA) exclusion by suturing the orifice from the endocardium. However, the mitral regurgitation became exacerbated, and the left atrium enlarged rapidly over a 6-month period. Computed tomography showed a heterogenic mass in the LAA, and coronary angiography revealed a coronary artery-LAA fistula. Reoperation revealed a thrombus filling the appendage and two small orifices of the coronary artery-LAA fistula located in the endocardium of the appendage. We excised the LAA and closed these fistula orifices concomitant with mitral valve replacement. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"31-2"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1387823","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152165","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}
Stefan R B Schneider, Angelo Dell'Aquila, Sven Martens, Andreas Rukosujew
{"title":"Biatrial recurrence of two independently growing cardiac myxoma in a patient with multiple tumor disease.","authors":"Stefan R B Schneider, Angelo Dell'Aquila, Sven Martens, Andreas Rukosujew","doi":"10.1055/s-0034-1371393","DOIUrl":"https://doi.org/10.1055/s-0034-1371393","url":null,"abstract":"<p><p>We report the case of a 56-year-old female patient with biatrial recurrence of cardiac myxoma and extensive comorbidities. In the literature, only few cases of biatrial myxoma can be found and they generally describe a single tumor reaching both atria. We found two independently growing cardiac myxomas of both atria. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"35-7"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1371393","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152076","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}
Khaled Dastagir, Thomas Breymann, Andreas Heckmann, Alexander Horke, Peter Maria Vogt
{"title":"Use of latissimus dorsi pedicled myocutaneous flap for reconstruction in the chest area of an 8-month-old female infant with ectopia cordis.","authors":"Khaled Dastagir, Thomas Breymann, Andreas Heckmann, Alexander Horke, Peter Maria Vogt","doi":"10.1055/s-0034-1373669","DOIUrl":"https://doi.org/10.1055/s-0034-1373669","url":null,"abstract":"<p><p>Ectopia cordis (EC) is characterized by a complete or partial malposition of the heart outside the thorax. Despite the interdisciplinary treatment, the repair of EC is still very difficult and offers new surgical challenges because of its complexity and various combinations with other anomalies. We report the successful outcome after using a pedicled latissimus dorsi flap in reconstructive surgery in the setting of chronic wound dehiscence in an 8-month-old female infant born with a thoracic EC and omphalocele. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"38-41"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1373669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152077","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":"An unusual position for the permanent pacing wire.","authors":"Pankaj Kumar Mishra, Alexander Ng, Heyman Luckraz","doi":"10.1055/s-0034-1384667","DOIUrl":"https://doi.org/10.1055/s-0034-1384667","url":null,"abstract":"<p><p>Complications related to permanent pacing wires insertion include ventricular perforation. It commonly perforates the right ventricle. We present images of an unusual case where the pacing wires perforated the anterior left ventricular wall between the left anterior descending artery and diagonal artery. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"33-4"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1384667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152166","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}
Shuhei Kakizaki, Seiichi Tazawa, Shigeo Kure, Yoshikatsu Saiki
{"title":"Visualization of thrombosis on a prosthetic pulmonary valve using electrocardiogram-gated multidetector computed tomography.","authors":"Shuhei Kakizaki, Seiichi Tazawa, Shigeo Kure, Yoshikatsu Saiki","doi":"10.1055/s-0034-1371392","DOIUrl":"https://doi.org/10.1055/s-0034-1371392","url":null,"abstract":"<p><p>We report a case of prosthetic valve thrombosis in an 18-year-old man. Total surgical repair of tetralogy of Fallot was performed at 3 years of age. At the age of 18, he underwent pulmonary valve replacement because of exacerbating pulmonary trunk obstruction. After surgery, valve malfunction was suspected. We attempted to employ electrocardiogram (ECG)-gated multidetector computed tomography (MDCT). The stuck valve was clearly visualized together with a thrombus within. Thrombolytic therapy was undertaken on these findings. ECG-gated MDCT allowed us to make a definitive diagnosis of valve thrombosis as the cause of valve malfunction, which led us to avoid surgical reintervention. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"3 1","pages":"6-8"},"PeriodicalIF":0.3,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0034-1371392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152158","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":"Surgical repair of an asymptomatic giant right coronary artery aneurysm.","authors":"Saleem Jahangeer, Nadeem Anjum, Aonghus O'Donnell, Kishore Doddakula","doi":"10.1055/s-0033-1348947","DOIUrl":"https://doi.org/10.1055/s-0033-1348947","url":null,"abstract":"<p><p>Background Coronary artery aneurysm (CAA) is a rare finding, being mostly diagnosed on angiography or at autopsies. It is defined as being a dilation of the coronary artery that exceeds the diameter of the patient's largest coronary vessel by 1.5 to 2 times. Case Report We describe the operative correction of a giant right CAA measuring in excess of 10 cm. Conclusion Management of giant CAAs is not standardized and surgical strategy remains controversial. In our case, the patient has a successful surgical repair with no postoperative shunts on follow-up investigations. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"2 1","pages":"6-8"},"PeriodicalIF":0.3,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0033-1348947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32783373","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":"Mediastinal Neurofibroma Originating from the Pulmonary Branch of the Right Vagus Nerve in a Patient without von Recklinghausen Disease.","authors":"Junichi Okamoto, Hirotoshi Kubokura, Hideaki Ishii, Jitsuo Usuda","doi":"10.1055/s-0033-1348477","DOIUrl":"https://doi.org/10.1055/s-0033-1348477","url":null,"abstract":"<p><p>Intrathoracic neurofibromas originating from the vagus nerve in patients without von Recklinghausen disease is rare and poses a problem in etiological diagnosis. Surgical resection is usually necessary for precise diagnosis of such tumors. We report the first case of a neurofibroma originating from the right pulmonary branch of the vagus nerve in a 34-year-old male without von Recklinghausen disease. The diagnosis was suggested by the radiological features and was confirmed histologically after resection. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"2 1","pages":"29-31"},"PeriodicalIF":0.3,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0033-1348477","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32783311","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":"Total video-assisted thoracic surgery sleeve lobectomy: suture by both hands.","authors":"Kai Liu, Chenhua Jin, Hui Tian, Weiyu Shen","doi":"10.1055/s-0033-1356749","DOIUrl":"https://doi.org/10.1055/s-0033-1356749","url":null,"abstract":"<p><p>Bronchoplastic procedures offer better long-term survival and quality of life with less morbidity and mortality than pneumonectomies. However, minimally invasive sleeve lobectomy is rarely reported, and the procedure requires more skill even for experienced hands. We report a total video-assisted thoracoscopic right upper sleeve lobectomy for a patient with centrally located lung cancer. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"2 1","pages":"43-5"},"PeriodicalIF":0.3,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0033-1356749","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32783316","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}
Jeffrey B Velotta, Charles R Vasquez, Ralph M Bolman, Marcelo C Dasilva
{"title":"Left atrial-esophageal fistula repair after radiofrequency catheter ablation for atrial fibrillation.","authors":"Jeffrey B Velotta, Charles R Vasquez, Ralph M Bolman, Marcelo C Dasilva","doi":"10.1055/s-0033-1358779","DOIUrl":"https://doi.org/10.1055/s-0033-1358779","url":null,"abstract":"<p><p>Left atrial-esophageal fistula (LAEF) is a rare complication of radiofrequency ablation (RFA) procedures undertaken for atrial fibrillation (AF). This complication is associated with significant morbidity and mortality. Currently, there is no clear consensus on the appropriate management strategy. We report a case of a LAEF that developed in a patient 2 weeks after RFA for medication refractory AF. The patient underwent successful repair of the fistula through a left posterolateral thoracotomy, wherein the esophageal and atrial lesions were repaired primarily with an intercostal muscle flap and bovine pericardial patch to reinforce and prevent recurrence. </p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"2 1","pages":"13-5"},"PeriodicalIF":0.3,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0033-1358779","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32783375","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}