General Thoracic and Cardiovascular Surgery Cases最新文献

{"title":"Early prosthetic valve endocarditis presenting as acute right coronary artery occlusion 1 month after aortic valve replacement: a case report.","authors":"Koki Yokawa, Kazunori Yoshida, Ko Ishimoto, Taku Nakagawa, Yosuke Tanaka, Tomonori Higuma, Yoshihiro Oshima, Hidefumi Obo, Hidetaka Wakiyama","doi":"10.1186/s44215-026-00257-2","DOIUrl":"10.1186/s44215-026-00257-2","url":null,"abstract":"<p><strong>Background: </strong>Prosthetic valve endocarditis (PVE) is a life-threatening complication following valve replacement and is often challenging to diagnose in the early postoperative period. Coronary embolization is a rare manifestation of infective endocarditis, and PVE presenting as acute coronary syndrome is exceptionally uncommon.</p><p><strong>Case presentation: </strong>A 73-year-old man underwent surgical aortic valve replacement with a 21-mm bioprosthetic valve. His postoperative course was uneventful, and he was discharged without anticoagulation therapy. One month later, he developed exertional dyspnea, gastrointestinal symptoms, and intermittent chest pain, which progressed to cardiogenic shock with severe bradycardia. Emergent coronary angiography revealed acute occlusion of the right coronary artery, and percutaneous coronary intervention was performed. Intravascular ultrasound and contrast-enhanced computed tomography revealed a low-echoic, low-attenuation lesion at the right coronary ostium, initially interpreted as thrombotic material. Despite successful revascularization, profound circulatory instability persisted. Subsequent echocardiography revealed prosthetic valve dehiscence with an annular abscess, confirming early PVE. Emergent surgery included annular reconstruction with a bovine pericardial patch, aortic root replacement, removal of the coronary stent, and coronary artery bypass grafting. Intraoperative hemodynamics remained unstable, necessitating postoperative veno-arterial extracorporeal membrane oxygenation support. The patient ultimately succumbed to non-occlusive mesenteric ischemia on postoperative day 10.</p><p><strong>Conclusions: </strong>This case illustrates a rare and complex presentation of early PVE manifesting as acute right coronary artery occlusion. Coronary imaging alone may be insufficient to differentiate infected vegetation from thrombus. Early valve-focused echocardiographic evaluation is essential in patients with recent valve surgery presenting with acute coronary events.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848865","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":"Thoracoscopic right S1 + S3 segmentectomy for lung cancer with a displaced B2 bronchus: a case report.","authors":"Yuki Shindo, Shinjiro Nagai, Katsushi Toyohara, Kaoru Ochi, Kiyoshi Sato, Nobuharu Hanaoka, Takahiro Katsumata","doi":"10.1186/s44215-026-00261-6","DOIUrl":"https://doi.org/10.1186/s44215-026-00261-6","url":null,"abstract":"","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unusual radiological presentation of extralobar pulmonary sequestration: a preoperative diagnostic challenge.","authors":"Yuya Nobori, Takehiro Tsuchiya, Masaki Anraku","doi":"10.1186/s44215-026-00258-1","DOIUrl":"https://doi.org/10.1186/s44215-026-00258-1","url":null,"abstract":"","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential deformation of the stented portion in partial frozen elephant trunk: a double-edged sword during retrograde flow under retrograde perfusion.","authors":"Takeshi Shimamoto, Kenji Minatoya","doi":"10.1186/s44215-026-00259-0","DOIUrl":"10.1186/s44215-026-00259-0","url":null,"abstract":"","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"5 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731111","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":"Successful orthotopic heart transplantation following total aortic replacement in a patient with Marfan syndrome: case report.","authors":"Tatsuya Tago, Masatoshi Akiyama, Kentaro Yuda, Kota Itagaki, Katsuhiro Hosoyama, Koki Ito, Yusuke Suzuki, Shintaro Katahira, Goro Takahashi, Kiichiro Kumagai, Yoshikatsu Saiki","doi":"10.1186/s44215-026-00249-2","DOIUrl":"https://doi.org/10.1186/s44215-026-00249-2","url":null,"abstract":"","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resection and patch aortoplasty for right renal artery aneurysm through a midline laparotomy.","authors":"Ryo Nakanishi, Hiroaki Osada, Takehiko Matsuo, Kenji Minatoya","doi":"10.1186/s44215-026-00255-4","DOIUrl":"https://doi.org/10.1186/s44215-026-00255-4","url":null,"abstract":"","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive coronary artery bypass grafting via a left lateral mini-thoracotomy in severe hemophilia A: a case report.","authors":"Katsuhiro Hosoyama, Minami Yamada-Fujiwara, Kota Itagaki, Tatsuya Tago, Kentaro Yuda, Koki Ito, Yusuke Suzuki, Shintaro Katahira, Goro Takahashi, Kiichiro Kumagai, Yoshikatsu Saiki","doi":"10.1186/s44215-026-00254-5","DOIUrl":"https://doi.org/10.1186/s44215-026-00254-5","url":null,"abstract":"","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Saccular common iliac artery aneurysm associated with HLA-A26 and HLA-B27 in a young adult patient: a surgical case report and literature review.","authors":"Hiroto Yasumura, Kenichi Arata, Koichiro Shimoishi, Yuki Ogata, Tomoyuki Matsuba, Yoshihiro Fukumoto, Goichi Yotsumoto, Yoshiharu Soga","doi":"10.1186/s44215-026-00250-9","DOIUrl":"https://doi.org/10.1186/s44215-026-00250-9","url":null,"abstract":"","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A surgical case of posterior mediastinum chordoma requiring differentiation from neurogenic tumor.","authors":"Morimichi Nishihira, Yoko Karube, Yusuke Shimizu, Toru Harasawa, Natsumi Ishikawa, Satoru Kobayashi","doi":"10.1186/s44215-026-00241-w","DOIUrl":"10.1186/s44215-026-00241-w","url":null,"abstract":"","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"5 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583454","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":"Pancreaticoduodenal artery aneurysms and cerebral aneurysms in a patient of Sjögren's syndrome: a surgical case report and literature review.","authors":"Hiroto Yasumura, Koichiro Shimoishi, Sho Ijuin, Kenichi Arata, Yoshihiro Fukumoto, Goichi Yotsumoto, Yuki Ogata, Tomoyuki Matsuba, Yoshiharu Soga","doi":"10.1186/s44215-026-00253-6","DOIUrl":"10.1186/s44215-026-00253-6","url":null,"abstract":"","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2026-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577434","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}