General Thoracic and Cardiovascular Surgery Cases最新文献

{"title":"Rupture of the staple suture site after stapling the right inferior pulmonary vein with double rows of staples: a case report.","authors":"Jun Suzuki, Satoshi Shiono, Hikaru Watanabe, Takayuki Sasage, Kazumasa Hoshijima, Kohei Abe, Tetsuro Uchida","doi":"10.1186/s44215-025-00186-6","DOIUrl":"10.1186/s44215-025-00186-6","url":null,"abstract":"<p><strong>Background: </strong>With advancements in minimally invasive thoracic surgery techniques, such as video-assisted thoracoscopic surgery and robotic surgery, the design of vascular staplers has evolved to meet the requirements of these procedures. Consequently, newer generations of automatic staplers with improved handling and reduced size have been introduced, such as two-row staplers, which are more maneuverable and less bulky than their three-row counterparts.</p><p><strong>Case presentation: </strong>A 68-year-old man with lung cancer underwent a right middle and lower lobectomy due to tumor invasion into the central middle bronchial trunk, rendering the preservation of the middle lobe impossible. His medical history included chronic atrial fibrillation. The surgery involved a posterolateral incision and a fifth intercostal thoracotomy, where various pulmonary arteries and veins were dissected using vascular staples. Despite completing the surgery without initial complications, the patient experienced significant postoperative bleeding, leading to approximately 800 mL of bloody fluid being drained after coughing episodes. Reoperation was necessary to address and control the bleeding, which was challenging due to the location and nature of the hemorrhage. The source was identified at the transected edge of the inferior pulmonary vein, requiring direct suture after pericardium incision for better access. The total operative time amounted to 751 min, with a blood loss of 2092 mL. The patient recovered smoothly from the second operation and was discharged on the fifth postoperative day. Histopathological examination revealed myocardial cell presence adjacent to the pulmonary vein wall, suggesting that vein thickening could have played a role in the observed postoperative bleeding.</p><p><strong>Conclusions: </strong>In conclusion, when selecting staples for vascular use, particularly for the detachment of pulmonary veins, it is advisable to carefully choose between two-row and three-row staples.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961160","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":"Simultaneous gastroepiploic artery to right coronary artery bypass and trans-catheter aortic valve implantation: case series.","authors":"Kentaro Honda, Teruaki Wada, Hideki Kunimoto, Yoshiharu Nishimura","doi":"10.1186/s44215-024-00185-z","DOIUrl":"https://doi.org/10.1186/s44215-024-00185-z","url":null,"abstract":"<p><p>Patients with coronary artery disease undergoing trans-catheter aortic valve implantation (TAVI) often receive TAVI alone. However, in cases of severe coronary lesions or anticipated difficulty in coronary access post-TAVI, percutaneous coronary intervention or coronary artery bypass grafting may be necessary. We performed simultaneous gastroepiploic artery to posterior descending artery bypass and TAVI in two patients with severe calcification of the right coronary artery ostium which is unsuitable for percutaneous intervention. The procedure was conducted through an upper median laparotomy, avoiding a full sternotomy. Patients were discharged on postoperative days 6 and 9, respectively. By combining minimally invasive techniques and avoiding median sternotomy, we achieved favorable outcomes without compromising the less invasive nature of TAVI. This approach demonstrates the potential for tailored, hybrid procedures in high-risk patients with concomitant aortic valve disease and complex coronary lesions.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961161","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":"Reoperation for chronological complete dislodgement of the bioprosthetic aortic valve into the left ventricle due to Takayasu arteritis.","authors":"Shogo Matsunaga, Hiromichi Sonoda, Tomoki Ushijima, Meikun Kan-O, Satoshi Kimura, Akira Shiose","doi":"10.1186/s44215-024-00182-2","DOIUrl":"10.1186/s44215-024-00182-2","url":null,"abstract":"<p><strong>Background: </strong>Takayasu arteritis is a large-vessel vasculitis, in addition to giant cell arteritis. Various post-operative complications associated with the cardiac macrovasculature have been reported. Detachment of the prosthetic valve, pseudoaneurysm formation, and dilatation of the aortic root are well-known post-operative complications associated with vasculitis syndromes, including Takayasu arteritis. Here, we report a rare complication involving aortic bioprosthetic valve dislodgement in the left ventricular outflow tract due to Takayasu arteritis.</p><p><strong>Case presentation: </strong>A 76-year-old female underwent aortic valve replacement with a 21-mm Carpentier-Edwards Perimount valve for severe aortic regurgitation and a coronary artery bypass graft from the left internal thoracic artery to the left anterior descending artery for ischemic heart disease. Fourteen years after the initial surgery, echocardiography revealed severe aortic valve sclerosis due to structural valve deterioration of the bioprosthesis. Upon scrutiny, the bioprosthetic aortic valve was found to have dislodged into the left ventricular outflow tract. We performed re-implantation of the bioprosthetic aortic valve and replacement of the ascending aorta.</p><p><strong>Conclusions: </strong>Although dislodgement of the bioprosthetic aortic valve is an extremely rare complication associated with Takayasu arteritis, the possibility that it could occur should be considered when treating the post-operative patients.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"3 1","pages":"58"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11687195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911380","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":"Lung transplantation for diffuse pulmonary arteriovenous malformations associated with juvenile polyposis-hereditary hemorrhagic telangiectasia overlap syndrome: a case report.","authors":"Taiki Ryo, Daisuke Nakajima, Satoshi Kimura, Hiroshi Date","doi":"10.1186/s44215-024-00183-1","DOIUrl":"10.1186/s44215-024-00183-1","url":null,"abstract":"<p><strong>Background: </strong>Lung transplantation is a viable lifesaving option for patients with diffuse pulmonary arteriovenous malformations (AVMs). We present a case of diffuse pulmonary AVMs associated with juvenile polyposis and hereditary hemorrhagic telangiectasia (JP-HHT) that was successfully managed by lung transplantation.</p><p><strong>Case presentation: </strong>A 19-year-old woman developed severe hypoxemia due to pulmonary AVMs diagnosed at 4 years of age. She also had epistaxis, hemangioma of the tongue, and numerous polyps in the gastrointestinal tract, leading to the JP-HHT diagnosis. Although she had undergone transcatheter embolization for pulmonary AVMs four times, all lesions became recanalized, and her hypoxemia never improved. She also had hepatic AVMs that did not result in portal hypertension or required any interventions. She underwent bilateral lung transplantation from a brain-dead donor at 3 years after registration. Given that she had severe hypoxemia caused by intrapulmonary shunting, venoarterial extracorporeal membrane oxygenation (V-A ECMO) support was initiated from the femoral vessels under local anesthesia. Then, she was anesthetized and intubated. Peripheral V-A ECMO was switched to central cardiopulmonary bypass during the transplant procedure to prevent persistent hypoxia of the upper body and thromboembolic event due to severe polycythemia. The total graft ischemic time was > 11 h, which resulted in ischemia-reperfusion injury immediately after transplantation. Furthermore, the patient's postoperative course was complicated by acute cellular rejection and right heart failure due to hepatic AVM progression. She was finally discharged home without oxygen therapy on postoperative day 68. At 1-year post-transplantation, she is currently enjoying college life. However, she still has to undergo periodic endoscopic examinations to monitor her numerous polyps, which are known to carry a risk of cancer development.</p><p><strong>Conclusions: </strong>Lung transplantation can be a viable treatment option for diffuse pulmonary AVMs in patients with JP-HHT. However, meticulous perioperative management is mandatory to prevent the development of multiple organ disorders.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"3 1","pages":"57"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901588","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 explantation of an infected Lotus Edge valve: a case report.","authors":"Yusuke Yanagino, Satoshi Kainuma, Naonori Kawamoto, Naoki Tadokoro, Takashi Kakuta, Ayumi Ikuta, Kohei Tonai, Tomoyuki Fujita, Satsuki Fukushima","doi":"10.1186/s44215-024-00178-y","DOIUrl":"10.1186/s44215-024-00178-y","url":null,"abstract":"<p><strong>Background: </strong>With the rapid expansion of transcatheter aortic valve replacement (TAVR), TAVR valve explantation is also increasing. Nevertheless, previous reports on Lotus Edge valve explantation are limited to only two reports, none of which include intraoperative videos. Therefore, we report the case of an older adult who underwent a 2-year-old Lotus Edge valve explantation, after developing prosthetic valve endocarditis (PVE) and aortic annular abscess, with a strong indication for a TAVR explantation and surgical aortic valve replacement (AVR).</p><p><strong>Case presentation: </strong>An 85-year-old male patient, who underwent TAVR with a 25-mm Lotus Edge valve for severe aortic stenosis 2 years ago, was referred to our hospital. He presented with a 1-month history of high-grade fever, refractory to oral antimicrobials and trifascicular heart block. Two sets of blood cultures were positive for Streptococcus dysgalactiae subspecies equisimilis, and transesophageal echocardiography revealed vegetation on the valve leaflets. Enhanced computed tomography scan showed thickening and enhancement of the aortic root and aorto-mitral continuity, with a small low-density area. Therefore, we diagnosed PVE. Subsequently, we planned AVR re-intervention and pacemaker implantation. The vegetation mass was attached to the aortic valve leaflet. We attempted to explant the valve while deforming it using forceps. The areas with abscess formation were easily dissected; however, the other areas were difficult to separate. Cold-saline irrigation softened the nitinol stent and enabled to dissect the prosthetic valve from the aortic wall. The infected aortic annulus was irrigated and then repaired. AVR using a 21-mm Avalus bioprosthetic valve and epicardial pacemaker lead implantation were simultaneously performed. Postoperative echocardiography confirmed that the prosthetic valve function was favorable, and the patient was transferred to a rehabilitation hospital after 6 weeks of intravenous antimicrobial therapy.</p><p><strong>Conclusion: </strong>The Lotus Edge valve is difficult to remove due to its fixation after deployment and strong adhesion, but the use of cold water may be effective in facilitating its removal.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"3 1","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873792","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 management of a huge mediastinal mature teratoma in a 2-year-old girl: a case report.","authors":"Yusuke Matsui, Satoshi Shiono, Masahiro Mizumoto, Megumi Nakamura, Jun Suzuki, Hikaru Watanabe, Tetsuro Uchida","doi":"10.1186/s44215-024-00181-3","DOIUrl":"10.1186/s44215-024-00181-3","url":null,"abstract":"<p><strong>Background: </strong>Mature teratomas are benign cystic tumors that are most commonly asymptomatic. However, in some cases, mediastinal teratomas rupture the lungs and mediastinum with potentially fatal outcomes. Herein, we report a case of a large mediastinal mature teratoma that expanded to the entire left hemithorax in a child with common cold-like symptoms.</p><p><strong>Case presentation: </strong>A 2-year-7-month old girl visited a family doctor because of cough and rhinorrhea. Chest radiography revealed a large tumor occupying the left hemithorax, necessitating transfer to our institution. Chest computed tomography (CT) revealed a large tumor with calcifications and an encapsulated surface. The lesion was 10.5 cm in size and covered the entire left hemithorax, deviating significantly from the heart. CT suggested a mature mediastinal teratoma. Considering the risk of tumor dissemination, we did not perform a diagnostic biopsy; however, surgery was performed as an oncological emergency. As ventilation and circulation were difficult to maintain during the surgery, extracorporeal membrane oxygenation was performed. During surgery, although the large tumor tightly adhered to the sternum and innominate vein, it could be safely removed from these structures, and the tumor was completely removed through median sternotomy. The pathological diagnosis revealed a benign mature mediastinal teratoma. The patient's postoperative course was uneventful.</p><p><strong>Conclusion: </strong>As the clinical course of child-specific problems in mature teratomas tends to be severe, a surgical strategy should be meticulously planned to ensure safety.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"3 1","pages":"54"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873793","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 myxoma with high standardized uptake value of FDG-PET-CT in the right ventricular outflow tract.","authors":"Hiroo Uehara, Kenta Ohba, Makoto Ono, Tomohiro Imazuru, Tomoki Shimokawa","doi":"10.1186/s44215-024-00179-x","DOIUrl":"10.1186/s44215-024-00179-x","url":null,"abstract":"<p><strong>Background: </strong>Cardiac myxoma rarely occurs in the right ventricle, and as is a benign disease, it rarely shows high positivity on 18F fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT).</p><p><strong>Case presentation: </strong>We present herein the case of a 77-year-old woman who was found to have a heart murmur during a routine health checkup. Further examination revealed a 27-mm tumor in the right ventricular outflow tract (RVOT) and moderate aortic valve stenosis. Additionally, during her preoperative evaluation, she was diagnosed with a 10-mm tumor in the right breast, prompting her referral to our hospital for further evaluation and treatment. Contrast-enhanced CT and magnetic resonance imaging of the chest did not show signs strongly suggestive of malignancy, nor did echocardiography. However, FDG-PET/CT showed an abnormally high standardized uptake value (SUV) max of 9.91. Based on these findings, we decided the best treatment course was tumor resection of the RVOT and aortic valve replacement. Our intraoperative examination confirmed a tumor inferior to the pulmonary valve; therefore, we resected three branches of the septal artery feeding the tumor, including part of the right ventricular free wall. A rapid pathological examination indicated a benign tumor, and the patient's final diagnosis was a cardiac myxoma. The postoperative course was uneventful, and to date, workup including CT scans during follow-up has shown no obvious recurrence.</p><p><strong>Conclusion: </strong>This case highlights the challenges and importance of accurate imaging diagnoses in cardiac tumors. The patient underwent a successful surgical resection of the cardiac myxoma, emphasizing the need for careful postoperative follow-up.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"3 1","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873735","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":"Valve-sparing procedure for acute aortic regurgitation due to intimal intussusception in a minimally localized aortic root dissection.","authors":"Takuya Matsushiro, Tomoki Tamura, Daiki Ishiwaki, Takumi Umibe, Nobuyuki Inoue","doi":"10.1186/s44215-024-00180-4","DOIUrl":"10.1186/s44215-024-00180-4","url":null,"abstract":"<p><strong>Background: </strong>Acute heart failure due to aortic regurgitation (AR) is a severe comorbidity of type A acute aortic dissection (AAD). Valve-sparing aortic root replacement is typically performed when the aortic valve remains intact.</p><p><strong>Case presentation: </strong>A 33-year-old male presented to our hospital with chest pain. Initial computed tomography (CT) scans did not clearly identify an aortic dissection. However, subsequent evaluations suggested acute coronary syndrome. Catheter angiography revealed difficulties in catheterizing the coronary arteries, and echocardiography detected aortic insufficiency. Electrocardiogram-gated CT angiography ultimately confirmed a localized aortic root dissection, necessitating urgent surgical intervention. The patient underwent valve reimplantation to preserve the aortic valve. The postoperative course was uneventful, with follow-up echocardiography and CT showing no residual dissection or regurgitation.</p><p><strong>Conclusion: </strong>This report highlights a case of acute aortic root dissection resulting in acute AR. The primary cause of AR in this case was the intussusception of the disrupted aortic intima. The dissection was confined solely to the aortic root. The patient underwent successful valve reimplantation, with no postoperative complications. Electrocardiogram-gated CT angiography and transesophageal echocardiography proved valuable in identifying localized aortic abnormalities with precision.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"3 1","pages":"53"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873794","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 right middle lobectomy for primary lung cancer in a patient with heterotaxy syndrome.","authors":"Ryo Demura, Kazuhiro Imai, Shinogu Takashima, Nobuyasu Kurihara, Shoji Kuriyama, Haruka Suzuki, Yuzu Harata, Yoshihiro Minamiya","doi":"10.1186/s44215-024-00177-z","DOIUrl":"10.1186/s44215-024-00177-z","url":null,"abstract":"<p><strong>Background: </strong>Anatomical abnormalities in the pulmonary vessels have long aroused great interest among thoracic surgeons, and numerous variations of pulmonary vessels have been reported. Heterotaxy syndrome is an anatomical abnormality in which typically asymmetrical organs, including the lungs, develop symmetrically. We report the case of a 71-year-old man with heterotaxy syndrome undergoing radical lobectomy in the treatment of non-small cell lung cancer.</p><p><strong>Case presentation: </strong>Computed tomography (CT) revealed an irregular nodule 25 mm in diameter in the right middle lobe. Two months later, at his first visit to our University Hospital, CT revealed a rapidly growing tumor 60 mm in diameter. In addition, three-dimensional (3D) CT revealed the upper and middle lobar bronchi forming a common trunk with the mediastinal type of the right pulmonary artery (PA). The patient underwent video-assisted right middle lobectomy + systematic complete hilar and mediastinal lymph node dissection. The interlobar fissure between the right upper and middle lobes was incomplete, and the common trunk formed by the upper-middle bronchus emerged from an area between the right PA (A¹⁺³) and the right superior pulmonary vein.</p><p><strong>Conclusion: </strong>The finding of A⁴⁺⁵ branching from the right main PA and descending posterior to the right upper-middle bronchus, which formed a common trunk, resembled a mirror image of the normal left lung. To our knowledge, a common trunk with the mediastinal type of the right PA has never been reported during video-assisted right middle lobectomy. In patients with heterotaxy syndrome, 3D-CT to preoperatively understand their anatomy is essential.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"3 1","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694099","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":"Submucosal hemorrhage of the esophagus: a case report.","authors":"Risako Kojima, Shinsuke Takeno, Makoto Ikenoue, Teru Chiyotanda, Yusuke Araki, Kousei Tashiro, Fumiaki Kawano, Atsushi Nanashima, Kouji Furukawa","doi":"10.1186/s44215-024-00175-1","DOIUrl":"10.1186/s44215-024-00175-1","url":null,"abstract":"<p><strong>Background: </strong>Submucosal hemorrhage of the esophagus is relatively rare and the course of this disease remains unclear. We report a case of this disease.</p><p><strong>Case presentation: </strong>The patient was a 68-year-old man who visited a clinic complaining of sudden-onset epigastric and back pain. He had been taking warfarin and a statin due to non-obstructive hypertrophic cardiomyopathy, right subclavian artery stenosis, and chronic atrial fibrillation. Contrast-enhanced computed tomography showed esophageal submucosal hemorrhage. Detailed endoscopic examination was difficult because of the massive hemorrhage and progressive esophageal mucosal edema. He was transferred to our hospital due to progression of anemia. Fortunately, hemorrhagic anemia showed no progression with conservative fasting therapy after admission to our hospital. Esophageal mucosa over the submucosal hemorrhage detached and regenerative tissue was observed on endoscopic examination 1 week later.</p><p><strong>Conclusions: </strong>Esophageal submucosal hemorrhage should be included among the differential diagnoses for patients presenting with chest and back pain.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"3 1","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645004","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}