1.Pleurodesis with Autologous Blood Plus Sclerosing Agents.
Jong Pil SONG ; Jong Ho LEE ; Byung Yeol KIM ; Jung Ho LEE ; Gyung Min KANG
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(1):92-95
The patients with prolonged air leak after lung resection surgery were generally treated by pleurodesis with sclerosing agents such as talc, tetracyclin, doxycyclin, bleomycin, vibramycin, and OK432. However, for the case like dead space resulted by incomplete reexpansion of the remaining lung, chemical pleurodesis has shown to be not as effective as expected. If the patients keep the chest tube for long period of time, the risk of thoracic empyema would increase. Most thoracic surgeons have experienced prolonged airleak which developed after lung resection. Pleurodesis with autoblood was reported as an effective method in treatment of patients with prolonged airleak. The mechanism of blood pleurodesis may be direct obliteration of BPF and reduction of dead space by clot. Therefore we successfully treated the two patients with prolonged airleak using the autoblood plus OK432 or vibramycin.
Bleomycin
;
Chest Tubes
;
Doxycycline
;
Empyema, Pleural
;
Humans
;
Lung
;
Picibanil
;
Pleurodesis*
;
Pneumothorax
;
Sclerosing Solutions*
;
Talc
2.Leiomyoma of the Bronchus: A Case Report.
Moon Soo KIM ; Sook Whan SUNG ; Young Tae KIM ; Joo Hyun KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(1):88-91
Leiomyoma of the bronchus is a very rare, benign tumor of the lung. We herein report a case of endobronchial leiomyoma which was treated by sleeve bronchoplasty without resection of the lung and without any complications. A 35-year-old man was admitted to our hospital complaining of stridor. Bronchoscopy revealed a round, hypervascular and smooth tumor nearly obstructing the left main bronchus at 1.5 cm distal portion from the carina. Biopsy was not performed for fear of massive hemorrhage. A sleeve resection of left main bronchus including the tumor and end-to-end anastomosis were performed. The histologic diagnosis was leiomyoma. The early diagnosis and appropriate surgical treatment to preserve the pulmonary function are important points of consideration.
Adult
;
Biopsy
;
Bronchi*
;
Bronchial Neoplasms
;
Bronchoscopy
;
Diagnosis
;
Early Diagnosis
;
Hemorrhage
;
Humans
;
Leiomyoma*
;
Lung
;
Respiratory Sounds
3.Aspergillosis within an Intralobar Sequestration: A Case Report.
Byung Ryul PARK ; In Gyu LEE ; Jung Soo SANG
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(1):84-87
The bronchopulmonary sequestration is a term used to describe an area of embryonic lung tissue supplied by an anomalous systemic artery. Two forms are recognised -extralobar and intralobar- with different clinical presentations. We have experienced a case of aspergillosis within an intralobar sequestration. The patient was 32 year-old female and had no specific complaints. The lung mass containing cystic lesion was found incidentally and confirmed to be intralobar sequestration on the operative field which showed aberrant artery in the inferior pulmonary ligament. The right lower lobectomy was done.
Adult
;
Arteries
;
Aspergillosis*
;
Bronchopulmonary Sequestration
;
Female
;
Humans
;
Ligaments
;
Lung
4.Surgical Management of Giant Aneurysm of Intracranial Artery Under Circulatory Arrest: one case report.
Jong Myun HONG ; Oh Gon KIM ; Suk Jae LEE ; Jang Soo HONG ; Gyung Soo MIN ; Sang Tae KIM ; Seung Woon LIM ; Woo Ik SONG
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(1):80-83
Complete circulatory arrest with profound hypothermia has been an indispensable adjunct to the safe management of selected giant intracranial aneurysms. For the conduct of cardiopulmonary bypass, there are usually two kinds of methods, open and closed chest methods. We could manage one case of huge intracranial aneurysm that was successfully operated under circulatory arrest using the closed chest method, especially with percutaneous insertion of arterial and venous cannulas for cardiopulmonary bypass.
Aneurysm*
;
Arteries*
;
Blood Circulation
;
Cardiopulmonary Bypass
;
Catheters
;
Hypothermia
;
Intracranial Aneurysm
;
Thorax
5.The Successfully Redoaugmentation of Budd-Chiari Syndrome with Using Gore-Tex Patch of the IVC Obstruction.
Heng Ok JEE ; Jae Hoon LEE ; Sun Ho JEON ; Tae Yeol JUNG ; Sung Ho SHIN ; Yang Bin JUN ; Sang Tae SON
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(1):75-79
Budd-Chiari syndrome is a state of hepatic failure caused by impairment of blood flow anywhere from the inferior vena cava to the right atrium. In this case, a 45 year old patient had undergone membranotomy and dilatation with autogenous pericardial graft due to obstruction of the inferior vena cava caused by a congenital membrane in 1987. Ten years after the operation, restenosis occurred. Although a noninvasive method with a Gianturco stent dilatation was performed, a satisfactory result was not obtained. A reoperation was performed. The stenotic segment of inferior vena cava was excised and after augmentation with a prepared pentagon shaped Gore-Tex artificial graft allowing passage of two fingers. The patient's postoperative course was uneventful without signs of rebleeding or any other complications and the patient was discharged at postoperative two weeks without the use of anticoagulants. An excellent result was obtainable after operation using a prepared Gore-Tex graft and such a result. Reoperational case of Budd-Chiari syndrome may require rapid and excellent the operative techenic by prevention of massive bleeding under use of extracorporeal circulation.
Anticoagulants
;
Budd-Chiari Syndrome*
;
Dilatation
;
Extracorporeal Circulation
;
Fingers
;
Heart Atria
;
Hemorrhage
;
Humans
;
Liver Failure
;
Membranes
;
Middle Aged
;
Polytetrafluoroethylene*
;
Reoperation
;
Stents
;
Transplants
;
Vena Cava, Inferior
6.Thrombolysis for Prosthetic Mitral Valve Thrombosis: 3 cases report.
Man Jong BAEK ; Hyoung Mook KIM ; In Sung LEE ; Kyung SUN ; Kwang Taik KIM ; Hae Jae KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1999;32(1):70-74
Thrombosis in valve or left atrium after mechanical mitral valve replacement causes prosthetic valve dysfunction or thromboembolism. Early and adequate therapy is very important but clinically not easy. Thrombolysis can avoid reoperation-related risks and act as an optimal therapy for prosthetic valve thrombosis. This report describes three patients who were treated by using low molecular weight heparin (LMWH) and wafarin. Two patients, including one pregnant woman, had prosthetic valve thrombosis and immobility of valve leaflets, and one patient with recent cerebral infarction due to thromboembolism had thrombus in left atrium. Fraxiparine 0.3 cc (7,500 ICU AXa) was administrated subcutaneously twice or triple daily. At discharge, thrombosis in valve and left atrium were completely or near totally lysed and valve leaflets were normally mobile. During the period of thrombolysis and follow up, there were no complications in all patients.
Cerebral Infarction
;
Female
;
Follow-Up Studies
;
Heart Atria
;
Heparin
;
Heparin, Low-Molecular-Weight
;
Humans
;
Mitral Valve*
;
Nadroparin
;
Pregnant Women
;
Thromboembolism
;
Thrombolytic Therapy
;
Thrombosis*
7.Repair of Posttraumatic Tricuspid Regurgitation Using Artificial Chordae and an Annuloplasty Ring.
Kuk Hui SON ; Ho Sung SON ; Jae Ho CHUNG ; Won Jae CHUNG ; Kyung SUN ; Sung Ho LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2008;41(4):489-491
A 52-year-old man was taken to the emergency room following a motor vehicle accident. An echocardiogram showed moderate to severe tricuspid regurgitation due to rupture of the anterior chordae. An operation to repair the traumatic tricuspid regurgitation was recommended; however, the patient refused because he was asymptomatic. Two years later, he developed mild generalized edema and dyspnea. The echocardiogram revealed progressive severe tricuspid regurgitation and annular dilatation. We treated the posttraumatic tricuspid regurgitation successfully using artificial chordae and ring annuloplasty.
Dilatation
;
Dyspnea
;
Edema
;
Emergencies
;
Humans
;
Middle Aged
;
Motor Vehicles
;
Rupture
;
Tricuspid Valve
;
Tricuspid Valve Insufficiency
8.Thrombolytic Therapy for Repeated Prosthetic Valvular Thrombosis That's Associated with Pregnancy under Heparin Anticoagulation.
The Korean Journal of Thoracic and Cardiovascular Surgery 2008;41(4):484-488
During long-term anticoagulation treatment with using heparin in a pregnant patient with a mechanical mitral prosthesis, we observed several anticoagulation-related complications, including repeated prosthetic valve thrombosis. This was found to be caused by heparin resistance due to an anti-thrombin III deficiency. Thrombolytic therapy using urokinase or tissue plasminogen activator (tPA) was successful and safe for her as well as her baby.
Anticoagulants
;
Antithrombin III
;
Heparin
;
Humans
;
Pregnancy
;
Prostheses and Implants
;
Prosthesis Failure
;
Thrombolytic Therapy
;
Thrombosis
;
Tissue Plasminogen Activator
;
Urokinase-Type Plasminogen Activator
9.Complete Repair of Coarctation of the Aorta and a Ventricular Septal Defect in a Low Birth Weight Neonate.
Jae Gun KWAK ; Jae Hyun JUN ; Jae Suk YOO ; Woong Han KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2008;41(4):480-483
Even though some authors have reported on the advantages of early total correction of complex heart disease, for low birth weight premature neonates, most surgeons prefer a multi-step approach to early total correction due to the many problems, such as the technical problems, the cardiopulmonary bypass management and etc. We report here on a successful case of early one-stage total repair of coarctation of the aorta and a ventricular septal defect in a 1,250 gram premature neonate.
Aortic Coarctation
;
Cardiopulmonary Bypass
;
Heart Diseases
;
Heart Septal Defects, Ventricular
;
Humans
;
Infant, Low Birth Weight
;
Infant, Newborn
;
Infant, Premature
;
Thoracic Surgery
10.Aortic Translocation for Complete Transposition of the Great Arteries with a Ventricular Septal Defect and Pulmonic Stenosis.
In Seok JEONG ; Chang Ha LEE ; Cheul LEE ; Hong Gook LIM ; In Sub KIM ; Hyo Chul YOUN
The Korean Journal of Thoracic and Cardiovascular Surgery 2008;41(4):476-479
The Rastelli operation has been a standard procedure for repairing complete transposition of the great arteries combined with a ventricular septal defect and pulmonary stenosis. Yet this procedure has several shortcomings, including the risk of incurring left ventricular outflow tract obstruction on long-term follow-up. In this regard, aortic translocation has recently been regarded as a potent alternative to Rastelli's operation. We report here on a case of complete transposition of the great arteries that was combined with an inlet-extended perimembranous ventricular septal defect and pulmonary stenosis in a 2-year-old boy. All the problems were successfully repaired using the aortic translocation technique. Postoperative echocardiography showed a straight and wide left ventricular outflow tract.
Arteries
;
Echocardiography
;
Follow-Up Studies
;
Heart Septal Defects, Ventricular
;
Preschool Child
;
Pulmonary Valve Stenosis
;
Transposition of Great Vessels