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Operative Management in a Patient with Scapulothoracic Bursitis.

Shin Ah SON ; Deok Heon LEE ; Young Ok LEE ; Sang Cjeol LEE ; Kun Jik KIM ; Joon Yong CHO

The Korean Journal of Thoracic and Cardiovascular Surgery.2013;46(6):486-489.

Scapulothoracic bursitis, an uncommon lesion, has been reported to be a painful disorder of scapulothoracic articulation. The articulation may become inflamed secondary to trauma when overused because of sports or work that requires repetitive or constant movement of the scapula against the posterior chest wall. The bursitis usually appears as a growing mass at the scapulothoracic interface and is often confused with a soft tissue tumor. We report on a patient with scapulothoracic bursitis who underwent surgical excision.
Bursa, Synovial ; Bursitis* ; Humans ; Scapula ; Sports ; Thoracic Wall

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Solitary Plasmacytoma of the Sternum.

Jung Hwa LEE ; Woo Surng LEE ; Yo Han KIM ; Jong Duk KIM

The Korean Journal of Thoracic and Cardiovascular Surgery.2013;46(6):482-485.

Plasmacytoma is a plasma cell neoplasm that locally infiltrates a bone or spreads to extramedullary areas. A new World Health Organization criterion defines solitary plasmacytoma of bone as a localized bone tumor consisting of plasma cells identical to those seen in plasma cell myeloma, which is manifested as a solitary osteolytic lesion in a radiological evaluation. Primary tumors of the sternum are generally malignant, and solitary plasmacytomas of the sternum are very rare tumors. We present herein the case of a patient who had a primary sternal tumor with solitary plasmacytoma and no evidence of multiple myeloma.
Humans ; Multiple Myeloma ; Neoplasms, Plasma Cell ; Plasma Cells ; Plasmacytoma* ; Sternum* ; World Health Organization

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Nonossifying Fibroma of the Rib Resected by Video-Assisted Thoracoscopic Surgery with Preservation of Periosteum.

Ju Yeon PYO ; Soon Ho CHON ; Jae Yoon RO

The Korean Journal of Thoracic and Cardiovascular Surgery.2013;46(6):478-481.

Nonossifying fibromas are not uncommon, but those described in the rib are unique. We report the case of a 15-year-old patient with symptoms of chest wall pain for 5 days who underwent a video-assisted thoracoscopic rib resection for a 2.5-cm rib mass. Unexpectedly, pathological results revealed a nonossifying fibroma of the rib. The results showed excellent cosmesis and new bone formation because of the preservation of the overlying periosteum.
Adolescent ; Fibroma* ; Humans ; Osteogenesis ; Periosteum* ; Ribs* ; Thoracic Surgery, Video-Assisted* ; Thoracic Wall

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A Rare Case of Bilateral Pulmonary Sequestration Managed with Embolization and Surgical Resection in a Patient.

June Pill SEOK ; Young Jin KIM ; Hyun Min CHO ; Han Young RYU

The Korean Journal of Thoracic and Cardiovascular Surgery.2013;46(6):475-477.

In this article, we report a rare case of a 22-year-old male with bilateral pulmonary sequestration, treated with embolization and surgical resection. The initial plan involved staged bilateral lobectomy for both lungs and prophylactic embolization of feeding vessels for preventing unexpected hemorrhage during operation. Symptomatic right lower lobe was resected with video-assisted thoracic surgery after embolization, and the patient refused surgery of left lower lobe upon symptomatic relief. The two-year follow-up examination revealed that the patient was healthy and had no relevant discomfort.
Bronchopulmonary Sequestration* ; Follow-Up Studies ; Hemorrhage ; Humans ; Lung ; Male ; Thoracic Surgery, Video-Assisted ; Young Adult

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Extrauterine Epithelioid Trophoblastic Tumor of Lung in a 35-year-old Woman.

Joo Yeon KIM ; Soyeon AN ; Se Jin JANG ; Hyeong Ryul KIM

The Korean Journal of Thoracic and Cardiovascular Surgery.2013;46(6):471-474.

Extrauterine epithelioid trophoblastic tumors constitute an extremely rare gestational trophoblastic disease. We report the case of an extrauterine trophoblastic tumor that was incidentally detected in the left lung. Squamous cell carcinoma was suspected after microscopically examining the specimen obtained upon preoperative needle biopsy. After surgery, the tumor was confirmed by microscopic findings and immunohistochemical features.
Adult* ; Biopsy, Needle ; Carcinoma, Squamous Cell ; Female ; Gestational Trophoblastic Disease ; Humans ; Lung Neoplasms ; Lung* ; Trophoblastic Neoplasms* ; Trophoblasts*

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Surgical Treatment of Ruptured Renal Artery Aneurysm: A Report of 2 Cases.

Pil Won SEO

The Korean Journal of Thoracic and Cardiovascular Surgery.2013;46(6):467-470.

The rupture of a renal artery aneurysm is a rare disease that is difficult to diagnose. Although we usually consider the appropriate treatment to be open laparotomy with aortic aneurysm surgery or stenting with graft insertion through intravascular intervention, thus far, there is no general consensus on the treatment protocol for renal artery aneurysm. Notably, ruptured renal artery aneurysm is a true critical emergency that may result in a fatal outcome. We are reporting two renal artery aneurysm patients who had ruptured and underwent emergency laparotomy.
Aneurysm* ; Aortic Aneurysm ; Clinical Protocols ; Consensus ; Emergencies ; Fatal Outcome ; Humans ; Laparotomy ; Rare Diseases ; Renal Artery* ; Rupture ; Stents ; Transplants

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Normothermic Cardiac Surgery with Warm Blood Cardioplegia in Patient with Cold Agglutinins.

Sang Ho CHO ; Dae Hyun KIM ; Young Tae KWAK

The Korean Journal of Thoracic and Cardiovascular Surgery.2014;47(2):133-136.

Cold agglutinins are predominately immunoglobulin M autoantibodies that react at cold temperatures with surface antigens on the red blood cell. This can lead to hemagglutination at low temperatures, followed by complement fixation and subsequent hemolysis on rewarming. Development of hemagglutination or hemolysis in patients with cold agglutinins is a risk of cardiac surgery under hypothermia. In addition, there is the potential for intracoronary hemagglutination with inadequate distribution of cardioplegic solutions, thrombosis, embolism, ischemia, or infarction. We report a patient with incidentally detected cold agglutinin who underwent normothermic cardiac surgery with warm blood cardioplegia.
Agglutinins* ; Antigens, Surface ; Autoantibodies ; Cardioplegic Solutions ; Cardiopulmonary Bypass ; Cold Temperature ; Complement System Proteins ; Embolism ; Erythrocytes ; Heart Arrest, Induced* ; Hemagglutination ; Hemolysis ; Humans ; Hypothermia ; Immunoglobulin M ; Infarction ; Ischemia ; Rewarming ; Thoracic Surgery* ; Thrombosis

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Arch Reconstruction with Autologous Pulmonary Artery Patch in Interrupted Aortic Arch.

Won Young LEE ; Jeong Jun PARK

The Korean Journal of Thoracic and Cardiovascular Surgery.2014;47(2):129-132.

Various surgical techniques have been developed for the repair of an interrupted aortic arch. However, tension and Gothic arch formation at the anastomotic site have remained major problems for these techniques: Excessive tension causes arch stenosis and left main bronchus compression, and Gothic arch configuration is related to cardiovascular complications. To resolve these problems, we adopted a modified surgical technique of distal aortic arch augmentation using an autologous main pulmonary artery patch. The descending aorta was then anastomosed to the augmented aortic arch in an end-to-side manner. Here, we report two cases of interrupted aortic arch that were repaired using this technique.
Aorta, Thoracic* ; Bronchi ; Constriction, Pathologic ; Pulmonary Artery*

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Is There a Role for a Needle Thoracoscopic Pleural Biopsy under Local Anesthesia for Pleural Effusions?.

Ho Sung SON ; Sung Ho LEE ; Laleng Mawia DARLONG ; Jae Seong JUNG ; Kyung SUN ; Kwang Taik KIM ; Hee Jung KIM ; Kanghoon LEE ; Seung Hun LEE ; Jong Tae LEE

The Korean Journal of Thoracic and Cardiovascular Surgery.2014;47(2):124-128.

BACKGROUND: A closed pleural biopsy is commonly performed for diagnosing patients exhibiting pleural effusion if prior thoracentesis is not diagnostic. However, the diagnostic yield of such biopsies is unsatisfactory. Instead, a thoracoscopic pleural biopsy is more useful and less painful. METHODS: We compared the diagnostic yield of needle thoracoscopic pleural biopsy performed under local anesthesia with that of closed pleural biopsy. Sixty-seven patients with pleural effusion were randomized into groups A and B. Group A patients were subjected to closed pleural biopsies, and group B patients were subjected to pleural biopsies performed using needle thoracoscopy under local anesthesia. RESULTS: The diagnostic yields and complication rates of the two groups were compared. The diagnostic yield was 55.6% in group A and 93.5% in group B (p<0.05). Procedure-related complications developed in seven group A patients but not in any group B patients. Of the seven complications, five were pneumothorax and two were vasovagal syncope. CONCLUSION: Needle thoracoscopic pleural biopsy under local anesthesia is a simple and safe procedure that has a high diagnostic yield. This procedure is recommended as a useful diagnostic modality if prior thoracentesis is non-diagnostic.
Anesthesia, Local* ; Biopsy* ; Humans ; Needles* ; Pleural Diseases ; Pleural Effusion* ; Pneumothorax ; Syncope, Vasovagal ; Thoracoscopy

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Incidents and Complications of Permanent Venous Central Access Systems: A Series of 1,460 Cases.

Massine EL HAMMOUMI ; Mohammed EL OUAZNI ; Adil ARSALANE ; Faycal EL OUERIACHI ; Hamid MANSOURI ; El Hassane KABIRI

The Korean Journal of Thoracic and Cardiovascular Surgery.2014;47(2):117-123.

BACKGROUND: Implanted venous access devices or permanent central venous access systems (PCVASs) are routinely used in oncologic patients. Complications can occur during the implantation or use of such devices. We describe such complications of the PCVAS and their management. METHODS: Our retrospective study included 1,460 cases in which PCVAS was implanted in the 11 years between January 2002 and January 2013, including 810 women and 650 men with an average age of 45.2 years. We used polyurethane or silicone catheters. The site of insertion and the surgical or percutaneous procedure were selected on the basis of clinical data and disease information. The subclavian and cephalic veins were our most common sites of insertion. RESULTS: About 1,100 cases (75%) underwent surgery by training surgeons and 360 patients by expert surgeons. Perioperative incidents occurred in 33% and 12% of these patients, respectively. Incidents (28%) included technical difficulties (n=64), a subcutaneous hematoma (n=37), pneumothoraces (n=15), and an intrapleural catheter (n=1). Complications in the short and medium term were present in 14.2% of the cases. Distortion and rupture of the catheter (n=5) were noted in the costoclavicular area (pinch-off syndrome). There were 5 cases of catheter migration into the jugular vein (n=1), superior vena cava (n=1), and heart cavities (n=3). No patient died of PCVAS insertion or complication. CONCLUSION: PCVAS complications should be diagnosed early and treated with probable removal of this material for preventing any life-threatening outcome associated with complicated PVCAS.
Catheters ; Female ; Heart ; Hematoma ; Humans ; Jugular Veins ; Male ; Polyurethanes ; Retrospective Studies ; Rupture ; Silicones ; Veins ; Vena Cava, Superior

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