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Single-Suture Neochorda-Folding Plasty for Mitral Regurgitation.

Jong Myung PARK ; Hyung Gon JE ; Sang Kwon LEE

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):70-72. doi:10.5090/kjtcs.2016.49.1.70

The single-suture neochorda-folding plasty technique is a modification of existing mitral valve repair techniques. In the authors' experience, its simplicity, reliability, and versatility make it a useful technique for mitral valve repair, especially when a minimally invasive approach is used.
Mitral Valve ; Mitral Valve Insufficiency*

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Nodular Fasciitis of the Chest in a Young Woman.

Hong Joo SEO ; Sang Wan RYU ; Mi Ja LEE ; Dong Hun KIM ; Hyung Ho KIM

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):67-69. doi:10.5090/kjtcs.2016.49.1.67

Nodular fasciitis is a benign reactive proliferation that usually involves the deep fascia. Although it is relatively common in the adult population, it is often misdiagnosed as sarcoma due to its rapid growth and pathological features. It rarely presents as a chest wall tumor in young patients. Here, we report a case of nodular fasciitis involving the chest wall of an 18-year-old woman and its surgical management. This case underscores the need to consider nodular fasciitis in the differential diagnosis of chest wall tumors in young patients.
Adolescent ; Adult ; Diagnosis, Differential ; Fascia ; Fasciitis* ; Female ; Humans ; Sarcoma ; Thoracic Wall ; Thorax*

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Malignant Schwannoma of the Esophagus: A Rare Case Report.

Biswajit MISHRA ; Kumble Seetharama MADHUSUDHAN ; Ragini KILAMBI ; Prasenjit DAS ; Sujoy PAL ; Deep Narayan SRIVASTAVA

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):63-66. doi:10.5090/kjtcs.2016.49.1.63

Neurogenic tumors are the most prevalent tumors of the mediastinum, and schwannomas are the most common type of neurogenic tumor. Primary neurogenic neoplasm of the esophagus is uncommon and malignant schwannoma of the esophagus is extremely rare. We report a case of a 27-year-old female presenting with dysphagia and palpitations who was found to have a lobulated tumor in the mediastinum that was compressing the esophageal lumen. The tumor was successfully treated surgically without recurrence. The final diagnosis, on histopathological examination of the specimen, was malignant schwannoma.
Adult ; Deglutition Disorders ; Diagnosis ; Esophagogastric Junction ; Esophagus* ; Female ; Humans ; Mediastinum ; Neurilemmoma* ; Recurrence ; Tomography, X-Ray Computed

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Diaphragm Translocation as Surgical Treatment for Agenesis of the Right Lung and Secondary Tracheal Compression.

Dong Hee KIM ; Se Hoon CHOI

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):59-62. doi:10.5090/kjtcs.2016.49.1.59

A 12-month-old boy was diagnosed with agenesis of the right lung. Mediastinal deviation progressed to the diseased side as the patient matured; therefore, tracheal distortion developed. As a result, tracheal compression developed between the vertebral body and aorta. The patient was repeatedly admitted to the hospital because of recurrent pulmonary infection and combined severe respiratory distress. Diaphragm translocation was performed to treat the patient. The postoperative course was favorable, and computed tomography scan findings and symptoms had improved at 1 year after surgery.
Aorta ; Diaphragm* ; Humans ; Infant ; Lung* ; Male

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Surgical Management of Aorto-Esophageal Fistula as a Late Complication after Graft Replacement for Acute Aortic Dissection.

Jae Hong LEE ; Bubse NA ; Yoohwa HWANG ; Yong Han KIM ; In Kyu PARK ; Kyung Hwan KIM

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):54-58. doi:10.5090/kjtcs.2016.49.1.54

A 49-year-old male presented with chills and a fever. Five years previously, he underwent ascending aorta and aortic arch replacement using the elephant trunk technique for DeBakey type 1 aortic dissection. The preoperative evaluation found an esophago-paraprosthetic fistula between the prosthetic graft and the esophagus. Multiple-stage surgery was performed with appropriate antibiotic and antifungal management. First, we performed esophageal exclusion and drainage of the perigraft abscess. Second, we removed the previous graft, debrided the abscess, and performed an in situ re-replacement of the ascending aorta, aortic arch, and proximal descending thoracic aorta, with separate replacement of the innominate artery, left common carotid artery, and extra-anatomical bypass of the left subclavian artery. Finally, staged esophageal reconstruction was performed via transthoracic anastomosis. The patient's postoperative course was unremarkable and the patient has done well without dietary problems or recurrent infections over one and a half years of follow-up.
Abscess ; Aorta ; Aorta, Thoracic ; Brachiocephalic Trunk ; Carotid Artery, Common ; Chills ; Drainage ; Elephants ; Esophagus ; Fever ; Fistula* ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Subclavian Artery ; Transplants*

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A Case of Recurrent Aortic Rupture Associated with Klebsiella pneumoniae Pericarditis Treated by Two Separate Aortic Operations.

Sun HAN ; Kyoung Min RYU ; Pil Won SEO ; Jae Wook RYU

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):50-53. doi:10.5090/kjtcs.2016.49.1.50

A 49-year-old female presented with severe dyspnea. She was diagnosed with cardiac tamponade combined with ascending aortic pseudoaneurysm and rupture, which was caused by Klebsiella pneumoniae infection. This extremely rare condition was managed by an emergency pericardiostomy and two separate aortic operations. Antibiotics active for the K. pneumoniae isolate were used throughout. The patient was well for nine months after discharge and continues to be followed up for signs of possible reinfection.
Aneurysm, False ; Anti-Bacterial Agents ; Aortic Aneurysm ; Aortic Rupture* ; Cardiac Tamponade ; Dyspnea ; Emergencies ; Female ; Humans ; Klebsiella pneumoniae* ; Klebsiella* ; Middle Aged ; Pericardial Window Techniques ; Pericarditis* ; Pneumonia ; Rupture

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Modified Surgical Intervention for Extensive Mitral Valve Endocarditis and Posterior Mitral Annular Calcification.

Gwan Sic KIM ; Min Sun BEOM ; Sung Ryong KIM ; Na Rae KIM ; Ji Wook JANG ; Mi Hee JANG ; Sang Wan RYU

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):46-49. doi:10.5090/kjtcs.2016.49.1.46

The concomitant presence of posterior mitral annular calcification and infectious mitral valve lesions poses a technical challenge with considerable perioperative risk when using previously proposed techniques for mitral valve surgery. Herein, we report a case of the use of a modified surgical technique to successfully treat a patient with mitral infective endocarditis complicated by a subendocardial abscess and extensive posterior mitral annular calcification.
Abscess ; Endocarditis* ; Humans ; Mitral Valve*

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Organizing Thrombus Mimicking a Cardiac Tumor Located at the Mitral-Aortic Intervalvular Fibrosa.

Ji Seong LEE ; Wan Seop KIM ; Seong Min KO ; Je Kyoun SHIN

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):42-45. doi:10.5090/kjtcs.2016.49.1.42

Thrombosis at the left ventricular outflow tract occurs without any detectable heart disease or predisposing factors only extremely rarely. A 48-year-old male visited Konkuk University Medical Center with loss of consciousness one month prior to presentation. Before he visited our hospital, he had been diagnosed with a cardiac tumor, which was located between the left atrium and posterior aortic root, and which was adjacent to both the aortic and mitral valves. Cardiac transplantation was recommended at the other hospital because of the high risk of cardiac dysfunction induced by both aortic and mitral valvular dysfunction after surgical resection. Based on preoperative transthoracic echocardiography, cardiac computed tomography, cardiac magnetic resonance imaging, and intra-operative transesophageal echocardiography, we considered it to be a benign tumor. Complete resection was achieved and the pathology confirmed organizing thrombus. We report a case of organizing thrombus mimicking a cardiac tumor, which was located at the mitral-aortic intervalvular fibrosa of the left ventricular outflow tract without any heart disease.
Academic Medical Centers ; Aneurysm, False ; Causality ; Echocardiography ; Echocardiography, Transesophageal ; Heart Atria ; Heart Diseases ; Heart Neoplasms* ; Heart Transplantation ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Mitral Valve ; Pathology ; Thrombosis* ; Unconsciousness

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Persistent Fifth Aortic Arch with Coarctation.

Sue Hyun KIM ; Eun Suk CHOI ; Sungkyu CHO ; Woong Han KIM

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):39-41. doi:10.5090/kjtcs.2016.49.1.39

Persistent fifth aortic arch (PFAA) is a rare congenital anomaly of the aortic arch frequently associated with other cardiovascular anomalies, such as tetralogy of Fallot and aortic arch coarctation or interruption. We report the case of a neonate with PFAA with coarctation who successfully underwent surgical repair.
Aorta, Thoracic* ; Humans ; Infant, Newborn ; Tetralogy of Fallot

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Tricuspid Valve Re-Repair in Ebstein Anomaly Using the Cone Technique.

Do Jung KIM ; Jee Won SUH ; Yu Rim SHIN ; Hong Ju SHIN ; Han Ki PARK

The Korean Journal of Thoracic and Cardiovascular Surgery.2016;49(1):35-38. doi:10.5090/kjtcs.2016.49.1.35

The management of recurrent tricuspid regurgitation after tricuspid valve repair in patients with Ebstein anomaly is difficult, and tricuspid valve replacement is most commonly performed in such patients. We report two cases of recurrent tricuspid regurgitation in patients with Ebstein anomaly that were successfully re-repaired using the cone technique. The cone repair technique is a useful surgical method for reconstructing a competent tricuspid valve, and can be applied in patients who have undergone previous tricuspid valve repair.
Ebstein Anomaly* ; Heart Defects, Congenital ; Humans ; Tricuspid Valve Insufficiency ; Tricuspid Valve*

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