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Surgical Venous Thrombectomy for Chronic May-Thurner Sysndrome: 2 cases report.

Kilsoo YIE ; Yong Hoon KIM ; Sun Kyung MIN ; Hyoung Rae KIM ; Bong Ki LEE ; Seong Sik KANG

The Korean Journal of Thoracic and Cardiovascular Surgery.2009;42(5):677-683.

May-Thurner syndrome is a deep vein thrombosis of the ilio-femoral vein due to compression of the left common iliac vein by the overlying right common iliac artery. Although, catheter directed thrombectomy (CDT) and thrombolysis with stent insertion has become the standard treatment method for acute or subacute May-Thurner syndrome, because of technical feasibility and lower recurrence rate, however, sometimes this methods make fatal complications. Furthermore, there are few reports on optimal treatment strategies for patients in a chronic state of May-Thurner syndrome,. We now present two cases of chronic (>1 month since onset of symptoms) May-Thurner syndrome treated by surgical thrombectomy and femoral arteriovenous shunt with simultaneous stent insertion after failed endovascular treatment. This technique may provide a significant benefit for patients who are not suitable for conventional endovascular treatment.
Catheters ; Humans ; Iliac Artery ; Iliac Vein ; May-Thurner Syndrome ; Recurrence ; Stents ; Thrombectomy ; Thrombosis ; Veins ; Venous Thrombosis

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Stress Fracture of the First Rib.

Soo Seung CHOI ; Jeong Hyun YOO

The Korean Journal of Thoracic and Cardiovascular Surgery.2009;42(5):674-676.

Isolated stress fracture of the first rib is rare, and repeated muscular pulling and fatigue of bone is thought to be responsible for this fracture. The diagnosis can be made by taking a thorough history and performing chest roentgenography, computed tomography or magnetic resonance imaging. Conservative treatment generally cures this condition. We report here on a case of exercise-induced isolated stress fracture of the first rib in a non-athlete college student and we review the related articles.
Fatigue ; Fractures, Stress ; Humans ; Magnetic Resonance Imaging ; Ribs ; Stress, Mechanical ; Thorax

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Reconstruction of Tracheobronchial Stenosis due to Endobronchial Tuberculosis : A case report.

Hyung Dong DO ; Jung Cheul LEE ; Jong Hyun BAEK ; Jang Hoon LEE

The Korean Journal of Thoracic and Cardiovascular Surgery.2009;42(5):670-673.

A 20 year old woman had developed stenosis at the lower part of the trachea, right main bronchus, and right upper lobe bronchus as a complication of endobronchial tuberculosis. The patient had complained of severe dyspnea. Tracheobronchial stenosis was so extensive that we did reconstruction of the trachea and right bronchus with resection of the lower trachea and right main bronchus and right upper lobectomy. She has been doing well without any respiratory symptoms or complications.
Bronchi ; Constriction, Pathologic ; Dyspnea ; Female ; Humans ; Trachea ; Tracheal Stenosis ; Tuberculosis

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Multiple Calcifying Fibrous Pseudotumors in the Pleura : A case report.

Chang Young LEE ; Chun Sung BYUN ; In Kyu PARK ; Kyung Young CHUNG ; Yoo Hwa HWANG ; Hyo Sup SHIM

The Korean Journal of Thoracic and Cardiovascular Surgery.2009;42(5):666-669.

Calcifying fibrous pseudotumors (CFP) are rare soft tissue tumors that have unique histopathologic features characterized by a dense hyalinized collagenous tissue interspersed with benign spindle cells, lymphoplasmacytic infiltrate, and psammomatous or dystrophic calcifications. We report here on a case of calcifying fibrous pseudotumors in the pleura and provide a literature review.
Collagen ; Hyalin ; Pleura ; Pleural Diseases

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Synchronous Multiple Primary Cancers of the Esophagus, Stomach, Lung and Oral Cavity.

Sumin SHIN ; Young Mog SHIM

The Korean Journal of Thoracic and Cardiovascular Surgery.2009;42(5):662-665.

A 65-year-old-male had a mass in the oral cavity, and this was ultimately determined to be squamous cell carcinoma and he underwent wide excision for it. Postoperatively, he underwent the staging work up; this showed that he had other cancers in the esophagus, stomach and lung. We performed a curative resection of all the lesions simultaneously. We report here on a case of synchronous multiple cancers of the esophagus, stomach, lung and oral cavity.
Carcinoma, Squamous Cell ; Esophageal Neoplasms ; Esophagus ; Lung ; Lung Neoplasms ; Mouth ; Stomach

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Intramural Dissection and Mucosal Laceration of the Esophagus in a Patient Who Was on Antiplatelets Medication : A case report.

Kyung Hwa KIM ; Ja Hong KUH ; Jung Moon LEE

The Korean Journal of Thoracic and Cardiovascular Surgery.2009;42(5):657-661.

Intramural esophageal dissection is a rare disorder that's characterized by a lengthy laceration between the mucosal and submucosal layers of the esophageal wall, and the esophageal wall is without perforation. The three different types of acute esophageal injury are a mucosal tear (Mallory-Weiss syndrome), full-thickness rupture (Boerhaave's syndrome) and intramural esophageal dissection. Most intramural esophageal dissections respond to conservative management with a very good prognosis. This rare condition should be considered in patients who present with acute chest pain, dysphagia or odynophagia, and particularly in the presence of a bleeding disorder or where there has been recent administration of antiplatelet medication, anticoagulants or thrombolytics to avoid inappropriate treatment with surgery. We present here a rare case of intramural dissection of the esophagus that occurred when the patient was taking antiplatelet medication.
Anticoagulants ; Chest Pain ; Deglutition Disorders ; Esophagus ; Hemorrhage ; Humans ; Lacerations ; Prognosis ; Rupture

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Popliteal Artery Entrapment Syndrome : A case report.

Duk Sil KIM ; Sung Wan KIM ; Byung Ki KIM ; Hyeon Jae LEE ; Gun LEE ; Chang Young LIM

The Korean Journal of Thoracic and Cardiovascular Surgery.2009;42(5):653-656.

The entrapment of the popliteal artery is a rare cause of ischemia of the lower extremities among young males. The development of local occlusive or aneurysmal changes of the popliteal artery is caused by abnormal anatomic relationships between vascular and musculo-tendinous structures in the popliteal fossa. An 18-year-old male visited our outpatient clinic with the chief complaint of claudication in his right calf. Three dimensional CT angiography showed an occlusion of the popliteal artery and less opacified arteries of the right leg. Intraoperatively, the popliteal artery was compressed by an accessory muscle band arising from the medial head of the gastrocnemius. After release of the muscle band, thrombectomy with endarterectomy was done. Three years after surgery, he is doing well without any problems.
Adolescent ; Ambulatory Care Facilities ; Aneurysm ; Angiography ; Arteries ; Endarterectomy ; Head ; Humans ; Ischemia ; Leg ; Lower Extremity ; Male ; Muscles ; Popliteal Artery ; Thrombectomy

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Mesothelial Cyst of the Middle and Anterior-Superior Mediastinum: One Case Report.

Sun Ho JEON ; Jung Ho KANG ; Heng Ok JEE ; Young Hak KIM ; Won Sang JUNG ; Hyuck KIM ; Moon Hyang PARK ; Jung Kook SUH ; Seok Choi JEON

The Korean Journal of Thoracic and Cardiovascular Surgery.1998;31(10):1017-1021.

Mesothelial cysts have many other names, such as pericardial celomic cyst, pleura-diaphragmatic cyst, simple cyst of the mediastinum, springwater cyst, serosal cyst, etc. (Petereit 1972, Drash 1950). Most mesothelial cysts are believed to originate from malformations of the pericardium, but some, like the one in this case, are believed to result from a pleural malformation. (Ochsner 1966, Lambert 1940). Mesothelial cysts are extremely rare and can be confirmed histologically by special stains. A 64 year old woman was admitted due to a painless bulging mass in her right neck. The operation was performed with the initial diagnosis of cystic lymphangioma confirmed by computer tomography and total excision was possible. The diagnosis of mesothelial cyst of the mediastinum was confirmed by histologic examinations (stainings) and the patient was discharged from the hospital without any significant complications.
Coloring Agents ; Diagnosis ; Female ; Humans ; Lymphangioma, Cystic ; Mediastinal Cyst ; Mediastinal Neoplasms ; Mediastinum* ; Middle Aged ; Neck ; Pericardium

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Left Bronchial Rupture Following Endobronchial Intubation: One case report.

Kun Il KIM ; Hyun Geun JEE ; Hyung Soo KIM ; Hee Sung LEE ; Won Yong YI

The Korean Journal of Thoracic and Cardiovascular Surgery.1998;31(10):1014-1016.

Rupture of the bronchus following endotracheal intubation with a double-lumen tube is extremely rare in all complications of endotracheal intubation. We experienced a case of left main bronchial rupture following endotracheal intubation. This 58-year old female patient was diagnosed of well-differentiated adenocarcinoma of right lower lobe, stage II B, preoperatively. She was intubated with Robertshaw double-lumen tube (35 Fr.) for Rt. lower lobectomy. Intraoperatively, Lt. main bronchial rupture was suspected because of pneumomediastinum and ventilation insufficiency and immediately repaired with monofilament absorbable sutures (PDS) through left thoracotomy. Postoperative course was uneventful.
Adenocarcinoma ; Bronchi ; Female ; Humans ; Intubation* ; Intubation, Intratracheal ; Mediastinal Emphysema ; Middle Aged ; Rupture* ; Sutures ; Thoracotomy ; Ventilation

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Pulmonary Autograft Replacement in Native Aortic Root Abscess.

Chan Young RA ; Soo Chul KIM ; Sam Se OH ; Wook Sung KIM ; Cheol Hyun CHUNG ; Do Hyun JUNG ; Woong Han KIM ; Chang Ha LEE ; Young Thak LEE ; Hong Joo JEON ; Young Kwhan PARK ; Chong Whan KIM ; Sung Nok HONG

The Korean Journal of Thoracic and Cardiovascular Surgery.1998;31(10):1009-1013.

Bacterial endocarditis of the native aortic valve is associated with significant morbidity and mortality despite aggressive medical and surgical treatment, especially when perivalvular tissue was invaded and destructed. The pulmonary autograft is full viable and immune compatible tissue. This paper describes successful Ross operation as total root replacement in 38 years old native valve endocarditis patient with aortic root abscess.
Abscess* ; Adult ; Aortic Valve ; Autografts* ; Endocarditis ; Endocarditis, Bacterial ; Humans ; Mortality

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