General thoracic and cardiovascular surgery
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Gen Thorac Cardiovasc Surg · Jun 2009
Case ReportsNodular lymphoid hyperplasia: rare case of lymphoproliferative disease in the lung.
We report a rare case of nodular lymphoid hyperplasia in the lung. An 18-year-old woman had an abnormal shadow found on chest radiography images. ⋯ The lesion gradually enlarged, and surgical removal was performed. Histopathological examination of the resected lung revealed polyclonal proliferation of lymphoid tissue, leading to a diagnosis of nodular lymphoid hyperplasia.
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Gen Thorac Cardiovasc Surg · Apr 2009
Case ReportsEmergency total aortic arch replacement for a renal transplant recipient by mild hypothermia with selective cerebral perfusion.
Hypothermia and immunosuppressive drugs may promote surgical wound infection. We successfully performed an emergency total arch replacement with mild hypothermia and selective cerebral perfusion for a renal transplant recipient. The postoperative course was almost uneventful without any surgical site infection.
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Gen Thorac Cardiovasc Surg · Mar 2009
Case ReportsTraumatic ventricular septal defect following a stab wound to the chest.
A 51-year-old man who had been suffering from depression stabbed himself in the chest with an ice pick. At presentation, an ice pick lodged in the left fifth intercostal space was moving synchronously with his heartbeat. Echocardiography revealed that the tip was penetrating the anterior wall of the right ventricle. ⋯ The pulmonary-tosystemic flow ratio was 1.1 by echocardiographic measurement. No sign of heart failure was present. Although it was agreed to manage the ventricular septal defect conservatively, careful echocardiographic follow-up is mandatory.