The Thoracic and cardiovascular surgeon
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Thorac Cardiovasc Surg · Mar 2013
Intrathoracic muscular transposition in chronic tuberculous empyema.
The effective management of chronic tuberculous empyema requires an evacuation of pus and a re-expansion of the lung or an obliteration of the empyema space such as closed thoracostomy, decortication, or open window thoracostomy (OWT) followed by intrathoracic muscular transposition (IMT). However, the most effective management of chronic tuberculous empyema is still debatable. ⋯ This study suggests that IMT may be an effective option to control infection or BPF in chronic tuberculous empyema.
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Thorac Cardiovasc Surg · Mar 2013
Severity of chronic obstructive pulmonary disease and its relationship to lung cancer prognosis after surgical resection.
The purpose was to determine the rates of postoperative pulmonary complications, and to clarify the impact of COPD on long-term survival in lung cancer patients after surgical resection. ⋯ Higher COPD grades had higher rates of postoperative pulmonary complications and poorer long-term survivals because of higher rates of cancer-related deaths.
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Thorac Cardiovasc Surg · Jan 2013
Case ReportsSuccessful treatment of catamenial hemoptysis by video-assisted thoracoscopic surgery.
We report a case of a 23-year-old woman with a 5-year history of recurrent hemoptysis during menstrual period. Catamenial hemoptysis was diagnosed using chest computed tomography and bronchoscopic examination during menstruation. The patient was managed successfully with wedge resection and has been free of recurrence for 5 years. We suggest that surgery is an effective treatment, and complete resection with accurate localization is important for the prevention of recurrence.
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Thorac Cardiovasc Surg · Jan 2013
Case ReportsPostpartum acute coronary syndrome due to intramural hematoma and coronary artery dissection.
A 38-year-old woman presented with acute coronary syndrome 9 days postpartum. Coronary catheterization showed an intramural hematoma of the left main artery (LM) and the left anterior descending artery (LAD). During angiography, dissection of the LM, with involvement of the LAD and circumflex artery occurred. ⋯ After resuscitation, intra-aortic balloon pump was inserted. The patient underwent two-vessel off-pump surgical revascularization. She was discharged 10 days later.
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Thorac Cardiovasc Surg · Jan 2013
Case ReportsLeft-sided catamenial pneumothorax associated with diaphragmatic fenestrations.
Catamenial pneumothorax is a rare disorder with an unknown etiology. It is characterized by recurrent spontaneous pneumothorax during or preceding menstruation. ⋯ The majority of catamenial pneumothorax is right sided. We report a left-sided catamenial pneumothorax associated with multiple diaphragmatic fenestrations.