Asian cardiovascular & thoracic annals
-
Asian Cardiovasc Thorac Ann · Apr 2009
Case ReportsComplete lobar torsion simulating hemorrhagic shock after left upper lobectomy.
Lung torsion is a rare but serious complication after thoracic operations. We describe an unusual case of left lobar torsion after video-assisted thoracoscopic upper lobectomy. The profound symptom was impending hemorrhagic shock, which masqueraded as postoperative bleeding. The differentials between these 2 entities and treatment options for lung torsion are discussed.
-
Asian Cardiovasc Thorac Ann · Apr 2009
Comparative StudyReduction aortoplasty for ascending aortic aneurysm: a 14-year experience.
We present early results and long-term follow-up after reduction aortoplasty with external wrapping of the ascending aorta. From December 1993 to February 2008, 32 consecutive patients who had reduction aortoplasty were compared with 47 consecutive patients who underwent prosthetic graft replacement of the ascending aorta. The groups were similar in baseline characteristics. ⋯ There was no significant enlargement of the aortic diameter at the level of the sinus of Valsalva in the reduction aortoplasty group during the follow-up period (from 38.84 +/- 3.10 to 39.48 +/- 2.72 mm). Reduction aortoplasty with external wrapping of the ascending aorta is a simple and promising surgical method. Our experience shows that this technique is the procedure of choice in patients without aortic dissection and with an appropriately sized sinus of Valsalva.
-
Asian Cardiovasc Thorac Ann · Apr 2009
Case ReportsRepair of narrowed coronary sinus without connecting left superior vena cava.
We successfully repaired a markedly narrowed coronary sinus without connecting a left superior vena cava in a 3-year-old boy with an atrial septal defect.
-
Asian Cardiovasc Thorac Ann · Apr 2009
Case ReportsManagement of lobar torsion following lung transplantation.
We report 4 cases of acute lobar torsion in patients who had undergone bilateral lung transplantation. Bronchoscopy showed complete obstruction in only 2 of them. ⋯ At operation, 1 detorsion and 3 lobectomies were carried out. Early diagnosis and rapid surgical intervention can save the affected lobe.
-
Asian Cardiovasc Thorac Ann · Apr 2009
Short- and long-term results of lung resection for cancer in octogenarians.
To analyze short- and long-term results of surgery in octogenarians, we reviewed data of 96 consecutive patients aged 80 years or more who were operated on for non-small-cell lung carcinoma from 1990 to 2005. Risk factors for complications, perioperative mortality, and long-term survival were assessed by univariate and multivariate analysis. Major complications developed in 17 (17.7%) patients, leading to death in 9 (9.4%) of them. ⋯ The overall 5-year survival rate was 38%, with a significant difference between stage I/II and stage III. In multivariate analysis only pathological stage was related to long-term survival. Surgery is feasible for octogenarians, and even patients in stage II can achieve remarkable survival.