Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
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A 46-year-old male had a cardiac stab injury resulting in cardiac tamponade as a result of a suicide attempt using a bodkin, a sharply pointed instrument for making holes. The patient was transferred to our hospital about 12 hours after the injury. Pericardiotomy at the emergency operation revealed the penetration of the right ventricle and the hole was repaired following removal of the bodkin. Postoperative course was uneventful.
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Ann Thorac Cardiovasc Surg · Oct 2006
Case ReportsExtension of liver tissue into the thorax following a right extrapleural pneumonectomy for malignant pleural mesothelioma.
A 56-year-old male underwent a right extrapleural pneumonectomy for malignant pleural mesothelioma. Two years after the operation, an intrathoracic mass was suspected of recurrence by imaging, however, biopsy revealed that the mass was actively proliferating liver tissues. We discussed this condition in terms of ectopic liver proliferation.
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Ann Thorac Cardiovasc Surg · Oct 2006
Case ReportsSpontaneous pneumomediastinum in 3rd trimester of pregnancy.
A 25-year-old primiparous woman in her third trimester (36. week) of pregnancy presented with spontaneous pneumomediastinum and cervical subcutaneous emphysema. The patient's symptoms were completely resolved after 2 weeks of supportive management. A Caesarean section was performed in 40. week under general anaesthesia resulting in the birth of a healthy infant. Spontaneous pneumomediastinum is very rare and generally dangerous for a pregnant woman and infant.
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Ann Thorac Cardiovasc Surg · Aug 2006
Review Case ReportsChronic contained rupture of an abdominal aortic aneurysm with vertebral erosion: report of a case.
A 73-year-old man had lumbago of unknown cause for several months prior to presentation. At examination prior to surgery for gastric cancer, an abdominal aortic aneurysm (AAA) of 6 cm in maximum diameter, retroperitoneal hematoma and vertebral erosion were found on abdominal computed tomography (CT). Hematological examination revealed mild anemia and stable hemodynamics. ⋯ After surgery, the lumbago was alleviated. The patient was transferred to the Department of Surgery and a gastrectomy was performed. The patient's postoperative course was uneventful.
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Ann Thorac Cardiovasc Surg · Aug 2006
Review Case ReportsSurgically removed thoracolithiasis: report of two cases.
Thoracolithiasis is a rare condition with only 12 cases of surgically removed nodules reported in the literature. We report 2 additional cases. Case 1: A 19-year-old male admitted with an abnormal shadow on a chest X-ray. ⋯ Exploratory thoracoscopy incidentally revealed some pearly material, 0.4 cm in diameter, in the thoracic cavity. They were extirpated during left upper lobectomy for lung cancer; all of them demonstrated concentric hyalinized fibrous tissue. Thoracic surgeons should consider this condition in the differential diagnosis of a peripheral pulmonary nodule.