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Gamme d'année
1.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 321-323, 2020.
Article | WPRIM | ID: wpr-835298

Résumé

We describe the occurrence of acute type A aortic dissection in a patient with situs inversus totalis. A 37-year-old man presented to the emergency department with acute chest pain. Initial chest X-ray findings showed a right-sided heart and a left-sided liver. Contrast-enhanced computed tomography revealed a Stanford type A acute aortic dissection, aortic root dilatation, and situs inversus totalis. All of the thoracic structures were mirror-image reversed and an abnormal coronary artery was observed. The Bentall operation was performed. This report demonstrates that computed tomography and echocardiography were useful for understanding the anatomy and the presence or absence of concurrent anomalies in a patient with situs inversus totalis. The patient’s postoperative course was uneventful.

2.
Korean Circulation Journal ; : 939-948, 2017.
Article Dans Anglais | WPRIM | ID: wpr-90200

Résumé

BACKGROUND AND OBJECTIVES: We identified the impact of extracorporeal cardiopulmonary resuscitation (ECPR) followed by therapeutic hypothermia on survival and neurologic outcome in patients with prolonged refractory in-hospital cardiac arrest (IHCA). METHODS: We enrolled 16 adult patients who underwent ECPR followed by therapeutic hypothermia between July 2011 and December 2015, for IHCA. Survival at discharge and cerebral performance category (CPC) scale were evaluated. RESULTS: All patients received bystander cardiopulmonary resuscitation (CPR); the mean CPR time was 66.5±29.9 minutes, and the minimum value was 39 minutes. Eight patients (50%) were discharged alive with favorable neurologic outcomes (CPC 1–2). The mean follow-up duration was 20.1±24.3 months, and most deaths occurred within 21 days after ECPR; thereafter, no deaths occurred within one year after the procedure. CONCLUSION: ECPR followed by therapeutic hypothermia could be considered in prolonged refractory IHCA if bystander-initiated conventional CPR is performed.


Sujets)
Adulte , Humains , Réanimation cardiopulmonaire , Oxygénation extracorporelle sur oxygénateur à membrane , Études de suivi , Arrêt cardiaque , Hypothermie provoquée
3.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 130-133, 2016.
Article Dans Anglais | WPRIM | ID: wpr-77126

Résumé

The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture.


Sujets)
Humains , Adulte d'âge moyen , Anévrysme , Embolisation thérapeutique , Urgences , Service hospitalier d'urgences , Procédures endovasculaires , Hémothorax , Artères mammaires , Neurofibromatose de type 1 , Réanimation , Rupture , Chirurgie thoracique vidéoassistée
4.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 151-154, 2015.
Article Dans Anglais | WPRIM | ID: wpr-195344

Résumé

Extensive tumoral calcinosis affecting a large joint is uncommon in patients with systemic sclerosis. We report the case of a 52-year-old female patient referred for a growing calcified mass in the shoulder. She was diagnosed with interstitial lung disease and progressive systemic sclerosis. Although the pain and disability associated with the affected joint was not severe, the patient underwent surgical excision because the mass continued to grow and was likely to produce shoulder dysfunction and skin ulceration. The patient appeared well 10 months after surgery with no signs of recurrence. This report highlights the timing and indication of surgical excision in similar cases.


Sujets)
Femelle , Humains , Adulte d'âge moyen , Calcinose , Articulations , Pneumopathies interstitielles , Qualité de vie , Récidive , Sclérodermie diffuse , Sclérodermie systémique , Épaule , Ulcère cutané
5.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 569-571, 2014.
Article Dans Anglais | WPRIM | ID: wpr-199649

Résumé

Spontaneous pneumomediastinum is a very uncommon entity that is defined as the presence of free air in the mediastinum without an obvious etiology. The presence of air in the spinal canal, known as concurrent pneumorrhachis, is an extremely rare epiphenomenon of spontaneous pneumomediastinum. We report a rare case of spontaneous pneumomediastinum with pneumorrhachis associated with influenza. The patient was diagnosed without invasive procedures, was managed with supportive treatment, and recovered without any complications.


Sujets)
Humains , Grippe humaine , Emphysème médiastinal , Médiastin , Pneumorachis , Canal vertébral
6.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 486-489, 2013.
Article Dans Anglais | WPRIM | ID: wpr-49445

Résumé

Scapulothoracic bursitis, an uncommon lesion, has been reported to be a painful disorder of scapulothoracic articulation. The articulation may become inflamed secondary to trauma when overused because of sports or work that requires repetitive or constant movement of the scapula against the posterior chest wall. The bursitis usually appears as a growing mass at the scapulothoracic interface and is often confused with a soft tissue tumor. We report on a patient with scapulothoracic bursitis who underwent surgical excision.


Sujets)
Humains , Bourse synoviale , Bursite , Scapula , Sports , Paroi thoracique
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