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  1. Although unexpected cardiac arrest is a very rare intraoperative complication, strategies regarding preoperative screening and procedures to be taken in the event of an emergency need to be well established.

    Authors: Kiyotomi Maruyama, Kou Shimada, Arano Makino, Ryo Hisamune, Masanori Kawaguchi, Shigeo Ikeno, Natsuhiro Morita, Ken Ichioka, Tadaaki Shimizu, Tomoki Shirota, Kuniyuki Gomi, Motohiro Mihara and Shoji Kajikawa
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:70
    Content type: Case Report Published on:

  2. Chylothorax is an accumulation of typically milky-appearing lymphatic fluid within the pleural cavity. High-output chylothorax may lead to a severe risk of death if not treated promptly. Several studies have r...

    Authors: Teppei Hashimoto, Toshihiro Osaki, Soichi Oka and Hiroyuki Ueda
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:68
    Content type: Case Report Published on:

  3. Cardiac hemangiomas are rare, accounting for only 5% of benign cardiac tumors. In the past, there have been few reports of giant cardiac hemangiomas that were > 100 mm in size but were asymptomatic.

    Authors: Yuki Kondo, Toru Yasutsune, Yuichiro Kado, Yuki Jinzai, Tomoya Takigawa, Takehiro Kishigami, Yuna Inaba and Yosuke Nishimura
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:63
    Content type: Case Report Published on:

  4. Infective endocarditis resulting from community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is a rare, but often fatal heart disorder. Here, we report a case of multidisciplinary treatment for ...

    Authors: Kojiro Terata, Shunsuke Saito, Ken Niitsuma, Misako Ohkusu, Noriko Takeuchi, Naruhiko Ishiwada, Taiki Matsuoka, Shotaro Hirota, Shohei Yokoyama, Yasuyuki Kanno, Yuta Kanazawa, Masahiro Tezuka, Yusuke Takei, Go Tsuchiya, Taisuke Konishi, Ikuko Shibasaki…
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:36
    Content type: Case Report Published on:

  5. Giant cervicomediastinal goiter extending to the bifurcation of the trachea mostly requires median sternotomy in addition to a cervical collar incision for resection. Sternotomy provides a good operative field...

    Authors: Junichi Morimoto, Takahiro Yamanaka, Jotaro Yusa, Takahiro Ochi, Taisuke Kaiho, Kota Ohashi, Yuki Shiina, Yuki Sata, Takahide Toyoda, Atsushi Hata, Takayoshi Yamamoto, Yuichi Sakairi, Hironobu Wada, Hidemi Suzuki, Takahiro Nakajima and Ichiro Yoshino
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:41
    Content type: Case Report Published on:

  6. Left ventricular thrombosis confers a life-threatening risk of systemic embolism; therefore, it requires prompt intervention. Although anticoagulation is the primary treatment, surgery is indicated in instance...

    Authors: Ryoma Oda, Atsumi Oishi, Yuki Kamikawa, Hiroaki Hata and Kan Kajimoto
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:42
    Content type: Case Report Published on:

  7. Bronchiolar adenoma/ciliated muconodular papillary tumor (BA/CMPT) is listed in the World Health Organization (WHO) Classification 5th edition as a rare benign tumor with papillary growth of ciliary, goblet, a...

    Authors: Naoki Yamashita, Tomomi Hirata, Noriko Motoi, Toshihiko Iizuka, Satoru Kakuta, Nobuhiro Yamazaki, Yuki Nakajima, Hiroyasu Kinoshita and Hirohiko Akiyama
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:37
    Content type: Case Report Published on:

  8. Reports on cardiac hemangioma detection by F-18-deoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) are extremely rare.

    Authors: Takuma Kobayashi, Satoshi Numata, Yu Hohri, Hidetake Kawajiri and Hitoshi Yaku
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:39
    Content type: Case Report Published on:

  9. It is well known that congenital heart disease, especially a ventricular septal defect, is associated with a high risk of infective endocarditis. There are few reports of infective endocarditis with vegetation...

    Authors: Yuta Kitagata, Hiroshi Tsuneyoshi, Kenta Ito, Ken Yamanaka, Masahiro Hirano, Keiichi Hirose and Akio Ikai
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:43
    Content type: Case Report Published on:

  10. Traumatic pulmonary pseudocysts are a rare complication resulting from pulmonary contusion associated with blunt chest trauma.

    Authors: Hiroki Matsumiya, Kanji Tanaka, Yuki Tahara, Masataka Mori, Masatoshi Kanayama, Akihiro Taira, Shinji Shinohara, Masaru Takenaka, Koji Kuroda and Fumihiro Tanaka
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:51
    Content type: Case Report Published on:

  11. The surgical strategy for aortoesophageal fistula (AEF) depends on the experience of each surgeon, and there is no consensus on the strategy to be adopted. We propose our two-stage operation compromising esoph...

    Authors: Naoto Fukunaga, Akio Shimoji, Toshi Maeda, Otohime Mori, Kosuke Yoshizawa, Kenji Minatoya and Nobushige Tamura
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:44
    Content type: Case Report Published on:

  12. Vacuum-assisted closure (VAC) therapy has recently been reported to be useful for treating empyema complicated by bronchopleural fistula (BPF). Since the pleural cavity must be closed to apply this treatment, ...

    Authors: Akira Matsumoto, Tsuyoshi Shoji and Hiromichi Katakura
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:38
    Content type: Case Report Published on:

  13. Lymphangioma is a relatively rare benign congenital malformation composed of dilated cystic lymphatic vessels; however, its occurrence in adults and manifestation as mediastinal lymphangioma are even rarer. In...

    Authors: Go Kamimura, Kazuhiro Ueda, Aya Takeda, Ryo Miyata, Masaya Aoki, Toshiyuki Nagata and Masami Sato
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:27
    Content type: Case Report Published on:

  14. Endoleaks after stent graft treatment can cause disseminated intravascular coagulation (DIC), leading to a bleeding tendency.

    Authors: Ryo Kanamoto, Takeshi Oda, Keiichi Akaiwa, Katsuhiko Nakamura and Eiki Tayama
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:34
    Content type: Case Report Published on:

  15. Iatrogenic diaphragmatic hernias have been reported as a rare complication of thoracic and abdominal surgery. We herein report a case of delayed iatrogenic left diaphragmatic hernia after diaphragm pedunculate...

    Authors: Soichi Oka, Toshihiro Osaki, Teppei Hashimoto and Yuichiro Kawamura
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:26
    Content type: Case Report Published on:

  16. Total arch replacement using elephant trunk (ET) has been accepted as a standard technique for thoracic aortic dissection. However, there are few complications related to the ET, such as kinking of the ET, par...

    Authors: Takayuki Fujii, Noriyuki Abe, Takahiro Yamazato, Noriko Ohyama and Hiroshi Munakata
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:40
    Content type: Case Report Published on:

  17. We present a very rare case of pulmonary atresia and ventricular septal defect with staged definitive repair more than 40 years after palliative surgery. The patient, a 43-year-old male, had undergone a Waters...

    Authors: Noriyoshi Ebuoka, Norihiro Ando, Hidetsugu Asai, Nobuyasu Kato, Tsuyoshi Tachibana and Satoru Wakasa
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:46
    Content type: Case Report Published on:

  18. The cleft mitral valve leaflet is a common cause of congenital mitral regurgitation and is most often associated with other congenital heart defects, usually endocardial cushion defects. Cases in which cleft m...

    Authors: Masato Hayama, Mizuki Sumi, Mau Amako, Kiyoyuki Eishi and Hideichi Wada
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:25
    Content type: Case Report Published on:

  19. An amyloidoma is defined as a solitary, localized, tumor-like deposit of amyloid in the absence of systemic amyloidosis. Amyloidomas occur most frequently in the bladder, followed by the lungs, trachea and bro...

    Authors: Toru Kawakami, Jun Atsumi, Kiyomi Shimoda, Miyako Hiramatsu, Teruaki Oka and Yuji Shiraishi
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:24
    Content type: Case Report Published on:

  20. The use of donor hearts with valvular disease has been considered debatable in heart transplantation for many years. However, few reports indicate successful heart transplantation using donor hearts with mitra...

    Authors: Tsubasa Mikami, Takuji Kawamura, Yoshito Ito, Yusuke Misumi, Noriyuki Kashiyama, Ai Kawamura, Masashi Kawamura, Daisuke Yoshioka, Kazuo Shimamura, Koichi Toda and Shigeru Miyagawa
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:61
    Content type: Case Report Published on:

  21. Mesenchymal cystic hamartoma is a rare pulmonary neoplasm, which occasionally presents with severe symptoms such as pneumothorax or hemothorax, and shows favorable outcomes following surgical resection. It pre...

    Authors: Machiko Nishii-Mitsuaki, Chiaki Nakazono, Satoru Okada, Kenji Kameyama, Yoji Urata, Masayoshi Inoue and Yasuo Ueshima
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:23
    Content type: Case Report Published on:

  22. Cavernous hemangiomas are usually located in the liver, skin, and subcutaneous tissues. Although they can arise from any organ, cavernous hemangiomas rarely occur as a pulmonary tumor. We herein report a rare ...

    Authors: Takashi Ibe, Takayuki Kosaka, Masayuki Sugano, Satoru Kakizaki and Ken Shirabe
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:22
    Content type: Case Report Published on:

  23. A calcified amorphous tumor (a non-neoplastic tumor) with caseous calcification of the mitral annulus is a rare pathology that causes severe embolic events. We present a rare case of mitral valve surgery for a...

    Authors: Akimasa Morisaki, Yosuke Takahashi, Yoshito Sakon, Yosuke Sumii and Toshihiko Shibata
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:21
    Content type: Case Report Published on:

  24. Bronchogenic cyst sometimes occurs in the mediastinum and rarely in the intrapericardial space. When located in the intrapericardial space, the main vessels or the heart can be compressed. In addition, if it i...

    Authors: Koji Morita, Hiromu Yoshioka, Keisuke Tanaka, Junya Sugiura, Ryota Yamamoto, Yuki Goto, Koshi Yamaki and Wataru Kato
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:20
    Content type: Case Report Published on:

  25. Thoracoabdominal aneurysm repair is a highly complicated procedure, especially among patients with severe lung disease, resulting in respiratory problems during and after the surgery. Herein, we designed a nov...

    Authors: Ryota Hara, Joji Ito, Hidetaka Onodera and Minoru Tabata
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:19
    Content type: Case Report Published on:

  26. Extended sleeve lobectomy is a useful technique for avoiding pneumonectomy; however, it requires advanced surgical skills.

    Authors: Shinichi Sakamoto, Hiromitsu Takizawa, Fuyumi Izaki, Taihei Takeuchi, Hiroyuki Sumitomo, Naoki Miyamoto, Mika Takashima, Naoya Kawakita, Hiroaki Toba and Yoshihiro Tsuruo
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:18
    Content type: Case Report Published on:

  27. Micronodular thymic carcinoma with lymphoid hyperplasia is an extremely rare thymic tumor, exhibiting a variety of cell morphologies with mild to severe dysmorphism. Since few cases have been reported, the pro...

    Authors: Naoki Miyamoto, Kazuya Kondo, Yoshimi Bando, Fuyumi Izaki, Taihei Takeuchi, Hiroyuki Sumitomo, Shinichi Sakamoto, Mika Takashima, Naoya Kawakita, Hiroaki Toba and Hiromitsu Takizawa
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:17
    Content type: Case Report Published on:

  28. Malperfusion of the celiac artery alone, with acute aortic dissection, rarely requires early intervention. A 57-year-old woman had thrombosed type A acute aortic dissection with celiac malperfusion, for which ...

    Authors: Ryo Izubuchi, Keiji Uchida, Shota Yasuda, Tomoki Cho, Atsushi Matsumoto, Shotaro Kaneko, Makoto Ikematsu, Sho Kakuta, Sousuke Yamamoto and Makoto Ogata
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:15
    Content type: Case Report Published on:

  29. Granulosa cell tumors (GCTs) are uncommon sex cord-stromal ovarian neoplasms. We report a case of GCT presenting in the chest, 18 years after oophorectomy for ovarian cystadenocarcinoma.

    Authors: Kosuke Suzuki, Akihiko Kitami, Momoka Okada, Shinnosuke Takamiya, Shinichi Ohashi, Yoko Tanaka, Shugo Uematsu, Tetsuo Nemoto and Mitsutaka Kadokura
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:14
    Content type: Case Report Published on:

  30. Although the transposition of the aberrant left vertebral artery (ALVA) in 1-debranching thoracic endovascular aortic repair requiring zone 2 coverage for thoracic aneurysm with ALVA is reported to be an effec...

    Authors: Kondo Nobuo, Wakisaka Hodaka, Kawashima Yuta, Kihara Kazuki, Noda Takahiro and Oue Kensuke
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:12
    Content type: Case Report Published on:

  31. Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) after infective endocarditis and/or valve replacement is rarely reported, and transesophageal echocardiography and cardiac multidetector comp...

    Authors: Masanobu Yamauchi, Kazuma Kanetsuki, Tomoki Hanada and Satoshi Kamihira
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:16
    Content type: Case Report Published on:

  32. Although the ventricular septal defect (VSD) that coexists with the severe form of Ebstein’s anomaly was thought to be beneficial for hemodynamics, it is unclear whether biventricular repair is always possible...

    Authors: Yuji Fuchigami, Takaya Hoashi, Shigeki Yoshiba, Kentaro Hotoda, Haruhiro Nagase, Yukino Iijima and Takaaki Suzuki
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:11
    Content type: Case Report Published on:

  33. Anastomotic leakage at the distal anastomotic site after surgery for acute type A aortic dissection (AAD) occasionally leads to malperfusion or false lumen dilatation in the remnant dissected aorta. Open surge...

    Authors: Ko Sakatsume, Yasushi Kudo, Kazuaki Yanagiya, Masaaki Naganuma, Masaharu Hatakeyama, Shinya Masuda and Koichi Nagaya
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:13
    Content type: Case Report Published on:

  34. Pneumatoceles are a known complication of pneumonia or trauma, especially in young children. A 44-year-old male with pulmonary veno-occlusive disease and pulmonary hypertension underwent double lung transplant...

    Authors: Masashi Furukawa, Ernest G. Chan, Jenalee N. Coster and Pablo G. Sanchez
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:10
    Content type: Case Report Published on:

  35. In lung transplantation, vascular complications are relatively rare. However, severe pulmonary artery stenosis after lung transplantation can cause clinical symptoms and lead to graft dysfunction.

    Authors: Hideki Nagata, Takashi Kanou, Eriko Fukui, Toru Kimura, Naoko Ose, Soichiro Funaki, Masato Minami, Masaki Taira, Takayoshi Ueno, Shigeru Miyagawa and Yasushi Shintani
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:30
    Content type: Case Report Published on:

  36. Pleomorphic liposarcoma (PLPS) is a rare and aggressive subtype of liposarcoma. Here we report the case of a 45-year-old man with PLPS in the lung, which was accompanied by a massive hemothorax.

    Authors: Fumi Ohsawa, Natsumi Matsuura, Kazuki Numajiri, Hitoshi Igai and Mitsuhiro Kamiyoshihara
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:28
    Content type: Case Report Published on:

  37. Pyoderma gangrenosum begins as a painful erythema with induration, vesicles, or hemorrhagic pustules, which develops into serous ulcers. In addition to ulcerative colitis and myelodysplastic syndrome, surgical...

    Authors: Jun Muto, Ryunosuke Hase, Sho Narita, Shouhei Otsuka, Akihiro Sasaki and Tatsuya Kato
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:32
    Content type: Case Report Published on:

  38. Ciliated muconodular papillary tumor (CMPT) is a rare type of tumor with both benign and malignant characteristics. Herein, we report the surgical case of a 65-year-old man with CMPT. Chest computed tomography...

    Authors: Hiroaki Shidei, Hiroe Aoshima, Akira Ogihara, Tamami Isaka, Hiromi Onizuka, Yoji Nagashima, Yukio Nakatani and Masato Kanzaki
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:29
    Content type: Case Report Published on:

  39. Among the types of lung resection procedures, pneumonectomy carries the highest risk for mortality. In recent years, bronchovascular double-sleeve lobectomy has been performed for centrally located non-small c...

    Authors: Toshiya Fujiwara, Kazuhiro Okada, Yutaka Hirano, Yuho Maki, Munehiro Saiki, Keiji Yunoki and Motoki Matsuura
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:33
    Content type: Case Report Published on:

  40. Cardiac calcified amorphous tumors (CATs) are non-neoplastic cardiac tumors of unknown origin and etiology. Several simultaneous CATs rarely occur in multiple cardiac chambers. Although CATs carry a benign pro...

    Authors: Hironobu Sakurai, Takeshi Someya, Satoshi Yamamoto, Eisaku Ito, Hidehito Kuroki and Toshizumi Shirai
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:31
    Content type: Case Report Published on:

  42. Subcutaneous extension of a perigraft seroma following thoracic aortic surgery is an infrequently encountered complication. For treatment, it is necessary to first exclude the possibility of perigraft fluid co...

    Authors: Tsutomu Doita, Taro Yamasumi, Yuki Nakamura and Haruhiko Kondoh
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:8
    Content type: Case Report Published on:

  43. Immune checkpoint inhibitors (ICIs) have been shown to prolong the survival of patients with non-small cell lung cancer (NSCLC) and have allowed complete resection for advanced lung cancer. However, immune-rel...

    Authors: Chikara Nakagami, Makoto Endoh, Marina Nakatsuka, Kenta Nakahashi, Hiroki Ota, Mari Aso, Takuma Sugiyama, Hiroki Suzuki and Satoshi Shiono
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:7
    Content type: Case Report Published on:

  44. It has been reported that severe tricuspid regurgitation may demonstrate constrictive pericarditis-like hemodynamics. In this article, we report a surgical case of solitary severe tricuspid regurgitation in wh...

    Authors: Daisuke Kaku, Hidekazu Hirai, Hiroyuki Seo and Tadahiro Murakami
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:6
    Content type: Case Report Published on:

  45. An intrapericardial bronchogenic cyst (IBC) is rare and compresses the surrounding organs, causing symptoms. Resection of an IBC leads to an improvement in symptoms. We completely resected an IBC by performing...

    Authors: Hirotoshi Suzuki, Itaru Ishida, Satoshi Kawatsu, Yuyo Suzuki, Katsuhiko Oda and Hiroyuki Oura
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:5
    Content type: Case Report Published on:

  46. An aberrant right subclavian artery complicated by acute aortic dissection has been reported. Aneurysmal degeneration in the descending aorta adjacent to the Kommerell diverticulum in older patients has also b...

    Authors: Hirofumi Kasahara, Hankei Shin and Yoshito Inoue
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:4
    Content type: Case Report Published on:

  47. In severe blunt trauma, multiple organ injuries are often observed. Patients with a ruptured diaphragm and pericardium are referred to as having pericardio-diaphragmatic rupture. However, few studies have repo...

    Authors: Takashi Yamashita, Katsuyuki Asai, Hideto Ochiai, Toshikazu Kanai, Yuta Matsubayashi, Keizo Tanaka and Takashi Hashimoto
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:3
    Content type: Case Report Published on:

  48. Tracheobronchial anomalies are extremely rare and are often associated with pulmonary arteriovenous anatomical anomalies. An anomalous right upper vein segment that passes between the pulmonary artery (PA) and...

    Authors: Hayato Konno, Mitsuhiro Isaka, Tetsuya Mizuno, Hideaki Kojima and Yasuhisa Ohde
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:2
    Content type: Case Report Published on:

  49. Silicone stents are options for airway stenosis or obstruction. Generally, silicone stent placement needs rigid bronchoscopy, but manipulation of a rigid bronchoscope has technical difficulties in some cases. ...

    Authors: Kazuto Sugai, Naohiro Kobayashi, Yusuke Saeki, Shinji Kikuchi, Yukinobu Goto, Hideo Ichimura and Yukio Sato
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:1
    Content type: Case Report Published on:

  50. The most common complication after tetralogy of Fallot repair is pulmonary valve regurgitation. However, concomitant surgery for tricuspid valve regurgitation and/or aortic dilatation is occasionally required.

    Authors: Ryuya Nomura, Kojiro Furukawa, Tomofumi Fukuda, Yuichiro Hirata, Tatsushi Onzuka, Kisho Ohtani, Ken-ichi Imasaka, Shigeki Morita and Akira Shiose
    Citation: General Thoracic and Cardiovascular Surgery Cases 2022 1:14
    Content type: Case Report Published on:
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General Thoracic and Cardiovascular Surgery Cases

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