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  1. Durvalumab after chemoradiation (PACIFIC regimen) provides favorable treatment outcomes for unresectable stage III non-small cell lung cancer (NSCLC). The feasibility of salvage surgery after the PACIFIC regim...

    Authors: Takehiko Manabe, Masatoshi Kanayama, Hiroki Matsumiya, Katsuma Yoshimatsu, Masataka Mori, Natsumasa Nishizawa, Akihiro Taira, Masaru Takenaka, Koji Kuroda, Koichi Azuma and Fumihiro Tanaka
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:44
  2. Redo mitral valve surgery by re-sternotomy approach has challenges such as bleeding and organ injury due to adhesion dissection, sternal bone infection, and poor field of view of mitral valve. On the other han...

    Authors: Toshimasa Tanaka, Takeshi Kinoshita, Daisuke Endo and Minoru Tabata
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:43
  3. The coronary sinus type of atrial septal defect is rare. Standard treatment typically involves intracardiac repair using conventional sternotomy or thoracotomy incisions; however, robotic technology can offer ...

    Authors: Kazuki Noda, Yosuke Takahashi, Akimasa Morisaki, Yoshito Sakon, Kenta Nishiya, Goki Inno, Yukihiro Nishimoto, Munehide Nagao and Toshihiko Shibata
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:42
  4. Horner’s syndrome is a rare complication of cardiovascular surgery. A bone fragment and hematoma due to rib fracture after cardiac surgery may cause injury to the brachial nerve plexus and sympathetic nerve tr...

    Authors: Hiroto Yasumura, Koji Tao, Ryo Imada, Yushi Yamashita, Naoki Tateishi and Tamahiro Kinjo
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:41
  5. A 50-year-old woman with systemic lupus erythematosus and a history of aortic arch replacement surgery for Stanford type A aortic dissection experienced a reoccurrence of an ascending aortic aneurysm and coron...

    Authors: Hanae Sasaki, Ryosuke Kowatari, Yuki Imamura, Shintaro Goto, Akira Kurose and Masahito Minakawa
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:40
  6. Calcified amorphous tumor (CAT) of the heart is a rare, non-neoplastic cardiac mass with mitral valves and annuli being the most common sites. The presence of mitral annular calcification (MAC) is associated w...

    Authors: Satoki Ozoe, Yutaka Koyama, Masahiro Inagaki and Shinji Tomita
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:39
  7. The occurrence of aorto-right atrial fistula in a patient with Stanford type A aortic dissection is exceedingly rare, and the treatment has not been established.

    Authors: Takahito Yokoyama, Yasutoshi Tsuda, Katsuyuki Shigehara, Ryo Niside, Daiki Sato and Masato Nakajima
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:38
  8. Redo isolated tricuspid valve surgery has high in-hospital mortality and morbidity and is a challenging procedure. We report a successful case of redo isolated tricuspid valve replacement for structural valve ...

    Authors: Ryotaro Yamada, Homare Okamura, Rie Iwasaki and Atsushi Yamaguchi
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:37
  9. Cholesterol granuloma (CG) is a benign entity characterized by the presence of cholesterol crystals and foreign body giant cells. This condition can be attributed to cholesterol crystals that are deposited in ...

    Authors: Ryosuke Matsuda, Naoko Ose, Hideki Nagata, Eiichi Morii and Yasushi Shintani
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:36
  10. Calcified amorphous tumor of the heart is a rare non-neoplastic cardiac mass composed of calcified nodules over amorphous fibrous tissue with degeneration and some chronic inflammation. Calcified amorphous tum...

    Authors: Kyohei Hatori, Jun Mohara, Satoru Shibata, Miyuki Murata, Nobuaki Fukuda, Shitoshi Hiroi and Tetsuya Koyano
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:35
  11. An aortoenteric fistula (AEF) is a rare and lethal complication of esophagectomy. Fistulas frequently result from problems regarding acute infections or leaks, which are typically evident weeks after the treat...

    Authors: Erica Nishimura, Hirofumi Kawakubo, Asano Ryota, Takeuchi Masahi, Satoru Matsuda, Kazumasa Fukuda, Rieko Nakamura and Yuko Kitagawa
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:34
  12. The operative field in subclavian vessel surgery is limited by thoracic inlet and outlet structures. Although endovascular therapy for the subclavian artery could be an option, open repair management is occasi...

    Authors: Kota Itagaki, Shintaro Katahira, Katsuhiro Hosoyama, Yusuke Suzuki, Hiromichi Niikawa, Masayuki Otani, Ryuichi Taketomi, Koki Ito, Goro Takahashi, Kiichiro Kumagai, Yoshinori Okada and Yoshikatsu Saiki
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:32
  13. Pleural mesothelioma, characterized by a dismal prognosis even with multimodal therapy, has seen emerging interest in immune checkpoint inhibitors (ICIs) due to their demonstrated efficacy. Here, we present a ...

    Authors: Gaku Yamazaki, Aki Fujiwara-Kuroda, Jun Muto, Hideki Ujiie, Masato Aragaki, Megumi Furuta, Sakurako Ohno, Kanako C. Hatanaka, Yutaka Hatanaka, Yoshihiro Matsuno and Tatsuya Kato
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:31
  14. Most cases of chronic empyema are caused by acute thoracic empyema or tuberculous pleuritis. Open thoracotomy and decortication are traditional treatments for chronic empyema. However, some cases, such as thos...

    Authors: Junichi Morimoto, Taiki Fujiwara, Ryo Karita, Jotaro Yusa, Mitsutoshi Shiba and Tomohiko Iida
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:30
  15. Inflammatory myofibroblastic tumors (IMTs) are uncommon neoplasms most prevalent in individuals under 40 years old and predominantly in the lungs. Despite their rarity, multiple anaplastic lymphoma kinase (ALK...

    Authors: Shunsuke Nomura, Mitsuhito Kaji, Nobuyuki Shiina, Ryohei Chiba, Yasushi Cho, Haruhiko Shiiya and Tatsuya Kato
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:29
  16. Esophageal neuroendocrine carcinomas (NECs) are extremely rare. Published information on their clinical features, pathological findings, and prognosis is lacking. The optimal treatment for esophageal NECs has ...

    Authors: Takahiro Enjoji, Shinichiro Kobayashi, Kohei Hayashi, Hanako Tetsuo, Ryo Matsumoto, Yasuhiro Maruya, Tomonori Araki, Takuya Honda, Yuko Akazawa, Kengo Kanetaka, Kazuhiko Nakao and Susumu Eguchi
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:28
  17. Incomplete differentiation of the mitral valve structures during fetal life results in the papillary muscles and tendon cords becoming hypoplastic, a condition termed undifferentiated papillary muscles (UDPM)....

    Authors: Masato Hayama, Chihaya Ito, Yuichi Morita, Masayuki Shimizu, Masato Furui, Hitoshi Matsumura, Yoshio Hayashida, Mizuki Sumi, Go Kuwahara, Kiyoyuki Eishi and Hideichi Wada
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:27
  18. Coarctation of the aorta is a relatively common congenital heart defect. Various operative techniques have been proposed for aortic coarctation repair, which are tailored to individual patient circumstances. H...

    Authors: Kyohei Hatori, Jun Mohara, Miyuki Murata and Tetsuya Koyano
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:26
  19. The surgical management of critical aortic stenosis, mitral regurgitation, and left ventricular dysfunction is a significant clinical challenge. Whether left ventricular function will recover to support system...

    Authors: Yuta Teguri, Takashi Kido, Koji Miwa, Tomomitsu Kanaya, Shigemitsu Iwai, Hisaaki Aoki and Sanae Tsumura
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:25
  20. Simultaneous surgery for synchronous double cancers of the esophagus and lung is so invasive that minimally invasive surgical procedures are preferred. For left lung cancer, there are few reports on simultaneo...

    Authors: Kenji Kameyama, Koji Takao, Atsushi Shiozaki, Hitoshi Fujiwara and Tsunehiro Ii
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:24
  21. Adenoid cystic carcinoma of the lung grows gradually, and spreads along the bronchial wall, often requiring tracheobronchoplastic procedure during surgery; however, incomplete resection occasionally occurs due...

    Authors: Hidenori Kawasaki, Hironobu Hoshino, Shoko Nakasone, Hiroki Kawabata, Tomofumi Yohena and Eriko Atsumi
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:23
  22. A 17-year-old female was transferred to our hospital due to high fever, general fatigue, and dim eyesight. Three weeks before, she had used cosmetic colored contact lenses and then suffered from bloodshot eyes...

    Authors: Susumu Ishikawa, Hiroki Matsunaga, Hideki Mishima, Yasushi Katayama, Koichi Yuri, Koichi Ohashi and Daisuke Abe
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:22
  23. Cardiac tamponade caused by coronary artery injury is an extremely rare postlobectomy complication. Herein, we present a case of cardiac tamponade due to coronary artery injury after a left upper lobectomy for...

    Authors: Toru Kawakami, Tomohiro Iwakura, Ken Chen, Jun Atsumi, Kiyomi Shimoda, Miyako Hiramatsu and Yuji Shiraishi
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:21
  24. Two patients with hypoplastic left heart syndrome (HLHS) concomitant with cor triatriatum underwent the staged Norwood procedure following hybrid palliation. Cor triatriatum was diagnosed after birth in both case...

    Authors: Yukino Iijima, Takaya Hoashi, Takuro Kojima, Haruhiro Nagase, Yuji Fuchigami and Takaaki Suzuki
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:20
  25. Repair of multiple thoracic aneurysms with vocal fold palsy represents a surgical challenge. Here, we present a case of multiple cervical and thoracic aortic aneurysms with right vocal fold palsy successfully ...

    Authors: Yuki Imamura, Yoshiaki Saito, Kenyu Murata, Rin Itokawa, Ryo Taguchi and Masahito Minakawa
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:18
  26. A 59-year-old male underwent Bio-Bentall + total arch replacement with a frozen elephant trunk for acute type A aortic dissection before at another hospital. He was diagnosed as mediastinitis and previous gra...

    Authors: Tasuku Okada, Yojiro Koda, Katsuhiro Yamanaka and Kenji Okada
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:17
  27. Left ventricular pseudo-false aneurysm is a rare complication of myocardial infarction and generally caused by an intramyocardial dissecting hematoma due to a fragile myocardium. The serpiginous dissecting cas...

    Authors: Ryo Yamaguchi, Satoshi Ohki, Kiyomitsu Yasuhara, Shuichi Okonogi, Ayako Nagasawa, Takao Miki, Yusuke Kato and Tamiyuki Obayashi
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:16
  28. There is no high level of evidence for the treatment of fistulous empyema. We report here a promising technique for closure of a bronchopleural fistula using costal cartilage as a bronchial embolus.

    Authors: Yoshiki Kato, Yasoo Sugiura, Hiroyuki Fujimoto and Toshinori Hashizume
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:14
  29. An aberrant right subclavian artery (ARSA) is the most common congenital variant of the aortic arch and occurs in 0.5–1.8% of the population. Most patients with ARSA remain asymptomatic; however, symptoms asso...

    Authors: Yusuke Shintani, Satoru Tobinaga, Hiroyuki Saisho, Takanori Kono, Eiki Tayama, Shigeaki Aoyagi and Hiroshi Yasunaga
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:12
  30. Pyogenic spondylitis or intervertebral discitis rarely spreads into the thoracic cavity, resulting in pyothorax. Moreover, no study has reported methicillin-resistant Staphylococcus aureus (MRSA) as a cause. Cons...

    Authors: Naoya Kitamura, Yoshifumi Shimada, Hayato Futakawa, Hiroto Makino, Yusuke Takegoshi, Hitoshi Kawasuji, Keitaro Tanabe, Toshihiro Ojima, Koichiro Shimoyama, Yoshihiro Yamamoto, Yoshiharu Kawaguchi and Tomoshi Tsuchiya
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:11
  31. The mechanical complications associated with acute myocardial infarction can be fatal. We report a life-saving case of a very elderly patient with consecutive mechanical complications of acute myocardial infar...

    Authors: Makoto Takehara, Sanae Tomotsuka, Shinichi Tsumaru and Takeshi Shimamoto
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:10
  32. Angiosarcomas are soft-tissue sarcomas of endothelial cells that can arise from any site in the body. Primary mediastinal angiosarcoma is rare, with an extremely poor prognosis and currently no established tre...

    Authors: Koki Ikemoto, Satoshi Numata, Takuma Kobayashi and Hitoshi Yaku
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:9
  33. Stent graft-induced new entry (SINE) after thoracic endovascular aortic repair (TEVAR) is a serious adverse event which leads to stent graft migration and rupture. SINE is known to be more frequent in cases of...

    Authors: Itaru Hosaka, Takeshi Uzuka, Riko Umeta and Akihiko Sasaki
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:8
  34. Florida sleeve procedure is an operative technique for aortic root reconstruction that offers advantages such as reduced bleeding risk, shorter operation time, and improved formation of the atrioventricular ju...

    Authors: Yutaro Matsuno and Shigeru Ikenaga
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:7
  35. Most surgeons agree that symptomatic mediastinal bronchogenic cysts should be resected, and complete resection is considered mandatory to avoid recurrence. However, a symptomatic mediastinal bronchogenic cyst ...

    Authors: Tomonori Furugen, Takao Teruya, Shoko Nakasone, Hidenori Kawasaki, Masahiro Toyama, Keita Miyaishi, Syotaro Higa, Mizuki Ando, Tatsuya Maeda, Yuya Kise, Hitoshi Inafuku, Moriyasu Nakaema, Takaaki Nagano and Kojiro Furukawa
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:6
  36. Mediastinal lymphatic tumors are relatively rare. The prognosis is poor but has improved due to recent advances in treatment strategies. Herein, we report a case of mediastinal lymphoma diagnosed using surgica...

    Authors: Masao Kobayashi, Toru Kimura, Hideki Nagata, Eriko Fukui, Takashi Kanou, Naoko Ose, Soichiro Funaki, Masako Kurashige, Eiichi Morii and Yasushi Shintani
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:5
  37. Descending necrotizing mediastinitis (DNM) is a rare and life-threatening condition, with high morbidity and mortality. Consequently, appropriate and prompt diagnosis and treatment are necessary. Herein, we re...

    Authors: Yu Norimatsu, Naoki Enomoto, Daiki Kato, Shusuke Yagi, Kyoko Nohara, Kazuhiko Yamada and Norihiro Kokudo
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:4
  38. Atrio-esophageal fistula is a rare but still a catastrophic complication of radiofrequency ablation of atrial fibrillation. We report a successful case of atrio-esophageal fistula with right posterolateral tho...

    Authors: Kohei Hachiro, Noriyuki Takashima, Kentaro Matsuoka, Katsushi Takebayashi, Sachiko Kaida, Masaji Tani and Tomoaki Suzuki
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:3
  39. Primary lung cancer arising in a transplanted lung is much rarer than cancer arising in a native lung. We herein describe a case of lung cancer developing in a transplanted lung after single-lung transplantati...

    Authors: Koji Aze, Masaaki Sato, Masaaki Nagano and Jun Nakajima
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:2
  40. Repeat surgery is common in adult congenital heart disease, and valve-related procedures are the most frequent indication for re-intervention. In these cases, problems such as advanced adhesion, deterioration ...

    Authors: Satoshi Fujita, Hideki Tatewaki, Ichiro Sakamoto, Yoshihisa Tanoue and Akira Shiose
    Citation: General Thoracic and Cardiovascular Surgery Cases 2024 3:1
  41. Thymic mucoepidermoid carcinomas (MECs) are extremely rare malignant neoplasms. We describe a rare case of a MEC with a high histological grade in a patient who survived for more than 20 years after the initia...

    Authors: Shoko Hayashi, Keigo Matsushima, Masashi Mikubo, Masataka Tochimoto, Masaaki Ichinoe and Yukitoshi Satoh
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:105
  42. Perioperative acute ischemic stroke following lung resection is relatively rare, though a devastating complication. Specifically, patients undergoing left upper lung lobectomy for lung cancer are likely to dev...

    Authors: Tomohito Saito, Takenobu Kunieda, Yasumasa Hashimoto, Mitsuaki Ishida, Natsumi Maru, Takahiro Utsumi, Hiroshi Matsui, Yohei Taniguchi, Haruaki Hino and Tomohiro Murakawa
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:104
  43. Aortic–esophageal fistula (AEF) after thoracic endovascular aortic repair (TEVAR) has a high fatality rate and is difficult to treat. Endoluminal vacuum therapy (EVT) has recently appeared and proven to be a u...

    Authors: Shizuka Yoshidome, Ken Sasaki, Hideyuki Fumoto, Yusuke Tsuruda, Masataka Shimonosono, Yasuto Uchikado, Daisuke Matsushita, Takaaki Arigami, Kenji Baba, Hiroshi Kurahara and Takao Ohtsuka
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:103
  44. Various complications of permanent pacemaker implantation have been reported. However, late pacemaker lead-related myocardial perforation rarely occurs. Conservative treatment is generally selected, if possibl...

    Authors: Yoshiyuki Maruya, Takumi Yamaura, Hayato Mine and Hiroyuki Suzuki
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:102
  45. A unilateral absence of the pulmonary artery (UAPA) is a rare congenital anomaly, which in most patients is associated with congenital cardiovascular abnormalities. Some patients with UAPAs do not have associa...

    Authors: Megumi Kusano, Takashi Sakai, Takahiro Yoshizawa, Satoshi Koezuka, Yoko Azuma, Kazuma Kishi and Akira Iyoda
    Citation: General Thoracic and Cardiovascular Surgery Cases 2023 2:99

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