Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Mar 2012
Case ReportsNeedlescopic video-assisted thoracic surgery for reversal of thoracic sympathectomy.
Thoracic sympathectomy is a commonly performed surgical procedure for the treatment of palmar hyperhidrosis. However, one major complication of such a procedure is compensatory truncal hyperhidrosis. ⋯ Bilateral reoperative needlescopic video-assisted thoracic surgery was performed for the reversal of thoracic sympathectomy with an interposition intercostal nerve graft. The patient's truncal hyperhidrosis resolved gradually over 1 month following the reversal procedure.
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Interact Cardiovasc Thorac Surg · Mar 2012
Case ReportsPost-traumatic left ventricular pseudoaneurysm.
Left ventricular pseudoaneurysms (LVPs) occur as a complication of myocardial infarction, cardiac surgery and, rarely, due to thoracic trauma, infective pericarditis or iatrogenisis due to accidental perforation of the myocardium. Ventricular pseudoaneurysms are acquired by blood-filled spaces outside the cardiac chambers communicating with the ventricle. We present a case of LVP presented after a blunt non-penetrating chest injury. The patient underwent successful aneurysmorrhaphy.
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Interact Cardiovasc Thorac Surg · Mar 2012
Case ReportsCavitary lung cancer presenting as subcutaneous emphysema on the contralateral side.
Bronchocutaneous fistula is an extremely rare complication of lung cancer and is frequently seen following biopsy or radiotherapy. A 67-year old male patient was administered to our hospital due to sudden onset of shortness of breath and subcutaneous emphysema on the right side. ⋯ The patient was referred for adjuvant therapy to local oncology hospital. He passed away 9 months following diagnosis.
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Interact Cardiovasc Thorac Surg · Mar 2012
Case ReportsDiagnostic enigma: primary pulmonary artery sarcoma.
Primary angiosarcoma of pulmonary artery is a very rare lesion. We present a case of primary angiosarcoma that was initially misdiagnosed as a subacute massive pulmonary thromboembolism in a 30-year-old man. ⋯ Although the incidence of pulmonary artery angiosarcoma is very low, our case demonstrates that this disease entity should be included in the differential diagnosis of pulmonary thromboembolism. Patients with early identification can have curative potential with aggressive surgical intervention.
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Interact Cardiovasc Thorac Surg · Feb 2012
Case ReportsFolding mitral valvuloplasty without posterior leaflet resection for calcified mitral annulus.
Mitral valve annular calcification has long been a challenge in repairing posterior mitral valve prolapse. Folding valvuloplasty of the posterior leaflet without resection provides a means of circumventing common procedural complications. This report demonstrates the success of folding valvuloplasty without resection in the treatment of mitral valve prolapse and severe annular calcification.