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Objective: To evaluate the immediate outcomes and safety of simultaneous Maze procedure in patients with isolated and multivalvular heart disease via right-sided mini-thoracotomy.
Material And Methods: A retrospective analysis of postoperative outcomes included 21 patients with various valvular heart diseases and atrial septal defects with atrial fibrillation. All patients underwent heart valve surgery with cryoablation (left atrial, right atrial or biatrial «Maze» approach) via right-sided mini-thoracotomy.
Anaesthetic management of a breast cancer patient with cardiac tamponade and bilateral vocal cord paralysis.
BMJ Case Rep
November 2024
Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila, Manila, Metro Manila, Philippines.
Article Synopsis
- Metastatic breast cancer can lead to unusual complications, such as cardiac tamponade and bilateral vocal cord paralysis, as shown in a case of an elderly patient who had prior surgery for breast cancer.
- The patient underwent multiple surgical procedures, including thoracotomy and tracheostomy, due to these complications, which posed significant challenges for anaesthesia management.
- This case underscores the seriousness of advanced breast cancer and the need for careful consideration of anaesthetic strategies in similar situations.
Successful surgical intervention for acute pyothorax caused by methicillin-resistant Staphylococcus aureus thoracic pyogenic spondylitis: a case report.
Gen Thorac Cardiovasc Surg Cases
February 2024
Department of Thoracic Surgery, Toyama University Hospital, 2630, Sugitani, Toyama City, Toyama, 930-0194, Japan.
Background: 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. Conservative and surgical treatments are reportedly effective for the above-mentioned situations; however, there have been no comprehensive reports owing to the disease's rarity.
View Article and Find Full Text PDFSimultaneous transmediastinal esophagectomy and thoracoscopic lobectomy for synchronous double cancers of the esophagus and lung: a case report.
Gen Thorac Cardiovasc Surg Cases
April 2024
Department of Thoracic Surgery, Ayabe City Hospital, 20-1 Otuska, Aono-Cho, Ayabe-City, Kyoto, 623-0011, Japan.
Background: 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 simultaneous surgery due to the difficulty of performing radical esophagectomy only via the left thoracic approach and the high invasiveness of bilateral thoracotomy.
Case Presentation: A 65-year-old man who was diagnosed with synchronous double cancer of the esophagus and left lung underwent transmediastinal esophagectomy (TME) and thoracoscopic lobectomy (TSL) simultaneously.
Simultaneous beating-heart mitral valve replacement and aortic repair following Bentall procedure via double right mini-thoracotomies: a case report.
Gen Thorac Cardiovasc Surg Cases
September 2024
Department of Cardiovascular Surgery, Juntendo University Graduate School of Medicine, 2-11-6 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Background: 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 hand, redo mitral valve surgery via a right mini-thoracotomy approach appears to address these challenges. We successfully performed a double right mini-thoracotomies approach for mitral valve replacement and pseudoaneurysm repair under the beating-heart condition.
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