[Recurrent thymic carcinoid tumor--report of a case and review of the literature].

A case is presented of a 48-year-old male patient with thymic carcinoid tumor who was operated on twice and followed for 12 years. The original tumor was removed in 1979, and a recurrent tumor was removed 4 years later. Multiple metastases to the lungs, pleura and lymph nodes of the neck were found in 1988; chemotherapy (BAPP) and radiation therapy were not effective, and there was subsequent subcutaneous invasion of the anterior chest.

[Results of surgical repair by muscle flap closure for poststernotomy mediastinitis].

Between 1984 and 1991, 30 patients developed poststernotomy mediastinitis after cardiac or mediastinal operations. Sixteen of these patients were treated with debridement and open drainage or primary closure following mediastinal irrigation (drainage group). Fourteen patients were treated with debridement, and delayed or primary wound closure by the technique of pectoral or rectus abdominus muscle flap mobilization (muscle flap group).

[A case of tricuspid pouch associated with ventricular septal defect and functional left ventricular-right atrial communication].

We reported a 60-year-old woman with tricuspid pouch associated with ventricular septal defect and subsequent left ventricular-right atrial communication. Preoperative angiographic findings suggested the presence of membranous septal aneurysm, ventricular and atrial septal defects, and tricuspid insufficiency. However, at operation, besides perimembranous inlet type ventricular septal defect, a pouch, 1.

Right hemothorax: an unusual presentation of ruptured aortic dissection.

This report presents the case of a 55-year-old male with rupture of a descending thoracic aortic dissection into the right hemithorax who successfully underwent prosthetic graft replacement of the involved segment of the aorta through left thoracotomy.

[A rare case of airway foreign bodies complicated with flail chest following traffic accident].

A 30-year-old man was taken to the emergency room of this hospital because of chest injury following traffic accident. On arrival he was found to be dyspneic due to multiple rib fractures (flail chest) and tension pneumothorax on the left, and was intubated immediately concomitantly with a chest drainage. During the management with the respirator, he was also noticed to have continuous bleeding from the airway.

[A case report of anesthesia for concomitant right pneumonectomy and coronary artery bypass operations].

A 61-year-old man with previous myocardial infarction, was diagnosed as having lung cancer. Coronary arteriogram revealed stenoses of left anterior descending artery. We did the concomitant pulmonary and cardiac operations.

Electrical catheter ablation for drug-refractory sustained ventricular tachycardia with old myocardial infarction--a case report.

We performed electrical catheter ablation (ECA) in a patient who had old myocardial infarction and drug-refractory sustained ventricular tachycardia (VT). ECA using 100J to the earliest activation site and the pace-mapping site failed to prevent the VT. ECA using the same energy to the site at which mid-diastolic potential was recorded during tachycardia could successfully ablate the VT.

Survival following outlet strut fracture of a Björk-Shiley mitral prosthesis. Report of two cases.

Late outlet strut fracture occurred in two patients with the 27 mm Björk-Shiley 60 degrees Convexo-Concave mitral prosthesis. Both patients exhibited symptoms that appeared to precede strut fracture and both survived reoperation.

Surgery for an isolated aneurysm of the internal iliac artery. Report of three cases.

Three cases of isolated internal iliac artery aneurysm are reported. The patients, aged 89, 79, and 61, were all males. All three aneurysms were on the left side, and two of them had ruptured.

Right atrial thrombosis: association with constrictive pericarditis.

We report a 73-year-old man with right atrial thrombosis associated with both constrictive pericarditis and persistent sinus rhythms of the heart who successfully underwent thrombectomy and pericardiectomy.

Spina bifida occulta associated with a low-placed conus medullaris.

From 1977 to the present, we have managed 30 patients with spina bifida occulta associated with a low-placed conus medullaris. Twenty-six patients had surgery performed. Nineteen patients demonstrated urological and neurological improvement.