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Hypertension in pregnancy: An unresectable mediastinal pheochromocytoma
Hypertension is a relatively common occurrence during pregnancy, which usually has a benign course with an excellent prognosis. However, physicians caring for pregnant women should have a high index of suspicion for underlying medical conditions that could lead to a more perilous outcome. Herein, we present the case of a pregnant woman who was found to have uncontrollable hypertension late in her pregnancy, secondary to a mediastinal pheochromocytoma, which was deemed unresectable at the time of exploration after her delivery. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Gazala, S., Switzer, N., Bedard, E. L. Tags: Thoracic Source Type: research

Video-assisted thoracic surgery for cancer after thoracic aortic aneurysm repair
We report the successful use of video-assisted thoracoscopic surgery in 3 patients with history of open thoracic aortic aneurysm repair who presented with left lower lobe stage I non-small-cell lung cancer. While this approach is feasible, it is technically demanding and thus, at the present time, we recommend that its use be limited to high-volume video-assisted thoracoscopic surgery centers. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Taylor, L. J., Adesoye, T., Maloney, J. D. Tags: Thoracic Source Type: research

A case of syphilitic aortic aneurysm with sternal erosion and impending rupture
We report a case of syphilitic aortic aneurysm eroding through the sternum in a 52-year-old man who underwent successful surgical repair. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Mohamed Sarjun Basha, K., Raman, K., Ahmed, S. E., Latchumanadoss, K., Rajan, S. Tags: Cardiovascular Source Type: research

Endotracheal tube as tracheal stent in vascular ring
Management of vascular ring is always a matter of great concern. There is limited literature on management of carbon dioxide retention in mechanically ventilated patients with vascular rings due to double aortic arch, while awaiting corrective cardiac surgery. A 29-day-old girl with complete duplicated double aortic arch, left descending aorta, and a left patent ductus arteriosus, had severe upper respiratory tract obstruction with carbon dioxide retention. She was managed successfully by endotracheal tube manipulation. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Awasthy, N., Arora, H. S., Radhakrishnan, S. Tags: Cardiovascular Source Type: research

Pulmonary valvuloplasty for pulmonary atresia-restrictive ventricular septal defect
We present our experience of utilizing both transesophageal and epicardial echocardiography during surgical pulmonary valvuloplasty in a 22-day-old neonate with pulmonary atresia with restrictive ventricular septal defect. The atretic pulmonary valve was perforated using a sheath introduced through the pulmonary artery. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Reshmi, L. J., Gadhinglajkar, S., Mathew, T., Venkateshwaran, S., Sreedhar, R., Dharan, B. Tags: Cardiovascular Source Type: research

Subclavian artery aneurysm in a patient with vascular Ehlers-Danlos syndrome
We describe our experience of surgical treatment in a 28-year-old woman with vascular Ehlers-Danlos syndrome. A right subclavian artery aneurysm was detected. The right vertebral artery arose from the aneurysm. Digital subtraction angiography showed interruption of the left vertebral artery. The aneurysm was excised and the right vertebral artery was anastomosed end-to-side to the right common carotid artery under deep hypothermia and circulatory arrest. The patient remained very well 4 years after surgery, with no late vascular complication. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Yasuda, S., Imoto, K., Uchida, K., Uranaka, Y., Kurosawa, K., Masuda, M. Tags: Cardiovascular Source Type: research

Huge aneurysm and coronary-cameral fistula from right coronary branch: First case
We report the case of middle-aged woman who presented with a huge extracardiac aneurysmal mass and a coronary-cameral fistula from a right coronary artery branch. It was successfully repaired by ligation and excision plus marsupialization of the aneurysm. We believe this is the first such a case reported in literature. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Ahmad, T., Pasarad, A. K., Kishore, K. S., Maheshwarappa, N. N. Tags: Cardiovascular Source Type: research

Extracardiac Fontan in apicocaval juxtaposition
Extracardiac total cavopulmonary connection between the inferior vena cava and right pulmonary artery has become the most popular Fontan modification nowadays, yielding good results. However, certain situs anomalies along with systemic venous drainage variations give rise to an issue about the best way for extracardiac conduit routing. Three cases of apicocaval juxtaposition are described. The situs was inversus with the apex and inferior vena cava on the same side (left), whereas the superior vena cava (Glenn) was located on the right in all cases. The literature is revisited and technical options are discussed. Surgery w...
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Gil-Jaurena, J.-M., Perez-Caballero, R., Pita, A., Gonzalez-Lopez, M. Tags: Cardiovascular Source Type: research

Acute coronary artery bypass graft failure in a patient with polycythemia vera
Polycythemia vera in patients undergoing cardiac surgery is clinically rare. A 65-year-old man with polycythemia vera was admitted with effort-related chest discomfort. We planned coronary artery bypass grafting for left anterior descending artery and obtuse marginal branch stenosis, using bilateral internal thoracic arteries, with perioperative prophylactic management to avoid thromboembolism. His internal thoracic arterial grafts occluded during and after surgery due to thrombus, and ST-elevation myocardial infarction developed, which needed a percutaneous coronary intervention. This case suggests that optimal management...
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Osada, H., Nakajima, H., Meshii, K., Ohnaka, M. Tags: Cardiovascular Source Type: research

Aneurysm of the sinus of Valsalva dissecting into the intraventricular septum
We present the case of a 36-year-old man with an aneurysm of the sinus of Valsalva dissecting into the intraventricular septum, which induced severe aortic insufficiency and heart block. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Kato, T., Tomita, S., Tamaki, M., Okawa, Y. Tags: Cardiovascular Source Type: research

Successful repair of mesenteric ischemia in acute type A aortic dissection
A 64-year-old man with acute type A aortic dissection had superior mesenteric artery occlusion and marked metabolic acidosis. By an emergency laparotomy, bypass grafting from the left external iliac artery to the superior mesenteric artery was performed with great saphenous vein. After deep sedation and antihypertensive management in the intensive care unit, the acidosis resolved, and central repair was carried out. At 10 months postoperatively, his course has been uneventful without mesenteric complications. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Hisata, Y., Matsumaru, I., Yokose, S., Hazama, S. Tags: Cardiovascular Source Type: research

Missed diagnosis of Behcet disease causing aortic regurgitation
Aortic regurgitation is a rare and serious presentation of Behcet’s disease. Here we describe a case of missed diagnosis of Behcet’s disease in a 37-year-old man, causing symptomatic aortic regurgitation. Perioperative diagnosis of Behcet’s aortitis is crucial because surgical intervention carries high reoperative morbidity and mortality. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Tham, Y. C., Sin, Y. K. Tags: Cardiovascular Source Type: research

Two-stage approach for mixed total anomalous pulmonary venous connection
A 4-day-old boy underwent an urgent operation for mixed total anomalous pulmonary venous connection with the left upper pulmonary vein draining into the innominate vein and the other pulmonary veins draining into the coronary sinus. The left upper pulmonary vein was left uncorrected at that time. After periodical follow-up for 5 years, repair of the uncorrected anomalous pulmonary vein was performed. This two-stage operation is a viable option in cases of mixed type total anomalous pulmonary venous connection, leaving the isolated left upper vein uncorrected in the neonatal period, instead of an aggressive full repair. (So...
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Kasama, K., Gewillig, M., Rega, F., Meyns, B. Tags: Cardiovascular Source Type: research

Endovascular repair for retrograde type A aortic dissection with malperfusion
An 81-year-old man became semiconscious and suffered back pain followed by chest pain. Computed tomography showed retrograde acute type A aortic dissection with entries in the proximal and middle descending aorta, and an occluded true lumen of the right carotid artery. Emergency endovascular repair was performed. Immediately after deploying a stent-graft, aortography showed recanalization of the right carotid artery and no blood flow in the false lumen of the ascending aorta and aortic arch. The postoperative course was uneventful. Computed tomography at 6 months after the procedure showed obliteration of the false lumen a...
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Takahashi, S., Katayama, K., Takasaki, T., Sueda, T. Tags: Cardiovascular Source Type: research

A case of right superior vena cava draining into the left atrial roof
We report the multidisciplinary consideration in a case of right superior vena cava draining into the left atrial roof. A 12-year-old boy was diagnosed with a sinus venosus-type atrial septal defect associated with anomalous right upper pulmonary venous return. However, intraoperative inspection showed the right superior vena cava draining into the left atrial roof, associated with anomalous right upper pulmonary venous return. An anatomical radical operation was performed using a modified conventional technique. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - January 21, 2016 Category: Cardiology Authors: Yokoyama, S., Kaneda, K., Yoshida, Y., Nagasaka, S., Nishiwaki, N. Tags: Cardiovascular Source Type: research