A case of adenocarcinoma arising in a pulmonary bulla with air-fluid level
(Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Watanabe, K., Shiino, K., Masuda, M. Tags: Images in Cardiothoracic Medicine and Surgery Source Type: research

Excision of recurrent bilateral elastofibroma dorsi: A rare image
(Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Akkas, Y., Peri, N. G., Kocer, B. Tags: Images in Cardiothoracic Medicine and Surgery Source Type: research

Intracardiac lipoma in a child, causing right ventricular outflow obstruction
(Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Chellappan, S., Sahu, B. Tags: Images in Cardiothoracic Medicine and Surgery Source Type: research

Wandering cervical screw: from cervical vertebra to intermediate bronchus
(Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Demirkaya, A., Ersen, E., Kılıc, B. Tags: Images in Cardiothoracic Medicine and Surgery Source Type: research

Aortic coarctation associated with thrombosis mimicking interrupted arch
(Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Darwazah, A. K., Ibraheem, S. Tags: Images in Cardiothoracic Medicine and Surgery Source Type: research

Aortopulmonary ectopic parathyroid gland and concurrent thymolipoma
Ectopic parathyroid adenomas are considered the main cause of primary hyperparathyroidism. However, concurrent parathyroid and thymic pathologies are rarely diagnosed in the same patient. A 47-year-old man with history of diabetes mellitus, hypertension, and myasthenia gravis presented with persistent hypercalcemia. Laboratory investigations, computed tomography, and technetium-99 m sestamibi scintigraphy revealed ectopic parathyroid glands, a mediastinal mass, and an enlarged thymus. The patient underwent thymectomy and mass excision via a median sternotomy. Histopathology was consistent with ectopic parathyroid adenoma a...
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Abu Abeeleh, M., Bani Hani, A., Ghaith, A., Alodwan, T., Bani Ismail, Z., Alshehabat, M. Tags: Thoracic Source Type: research

Microthymoma in elderly-onset myasthenia gravis detected preoperatively
A 77-year-old woman with a 3-month history of muscle weakness was diagnosed with elderly-onset generalized myasthenia gravis (Myasthenia Gravis Foundation of America classification IIa) based on a high serum acetylcholine receptor antibody level (25.4 nmol·L–1) and neurological findings. Computed tomography detected a small nodule (diameter 15 mm) in the anterior mediastinum, which was suspected to be a thymoma. An extended thymectomy was performed. The pathological examination revealed a 6-mm-diameter thymoma, termed a microthymoma, accompanied with a unilocular thymic cyst without capsule formation (type B2 ...
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Hino, H., Nishimura, T., Seki, A., Nitadori, J.-i., Arai, T., Nakajima, J. Tags: Thoracic Source Type: research

Epithelioid sarcoma-like hemangioendothelioma on the chest wall
Epithelioid sarcoma-like hemangioendothelioma is a rare vascular neoplasm that usually occurs in the distal extremities of young adults. Although the overall behavior of this neoplasm is usually indolent with a low risk of distant metastasis, the risk of local recurrence is significant. Therefore, initial surgical treatment with an adequate margin is important to improve the prognosis. However, epithelioid sarcoma-like hemangioendothelioma is frequently misdiagnosed. A preoperative misdiagnosis could result in resection without a sufficient margin. Herein, we describe a 68-year-old man with epithelioid sarcoma-like hemangi...
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Tsubokawa, N., Harada, H., Taniyama, D., Uemura, T., Kuraoka, K., Yamashita, Y. Tags: Thoracic Source Type: research

A case of pulmonary placental transmogrification
We report a rare case of pulmonary placental transmogrification in a 72-year-old man, in whom the clinical presentation of the disease mimicked lung carcinoma. Histopathology of the surgically resected segment showed a complex bulla with squamous metaplasia and placental transmogrification. Whilst rare, pulmonary placental transmogrification must be ruled out in all patients presenting with unilateral bullous emphysema, without known risk factors. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Jenkins, J. M., Attia, R. Q., Green, A., Cane, P., Pilling, J. Tags: Thoracic Source Type: research

Mycobacterium avium infection complicating congenital bronchial atresia
Bronchial atresia is a rare congenital malformation that is often complicated by infectious disease; however, mycobacterial infection is rare. Here we report a case of Mycobacterium avium infection complicating congenital bronchial atresia. A 50-year-old woman consulted our institution for further investigation of a nodular lesion in an emphysematous lung due to congenital bronchial atresia. Because we were unable to rule out malignant disease, we performed video-assisted thoracoscopic surgery. After left S8 segmentectomy, the nodular lesion were diagnosed as Mycobacterial avium infection. Three years after surgery, there ...
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Matsuoka, K., Ueda, M., Miyamoto, Y. Tags: Thoracic Source Type: research

Endovascular repair for abdominal aortic aneurysm followed by type B dissection
An 86-year-old man with an abdominal aortic aneurysm was diagnosed with type B aortic dissection accompanied by a patent false lumen that started at the distal arch of the thoracic aorta and terminated at the left common iliac artery. Meticulous preoperative assessment detected 3 large intimal tears in the descending aorta, abdominal aortic aneurysm, and left common iliac artery. We performed single-stage thoracic and abdominal endovascular aneurysm repair and concomitant axillary-axillary bypass. The abdominal aortic aneurysm with type B aortic dissection was successfully treated using a single-stage endovascular stent gr...
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Shingaki, M., Kato, M., Motoki, M., Kubo, Y., Isaji, T., Okubo, N. Tags: Cardiac Source Type: research

A long-living case of carotid aneurysm caused by inflammatory leiomyosarcoma
We report here on a long-surviving patient with a vascular leiomyosarcoma arising in the right common carotid artery, and some possible reasons for the long-term survival. The patient was a 40-year-old woman who was diagnosed with a right common carotid aneurysm and underwent aneurysmectomy with graft replacement. Two years and nine months after her surgery, she developed a cerebral infarction and left hemiparesis due to graft occlusion, but later achieved functional recovery through physical rehabilitation. She has been alive for 20 years since her surgery. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Morita, I., Isoda, R., Hirabayashi, Y., Naomoto, Y. Tags: Cardiac Source Type: research

Management of idiopathic chylopericardium in Pregnant Patient
Idiopathic chylopericardium in pregnancy is extremely rare and poses difficulties in both decision-making and timing of surgery. A young lady who was 24-weeks pregnant presented with chylopericardium and increasing shortness of breath. Repeated nonsurgical interventions failed to resolve her pathology. She underwent thoracoscopic pericardial window formation and thoracic duct ligation, and made a satisfactory recovery. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Rafiq, M. U., Ali, J., Saad, H., Wilson, S., Van Tornout, F. Tags: Cardiac Source Type: research

Dumb-bell in the heart: rare case of biatrial myxoma with mitral regurgitation
We report a case of the very rare occurrence of biatrial myxoma associated with mitral regurgitation, which was successfully treated. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Ananthanarayanan, C., Bishnoi, A. K., Ramani, J., Gandhi, H. Tags: Cardiac Source Type: research

Emphysematous aortitis leading to esophagopleural fistula
We present the computed tomography features of emphysematous aortitis leading to esophageal rupture and esophageal-pleural fistula in a 76-year-old female with rheumatoid arthritis. (Source: Asian Cardiovascular and Thoracic Annals)
Source: Asian Cardiovascular and Thoracic Annals - October 9, 2016 Category: Cardiology Authors: Ufuk, F., Herek, D., Karabulut, N. Tags: Cardiac Source Type: research