JTCS KCI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Noriyoshi Sawabata
Shinichiro Miyoshi
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kobayashi, S.
Right arrow Articles by Miyoshi, S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Kobayashi, S.
Right arrow Articles by Miyoshi, S.

J Thorac Cardiovasc Surg 2007;134:1371-1372
© 2007 The American Association for Thoracic Surgery

Brief Communication

Dissection of a mediastinal mature teratoma requires replacement of the ascending aorta during cardiopulmonary bypass

Satoru Kobayashi, MD, PhD*, Noriyoshi Sawabata, MD, PhD, Osamu Araki, MD, Yoko Karube, MD, PhD, Norio Seki, MD, Motohiko Tamura, MD, PhD, Hideo Umezu, MD, Hiromi Ishihama, MD, Sensuke Nagai, MD, PhD, Shinichiro Miyoshi, MD, PhD

Department of Cardiothoracic Surgery, Dokkyo University School of Medicine, Tochigi, Japan.

Received for publication March 13, 2007; accepted for publication April 23, 2007.

* Address for reprints: Satoru Kobayashi, MD, Department of Cardiothoracic Surgery, Dokkyo University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan. (Email: kobayasi@dokkyomed.ac.jp).

The first 20% of the full text of this article appears below.

A mediastinal mature teratoma occasionally ruptures into adjacent organs and causes various complications, although such a rupture into the ascending aorta is extremely rare. We report a case complicated by perforation of the aorta during an operation that required replacement of the aorta with an artificial graft and discuss the pathophysiology of the perforation.

Clinical Summary

A 25-year-old woman with substernal chest pain visited a local clinic in June 2003, during which time chest radiographic and electrocardiographic findings did not reveal any abnormalities. At 1 year and 3 months later, the patient visited another clinic with more severe and progressing symptoms, from which she was referred to our hospital for further investigation of an abnormal shadow on a chest X-ray image.

The patient had no notable past or family history. Systolic cardiac murmurs were auscultated in the third intercostal space in the left sternal border. A laboratory study demonstrated inflammatory findings of leukocytosis of 1.2 x 109/L, increase of C reactive protein level to 4.6 mg/dL, and increase of carcinogenetic antigen 19-9 level to 585 U/mL. Chest computed . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2007 by The American Association for Thoracic Surgery.