Benign superior vena cava syndrome with uncontrolled pleural effusion by calcified mediastinal lymphadenopathy: surgical management.

Abstract:

:This report describes a rare case of benign superior vena cava syndrome (SVCS) accompanying recalcitrant pleural effusion developed secondary to extrinsic compression by anthracotic calcified mediastinal lymphadenopathy which was corrected by surgical bypass graft. An 81-year-old female presented with recalcitrant pleural effusion for several months despite of medical treatments. SVCS developed progressively without any other radiological evidence of malignancy or active infection on initial chest computed tomography (CT). A follow-up chest CT scan taken one month later revealed a poorly-defined mass-like lesion encasing the SVC. Near total collapse of the SVC due to circumferential compression by massive anthracotic calcified lymph nodes was noted in the surgical fields. A bypass graft was performed using an artificial vessel instead of endovascular treatment because of severe adhesion. The abrupt SVCS and uncontrolled pleural effusions completely disappeared after surgical correction.

journal_name

J Thorac Dis

authors

Lee YP,Chun EM,Kim YK,Kim KC

doi

10.21037/jtd.2017.06.51

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

E660-E663

issue

8

eissn

2072-1439

issn

2077-6624

pii

jtd-09-08-E660

journal_volume

9

pub_type

  • Vitamin B2 lung-marking method using black light irradiation.

    abstract:Background:Various approaches and markers for marking the lungs prior to lung tumor resection have been reported. In clinical practice, the hook wire localization method is often used owing to the simplicity of the technique. However, although rare, this method is associated with air embolism, which can be lethal. Beca...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2020.01.06

    authors: Tanaka Y,Matsumoto I,Takata M,Saito D,Yoshida S,Tamura M,Koda W,Waseda R,Takemura H

    更新日期:2020-03-01 00:00:00

  • Amide-linked local anesthetics induce apoptosis in human non-small cell lung cancer.

    abstract:BACKGROUND:A retrospective analysis of patients undergoing cancer surgery suggested that using local anesthetics could reduce cancer recurrence and improve survival rate. Previous studies have indicated that local anesthetics may induce apoptosis in several kinds of cells in vitro, but the mechanism is unclear. METHOD...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.09.66

    authors: Wang HW,Wang LY,Jiang L,Tian SM,Zhong TD,Fang XM

    更新日期:2016-10-01 00:00:00

  • Medical management of bronchiectasis.

    abstract::The medical management of bronchiectasis includes confirming the diagnosis of the disease, evaluating the patient for possible underlying etiologies and then properly assessing the patient for appropriate therapies. Patients with bronchiectasis are heterogeneous and a personalized approach to each patient is needed in...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.09.39

    authors: O'Donnell AE

    更新日期:2018-10-01 00:00:00

  • Percutaneous or surgical access for transfemoral transcatheter aortic valve implantation.

    abstract::Transcatheter aortic valve implantation is an important therapeutic option for patients with symptomatic, severe aortic stenosis at increased risk for open surgical aortic valve replacement. Although a number of alternative vascular access sites have been developed, transfemoral access is overwhelmingly the dominant a...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.09.48

    authors: Vora AN,Rao SV

    更新日期:2018-11-01 00:00:00

  • Percutaneous coronary intervention followed by minimally invasive valve surgery compared with median sternotomy coronary artery bypass graft and valve surgery in patients with prior cardiac surgery.

    abstract:BACKGROUND:In patients with prior cardiac surgery requiring re-operative coronary and valve surgery, a hybrid approach of percutaneous coronary intervention followed by minimally invasive valve surgery (PCI + MIVS) may be an alternative to the standard median sternotomy coronary artery bypass and valve surgery (CABG + ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.04.40

    authors: Santana O,Xydas S,Williams RF,LaPietra A,Mawad M,Wigley JC,Beohar N,Mihos CG

    更新日期:2017-06-01 00:00:00

  • Human embryonic lung fibroblasts treated with artesunate exhibit reduced rates of proliferation and human cytomegalovirus infection in vitro.

    abstract:BACKGROUND:Cytomegalovirus (CMV) pneumonia is a major cause of death in immunosuppressed patients. Despite the effective treatment with ganciclovir (GCV) and other antiviral agents, the mortality rate remains between 30% to 50%. Recently, the anti-malarial drug artesunate (ART) wasfound to exhibit significant anti-vira...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2015.07.05

    authors: Zeng AH,Ou YY,Guo MM,Dai X,Zhou DZ,Chen R

    更新日期:2015-07-01 00:00:00

  • Implications of pneumonitis after chemoradiation and durvalumab for locally advanced non-small cell lung cancer.

    abstract:Background:Consolidation durvalumab improved overall survival (OS) in locally advanced non-small cell lung cancer (LA-NSCLC) treated with chemoradiotherapy (CRT) in the PACIFIC trial; however, pneumonitis was increased with durvalumab. We sought to examine real-world outcomes with the PACIFIC paradigm, especially facto...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-1792

    authors: Hassanzadeh C,Sita T,Savoor R,Samson PP,Bradley J,Gentile M,Roach M,Mohindra N,Waqar S,Kruser TJ,Robinson C

    更新日期:2020-11-01 00:00:00

  • Anomalous origin of the left coronary artery from the pulmonary artery diagnosed during transcatheter treatment of severe pulmonary branch stenoses: a potentially life-threatening situation.

    abstract::We report an 8-year-old female undergoing interventional catheterization for treatment of pulmonary artery stenoses, atrial septal defect and patent ductus arteriosus. Anomalous left coronary artery arising from the pulmonary artery was diagnosed during the procedure. We highlight the importance of recognizing this ra...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2018.05.20

    authors: Robinson L,Baruteau AE,Fraisse A

    更新日期:2018-05-01 00:00:00

  • Liquid biopsy is a valuable tool in the diagnosis and management of lung cancer.

    abstract::Liquid biopsy refers to the use of various body fluids to test for circulating biological elements derived from the tumor. Liquid biopsy has taken on an increasingly important role in lung cancer diagnosis, molecular characterization, surveillance, monitoring, and determining mechanisms of resistance. These assays can...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2020.04.20

    authors: Cecchini MJ,Yi ES

    更新日期:2020-11-01 00:00:00

  • Diagnostic value of CD206+CD14+ macrophages in diagnosis of lung cancer originated malignant pleural effusion.

    abstract:Background:Pleural effusions are common complications of various diseases. Patients with malignant pleural effusion (MPE) usually face poor prognosis and short life expectancy. Discriminating between MPE and benign pleural effusion remains to be difficult. The aim of our current study was to evaluate whether CD206+CD14...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.06.44

    authors: Pei XB,Wu XZ,Yi FS,Zhai K,Shi HZ

    更新日期:2019-07-01 00:00:00

  • Learning curve of uniportal video-assisted lobectomy: analysis of 15-month experience in a single center.

    abstract:Background:Uniportal video-assisted thoracoscopic (U-VATS) lobectomy has been becoming the technique of choice in an increasing number of centers. The aim of our study was to review our experience, evaluating the learning curve of U-VATS for lung lobectomy and outcomes. Methods:The prospectively collected clinical dat...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.03.133

    authors: Nachira D,Meacci E,Porziella V,Vita ML,Congedo MT,Chiappetta M,Petracca Ciavarella L,Ismail M,Gualtieri E,Cesario A,Margaritora S

    更新日期:2018-11-01 00:00:00

  • Can lobe-specific lymph node dissection be an alternative to systematic lymph node dissection in treating early-stage non-small cell lung cancer: a comprehensive systematic review and meta-analysis?

    abstract:Background:Whether lobe-specific lymph node dissection (L-SLND) could serve as an alternative to systematic lymph node dissection (SLND) in treating early-stage non-small cell lung cancer (NSCLC) remains unclear. Therefore, we conducted this comprehensive meta-analysis to compare the effect of L-SLND with that of SLND ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.04.137

    authors: Deng HY,Qin CL,Li G,Alai G,Lin Y,Qiu XM,Zhou Q

    更新日期:2018-05-01 00:00:00

  • Preliminary evaluation and discussion of the safety of left innominate vein resection.

    abstract:Background:To evaluate the safety of resection of anterior mediastinal lesions involving the left innominate vein (LIV) and analyze the risk factors affecting LIV resection safety. Methods:Patients who underwent anterior mediastinal lesion and LIV resection from January 2010 to December 2018 in the Department of Thora...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2020.01.29

    authors: Wang HQ,Tian F,Wei M,Chen LH,Cheng SY,Feng Z,Ma J,Zhang TY,Guo YZ,Yin XL,Zhao ZW,Zhou YA

    更新日期:2020-03-01 00:00:00

  • Surgical approaches of endobronchial neoplasms.

    abstract::Endobronchial tumors are a rare entity that presents with different pathological findings. The interventional pulmonologist, but also the thoracic surgeon have at their disposal the same techniques for diagnosis, however; the two modalities differentiate in the treatment approach. Diagnosis evaluation should include l...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2013.06.22

    authors: Li Z,Zarogoulidis P,Kougioumtzi I,Darwiche K,Tsakiridis K,Katsikogiannis N,Stylianaki A,Kesisis G,Machairiotis N,Zarogoulidis K

    更新日期:2013-09-01 00:00:00

  • Tracheobronchial tuberculosis: a clinical review.

    abstract::Endobronchial tuberculosis (EBTB) is defined as tuberculous infection of the tracheobronchial tree. The exact pathogenesis is unclear, and it has a heterogenous clinical course. Its diagnosis requires the clinician to have a high index of suspicion based on clinical symptoms and radiological features. Computed tomogra...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.01.49

    authors: Siow WT,Lee P

    更新日期:2017-01-01 00:00:00

  • Deep sternal wound infection after cardiac surgery: a comparison of three different wound infection types and an analysis of antibiotic resistance.

    abstract:Background:Deep sternal wound infection (DSWI) is a severe complication following cardiac surgery. We compared epidemiology, clinical features, and microbiology of three types of DSWI and examined the antibiotic resistance in DSWI patients. Methods:From 2011 to 2015, 170 adult post-cardiac surgery DSWI patients were r...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.12.109

    authors: Ma JG,An JX

    更新日期:2018-01-01 00:00:00

  • Efficacy of epidermal growth factor receptor-tyrosine kinase inhibitors for Chinese patients with squamous cell carcinoma of lung harboring EGFR mutation.

    abstract:OBJECTIVE:Epidermal growth factor receptor (EGFR) mutation mostly occurred in lung adenocarcinoma, rarely in squamous cell carcinoma (SQCC). EGFR mutation rate in SQCC varied in previous reports, and the efficacy of EGFR tyrosine kinase inhibitors (TKIs) in SQCC harboring EGFR mutation has not yet been fully evaluated....

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.09.15

    authors: Fang W,Zhang J,Liang W,Huang Y,Yan Y,Wu X,Hu Z,Ma Y,Zhao H,Zhao Y,Yang Y,Xue C,Zhang J,Zhang L

    更新日期:2013-10-01 00:00:00

  • Coronary artery calcium scoring on non-gated, non-contrast chest computed tomography (CT) using wide-detector, high-pitch and fast gantry rotation: comparison with dedicated calcium scoring CT.

    abstract:Background:Our study assessed the reliability of non-gated, non-contrast chest computed tomography (NCCT) (with high pitch, wide coverage, and fast gantry rotation time, reconstructed at various slice thicknesses), compared with the electrocardiography (ECG)-gated calcium scoring cardiac computed tomography (CaCT), for...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-1371

    authors: Shin JM,Kim TH,Kim JY,Park CH

    更新日期:2020-10-01 00:00:00

  • Analysis of postoperative complications and risk factors in patients with permanent pacemaker implantation.

    abstract:Background:Permanent pacemaker implantation (PPI) is widely used for the treatment of chronic arrhythmia. The aim of the present study was to investigate the incidence of postoperative complications and the risk factors in patients with PPI. Methods:The clinical data of 124 patients who underwent PPI in our hospital f...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-2913

    authors: Jing S,Hu S,Ma S

    更新日期:2020-10-01 00:00:00

  • Navigational transbronchial needle aspiration, percutaneous needle aspiration and its future.

    abstract::Peripheral lung nodule evaluation represents a clinical challenge. Given that many nodules will be incidentally found with lung cancer screening following the publication of the National Lung Screening Trial (NLST), the goal is to find an accurate, safe and minimally-invasive diagnostic modality to biopsy the concerni...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.11.16

    authors: Arias S,Yarmus L,Argento AC

    更新日期:2015-12-01 00:00:00

  • Update: non-invasive ventilation in chronic obstructive pulmonary disease.

    abstract::Chronic obstructive pulmonary disease (COPD) remains a common cause of morbidity and mortality worldwide. Patients with COPD and respiratory failure, whether acute or chronic have a poorer prognosis than patients without respiratory failure. Non-invasive ventilation (NIV) has been shown to be a useful tool in both the...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.10.44

    authors: Shah NM,D'Cruz RF,Murphy PB

    更新日期:2018-01-01 00:00:00

  • We should ban the OPCAB approach in CABG, just as we should ban jetliners and bicycles, or maybe not!

    abstract::Implementing a new technical process demands a complex preparation. In cardiac surgery this complex preparation is often reduced to visiting a surgeon who is familiar with a technique. The science of learning has identified that several steps are needed towards a successful implementation. The first step is the creati...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2016.10.105

    authors: Sergeant P

    更新日期:2016-11-01 00:00:00

  • Chondromatous hamartoma of cervical esophagus: a case report and literature review.

    abstract::Esophageal chondromatous hamartomas are very rare tumors, characterized by proliferating hyaline cartilage cells. We described the case of a 64-year-old woman, with a progressive foreign body sensation in the laryngopharynx caused by an intraluminal pedicled mass. Transcervical esophagectomy was performed and intraope...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2017.02.79

    authors: Zhang C,Xu J,Wang Z,He Z,Yang H,Hu J

    更新日期:2017-03-01 00:00:00

  • Veno-arterial extracorporeal membrane oxygenation without therapeutic anticoagulation for intra-operative cardiopulmonary support during lung transplantation.

    abstract::Cardiopulmonary support is frequently required during lung transplantation. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has been recently shown to be an acceptable and, perhaps, safer alternative to cardiopulmonary bypass machine (CBM) for lung transplantation. However, therapeutic anticoagulation used...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2017.06.11

    authors: Bharat A,DeCamp MM

    更新日期:2017-07-01 00:00:00

  • Uniportal video-assisted thoracoscopic surgery lobectomy and segmentectomy for pulmonary sequestration.

    abstract:Background:Pulmonary sequestration is a rare disease whose development begins in the embryonic stage. Surgery is the definitive treatment for eliminating respiratory symptoms and preventing complications. Reports of uniportal video-assisted thoracoscopic surgery (VATS) lobectomy and segmentectomy for pulmonary sequestr...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.05.151

    authors: Lin TH,Huang WL,Chang CC,Yen YT,Lai WW,Tseng YL,Chen YY

    更新日期:2018-06-01 00:00:00

  • Emergency drain for post pneumonectomy bronchopleural fistula: a drain placement technique based on the siphon principle.

    abstract::Post pneumonectomy bronchopleural fistula (BPF) is a life-threatening complication requiring pleural cavity drainage to avoid acute mediastinal shift and contralateral aspiration pneumonia. Chest drain insertion in this situation may be technically difficult because of drastic anatomical changes such as mediastinal di...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.11.145

    authors: Petrella F,Sandri A,Rizzo S,Borri A,Galetta D,Gasparri R,Spaggiari L

    更新日期:2018-01-01 00:00:00

  • Right upper sleeve lobectomy by video-assisted thoracic surgery.

    abstract::With accumulation of experiences in video-assisted thoracic surgery (VATS) lobectomy, complete VATS sleeve lobectomy (SL) has been carried out in more and more medical centers. We here presented a procedure of sleeve right upper lobectomy by complete VATS for a 62-year-old male patient with central squamous cell carci...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.03.112

    authors: Guo J,Liu Y,Liang C

    更新日期:2018-07-01 00:00:00

  • Double lung point in an 18-month-old child: a case report and literature review.

    abstract:OBJECTIVE:Double lung point is a rare sign of pneumothorax in clinical practice. In this report I presented an 18-month-old child who presented with bilateral pneumothorax. DATA SYNTHESIS AND CASE PRESENTATION:Ultrasonography examination revealed conventional lung point sign on the right and double lung point on the l...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2015.01.14

    authors: Zhang Z

    更新日期:2015-03-01 00:00:00

  • Clinical utility of robot-assisted transthoracic esophagectomy in advanced esophageal cancer after neoadjuvant chemoradiation therapy.

    abstract:Background:Although robot-assisted minimally-invasive esophagectomy (RAMIE) surgeries are expanding clinically, few studies have reported patients with locally-advanced esophageal cancer who underwent neoadjuvant chemoradiation therapy (nCRT). Methods:From 2013 to 2017, 219 patients with esophageal squamous cell carci...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.07.53

    authors: Yun JK,Lee IS,Gong CS,Kim BS,Kim HR,Kim DK,Park SI,Kim YH

    更新日期:2019-07-01 00:00:00

  • Levels of 1,25(OH)2D3 for patients with pulmonary tuberculosis and correlations of 1,25(OH)2D3 with the clinical features of TB.

    abstract:BACKGROUND:To determine the 1,25-dihydroxyvitamin D3 [1,25(OH)2D3] concentrations to patients with tuberculosis (TB) and whether it influenced the patient's clinical features. METHODS:For the first part, a total of 153 healthy adults and 74 patients with pulmonary TB (PTB) were enrolled. Serum concentrations of 1,25(O...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2014.05.12

    authors: Gao WW,Wang Y,Zhang XR,Yin CY,Hu CM,Tian M,Wang HW,Zhang X

    更新日期:2014-06-01 00:00:00