Kiyohumi Mitsui

Treatment of postoperative chylothorax with intrapleural fibrin glue

Two patients with chylothorax after pulmonary resection for lung cancer were successfully treated without thoracotomy by injection of fibrin glue components into the pleural cavity. This new technique for closing the chylous leak is described.

Successful treatment of invasive thoracopulmonary mucormycosis in a patient with acute lymphoblastic leukemia.

Background. Pulmonary mucormycosis associated with hematologic malignancy is an uncommon, but important opportunistic fungal pneumonia that is usually a fatal infection. Only a few survivors of pulmonary mucormycosis have been reported.

Ultrasonic Aspiration in Coronary Artery Surgery

With the aid of an ultrasonically powered aspiration device, the coronary artery to undergo distal anastomosis during aortocoronary bypass grafting can be exposed in the beating heart prior to institution of cardiopulmonary bypass and systemic administration of heparin. The thick adipose tissue and bridging muscles of the superficial layer are removed with almost no bleeding, leaving the vascular elements intact. The optimal site for anastomosis of the coronary artery is readily exposed and confirmed, and aortic cross-clamp time is minimized.

A Resected Case of Granular Cell Tumor of the Bronchus Associated with Obstructive Pneumonia.

症例は22歳男性で, 発熱・咳を主訴とし, 胸部X線写真上, 右下葉の閉塞性肺炎像を認めた. 6カ月後に再度閉塞性肺炎を起こしたため気管支鏡検査を行った. 気管支鏡検査で右肺底支を閉塞する腫瘤を認め, 生検にて顆粒細胞腫と診断された. 右下葉切除を施行. 腫瘍は右B7入口部に発生する30×10×10mmのポリープ状であった. 腫瘍細胞は, S-100蛋白・NSE陽性であった.気管, 気管支, 肺に発生した顆粒細胞腫は比較的まれな腫瘍で, 比較的大きな本腫瘍の治療は原則として外科的切除が選択されるべきと考える.