Kosin Medical Journal

Tracheostomy with aortic debranching: a case report: Jin Ho Choi, Haeyoung Lee; Kosin Med J. 2022;37(2):169-172. Published online April 27, 2022; DOI: https://doi.org/10.7180/kmj.21.046

Abstract PDF PubReader ePub: Percutaneous dilatational tracheostomy (PDT) is preferred over conventional surgical tracheostomy for prolonged airway protection and mechanical ventilation. However, despite its advantages, severe PDT-related complications have been reported, including catastrophic hemorrhage from common carotid artery laceration and innominate artery pseudo-aneurysm. PDT can typically be applied to the trachea, which is the focal point for the transverse course of great vessels (e.g., the anomalous brachiocephalic trunk, which overlaps with the targeted lesion anteriorly); therefore, to improve patient outcomes, an alternative method using aortic debranching may be considered.

Emergency rescue stent grafting for a ruptured degenerated graft that bypassed coarctation of the aorta: a case report: Jin Ho Choi, Min Suk Choi, Haeyoung Lee; Kosin Med J. 2022;37(1):89-92. Published online March 17, 2022; DOI: https://doi.org/10.7180/kmj.21.047

Abstract PDF PubReader ePub: A 33-year-old man who had undergone bypass from the distal aortic arch to the proximal descending thoracic aorta with a Dacron graft to treat coarctation of the aorta 20 years prior presented to the emergency department with massive hemoptysis. He was diagnosed with a graft-to-bronchial fistula. After thoracic endovascular aneurysm repair through the coarctation, aortic replacement was performed 3 weeks later. Therefore, emergency-rescue thoracic endovascular aneurysm repair can be considered for preventing aortic rupture.

Tricuspid and pulmonary valve endocarditis associated with double-chambered right ventricle: Jin Cheol Myeong, Jung Yeon Chin, Jin Ho Choi, Young Min Rah, Jun Hyung Park; Kosin Med J. 2015;30(1):81-85. Published online January 20, 2015; DOI: https://doi.org/10.7180/kmj.2015.30.1.81

Abstract PDF PubReader ePub: Abstract
We report a rare case of tricuspid valve and pulmonary valve endocarditis associated with a double-chambered right ventricle in an adult female with pulmonary artery aneurysm and septic pulmonary embolism by Streptococcus mitis. She was treated with aggressive antibiotic therapy followed by debridement of the infective lesion of tricuspid valve, pulmonary valve replacement using xenograft and resection of obstructing muscular bundles in right ventricle.

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