Spontaneous pneumothorax with a pleural adhesion at the apex is considered to be the indicator for surgery because of the risk of hemothorax.Lung metastasis of gastric cancer often provides as multiple pulmonary metastases or cancerous lymphadenopathy, that will be seldom indicated for surgery and contains a poor prognosis. We report an incident of solitary metastases that were surgically resected. The patient underwent distal gastrectomy for stomach cancer tumors and then obtained chemotherapy for abdominal lymph node metastasis. However, he created pulmonary metastases in the right S6 and S8, and thus underwent right S6 resection and limited resection 29 and 41 months after the gastrectomy, correspondingly. The pathological analysis was gastric cancer tumors metastases. After undergoing surgery for resection for the metastases, he created brand new metastases in abdominal lymph nodes and died five years following the 1st surgery.Alkaptonuria is an unusual hereditary disorder of phenylalanine and tyrosine metabolic rate, which causes ochronosis of cardio structures including valves, aortic intima, and coronary arteries. Aortic valve disease is considered the most usually reported cardiac sequela of alkaptonuria. We report an instance of 77-year-old woman with understood alkaptonuria just who underwent aortic valve replacement for severe aortic stenosis. Operative conclusions showed impressive ochronosis of this aortic valve and also the aortic intima. The post-operative course was uneventful and she was discharged 25 times after the surgery.A 53-year-old man had been presented with Stanford type A acute aortic dissection. We first performed crisis ascending aortic replacement under selective cerebral perfusion with moderate hypothermia. He developed abdominal pain following the surgery. Six times after the first surgery, calculated tomography disclosed that this new entries had been found in the distal anastomosis site plus the distal aortic arch, as well as the real lumen of the aorta had been obstructed because of the false lumen and stenosis. Visceral malperfusion was diagnosed and emergent total debranching thoracic endovascular aortic fix (TEVAR) had been prepared. One proximal covered stentgraft and 2 distal bare stents were deployed.We herein report a case of thoracic endovascular aortic repair( TEVAR) for chronic aortic dissection with an aberrant remaining vertebral artery( LVA) originating through the aortic arch. A 51-year-old man with a medical reputation for Stanford kind B acute aortic dissection a couple of years ago ended up being utilized in our establishment for the treatment of an aortic expansion. Computed tomography revealed a large entry just distal into the takeoff of the left subclavian artery and a dilated dissected thoracic aorta. A left cervical cut throughout the anterior edge associated with sternocleidomastoid had been made, together with LVA ended up being identified. The proximal LVA had been ligated and anastomosed to the left common carotid artery in an end-to-side fashion. After completion of the carotid-subclavian bypass, TEVAR was done in the normal style. The postoperative training course had been uneventful without swing or spinal-cord injury. At the 1-year followup, the untrue lumen had shrunk and the LVA stayed patent.Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disease when the range platelets decreases because of auto-antibodies against platelets. We report that thoracic endovascular aortic repair (TEVAR) had been successfully done for a thoracic aortic aneurysm complicated by ITP. The individual was a guy of 77 years old. He previously a brief history of splenectomy as a result of ITP. He had been accepted to your medical center with an aneurysm associated with the aortic arch that enlarged to a maximum minor axis of 63 mm. An operation was planned. Due to avian immune response ITP, it had been judged that replacement of this aortic arch making use of a cardio-pulmonary pump will be connected with a top chance of bleeding. Therefore, 2-debranching TEVAR ended up being selected and carried out with no hemorrhagic complications. He had been released from the hospital from the 12th day after surgery. We think that 2-debranching TEVAR is beneficial for reducing perioperative bleeding in patients with ITP.Syphilitic aortic aneurysm is seldom observed in the antibiotic drug age. Statistically the amount of customers is increasing these days and 10% of these appear to this website develop syphilitic aortitis. A 59-year-old male went to the emergency room due to chest disquiet and basic tiredness. Treponema pallidum exudate agglutination (TPLA) and rapid plasma reagin (RPR) were both highly good on blood tests. White blood cellular matters and C-reactive protein height had been additionally found. He couldn’t work out how or as he had been experiencing syphilis. He had a need to undergo a hybrid 2-stage surgery urgently, Total arch replacement and thoracic endovascular aortic repair (TEVAR), because his thoracic aortic aneurysm was developing more rapidly. No problem has actually happened during or after surgery. Computed tomography after surgery revealed successful exclusion for the thoracic aneurysm. It’s important to not ever forget that syphilis is just one of the factors behind aortic aneurysm.A 61-year-old woman ended up being labeled our medical center with a complaint of upper body compression. Coronary angiography revealed a giant coronary artery aneurysm, located in the center of a coronary-pulmonary artery fistula originating through the medicinal resource correct coronary artery. Another fistula was also shown between your remaining anterior descending artery as well as the pulmonary artery. Surgical correction ended up being indicated as a result of dangers of this aneurysmal rupture and coronary activities.