Pericardial injury after motor vehicle accident.

Pericardial rupture is rare after blunt thoracic trauma and is associated with significant mortality. Mesh repair is recommended to prevent cardiac herniation and strangulation.

Showers of emboli from a large aortic root thrombus.

It is rare to find aortic root thrombi in the absence of aortic root aneurysm or extensive aortic atherosclerosis. Up to this date, only a few cases have been reported. The etiology has been mainly attributed to hypercoagulable disorders.

Dual intervention to improve pathologic staging of resectable lung cancer.

Background: Detection of lymph node metastasis is of immense prognostic value in patients with resectable non-small cell lung cancer (NSCLC), but routine pathologic nodal staging is suboptimal. To determine the impact on the rate of detection of nodal metastasis, we tested dual intervention with a prelabeled lymph node specimen collection kit to improve intraoperative node dissection and a fastidious gross dissection of the lung resection specimen for intrapulmonary lymph nodes.

Methods: We matched dual-intervention cases with controls staged using standard surgical specimen collection and pathologic examination protocols.

A combined open and endovascular approach to treat a persistent sciatic artery aneurysm in an obese patient.

Persistent sciatic artery is a relatively uncommon peripheral vascular malformation of the lower extremity arterial blood supply that is often misdiagnosed. We present a case report of a 52-year-old, obese female who presented to our center with symptoms of lower extremity ischemia. We describe a novel approach combining open and endovascular techniques for the treatment of a persistent sciatic artery aneurysm, providing maximal benefit, while minimizing potential complications due to her co-morbidities.