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Sternotomy or thoracotomy for neonatal repair of coarctation of the aorta with aortic arch hypoplasia.
JTCVS Open
December 2024
Department of Cardiac Surgery, Boston Children's Hospital, Boston, Mass.
Objective: For neonatal repair of coarctation of the aorta, patients may either undergo thoracotomy with extended end-to-end anastomosis or sternotomy for aortic arch reconstruction with cardiopulmonary bypass. The objective of this study was to evaluate the comparative effectiveness of the 2 approaches in patients with arch hypoplasia.
Methods: This is a single-center retrospective cohort study from July 2005 through May 2022 of patients who underwent neonatal repair for isolated coarctation of the aorta with additional arch hypoplasia.
Case report: A case of giant malignant solitary fibrous tumor of the pleura with Doege-Potter's syndrome and review of the literature.
Front Oncol
November 2024
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.
The solitary fibrous tumor of the pleura (SFTP) is a rare intrathoracic neoplasm that commonly originates from the subpleural mesenchymal cells of the visceral pleura and accounts for less than 5% of all pleural tumors. We reported a case of a 54-year-old man with a two-week history of hypoglycemia, a six-month history of productive cough and fatigue, and chronic right chest pain. Radiological techniques revealed a giant intra-thoracic mass with hypervascularization, and pathological staining was carried out to make a definitive diagnosis of SFTP.
View Article and Find Full Text PDF[Obtaining Operative Field for the Repair of Thoracic Descending and Thoracoabdominal Aortic Aneurysms].
Kyobu Geka
September 2024
Department of Cardiovascular Surgery, The University of Tokyo, Tokyo, Japan.
Left thoracotomy with spiral incision is conventional approach for the repair of descending and thoracoabdominal aortic aneurysms. Because the aneurysms' locations and ranges are various, case-oriented approaches including body postures and the positions of thoracotomy are necessary. Preoperative computed tomography assessment of aneurysms is important for decision making of both operative indication and approach.
View Article and Find Full Text PDFResuscitative thoracotomy in France: For whom? By whom?
J Visc Surg
December 2024
Service de chirurgie digestive et de l'urgence, CHU de Grenoble-Alpes, université Grenoble-Alpes, CS 10237, 38043 Grenoble cedex, France. Electronic address:
Resuscitative thoracotomy is preferentially addressed to patients with penetrating thoracic injury and suffering from severe treatment-resistant hemodynamic instability, without pulse or in cardiopulmonary arrest for at most 15minutes. It is practicable in an emergency room, or ideally, in an operating theater. The procedure always begins with left anterolateral thoracotomy and can be prolonged through transversal bi-thoracotomy or, more rarely and according to the presumed origin of the hemorrhage, through median sternotomy.
View Article and Find Full Text PDFRemoval of an intra-aortic thrombus.
Multimed Man Cardiothorac Surg
October 2024
Division of Cardiac Surgery, Yale School of Medicine, New Haven, CT.
A 70-year-old female patient was referred from a peripheral hospital to our department with an incidental finding of an intra-aortic mass. Chest access was gained by a median sternotomy, and visualization of the intra-aortic mass was achieved using epiaortic ultrasound. After systemic heparinization, arterial cannulation was performed in the distal aortic arch.
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