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Successful Treatment of an Atypical Presentation of Disseminated Retroperitoneal Seminoma: A Case Report.
HCA Healthc J Med
December 2024
Menorah Medical Center, Overland Park, KS.
Background: Testicular seminoma is the most common malignant tumor of the testis. It occurs at a rate of 5 per 100 000 men, primarily between the ages of 15 to 34. While seminomas typically occur in the testis, other primary sites include the mediastinum, the retroperitoneum, or other extra-gonadal sites.
View Article and Find Full Text PDFHybrid Setting for Minimally Invasive Mitral Surgery in Patients With Inferior Vena Caval Filters.
Ann Thorac Surg Short Rep
December 2024
Division of Cardiac Surgery, City of Health and Science (Città della Salute e della Scienza) and Department of Surgical Sciences, University of Turin, Turin, Italy.
Current cardiac surgery has evolved to include hybrid and minimally invasive settings. In parallel, less invasive techniques have been extended to complex clinical scenarios and may prove even more beneficial in higher-risk patients. However, comorbidities and challenging anatomy still represent limitations to widespread application of this philosophy.
View Article and Find Full Text PDFA Curious Case of Scimitar Syndrome That Defies Embryology.
Ann Thorac Surg Short Rep
December 2024
Department of Pediatric Cardiac Surgery, Cleveland Clinic, Cleveland, Ohio.
Scimitar syndrome is a rare condition described by unique anatomic features that consist mainly of an abnormal connection of the right pulmonary veins to the inferior vena cava and right atrial junction, as well as an anomalous systemic arterial supply to the right lung. We present the case of a 60-year-old man with an atypical variant of scimitar syndrome that was embryologically perplexing and anatomically challenging to correct. We highlight key surgical and procedural considerations for a patient with scimitar syndrome presenting with this complex surgical anatomy.
View Article and Find Full Text PDFA Thoracic Surgery-Specific Risk Assessment Model to Prevent Perioperative Venous Thromboembolism.
Ann Thorac Surg Short Rep
March 2023
Division of Thoracic Surgery, Intermountain Healthcare, Murray, Utah.
Background: The risk of venous thromboembolism (VTE) in patients undergoing resection in the setting of lung cancer represents a major challenge to improving postoperative outcomes. The Caprini risk assessment model has been validated in general surgery to determine a role for extended chemoprophylaxis to reduce VTE events. Our goal was to simplify this burdensome model for the unique needs of this thoracic surgical population to better guide anticoagulation decision-making.
View Article and Find Full Text PDFStrutting Through: Migration of Fractured Inferior Vena Cava Filter Through the Right Ventricle.
Ann Thorac Surg Short Rep
March 2023
Department of Cardiothoracic and Vascular Surgery, Saint Luke's Mid America Heart Institute, Kansas City, Missouri.
A 68-year-old woman who had a retrievable inferior vena cava filter implanted 10 years ago presented with sudden-onset back pain. Initial computed tomography angiography demonstrated migration of a fractured strut that appeared embedded in the anterior right ventricular free wall without pericardial effusion. Subsequent gated computed tomography of the chest demonstrated further migration of the fragment, which was now penetrating the right ventricular free wall and extending into the pericardial sac.
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