Historically it was recommended for emergency thoracotomy in thoracic trauma as the last resort when there was cardiopulmonary arrest. Nowadays, the only indications are lung transplantation and huge mediastinal masses. We report the use of a clamshell thoracotomy in a 7-month-old boy with a large anterior mediastinal mass extending into the bilateral thoracic cavities.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185027PMC
http://dx.doi.org/10.4103/jiaps.jiaps_91_22DOI Listing

Publication Analysis

Top Keywords

clamshell thoracotomy
8
application clamshell
4
thoracotomy infant
4
infant large
4
large mediastinal
4
mediastinal tumor
4
tumor historically
4
historically recommended
4
recommended emergency
4
emergency thoracotomy
4

Similar Publications

Penetrating cardiac injuries: What you need to know.

J Trauma Acute Care Surg

December 2024

From the Emergency Surgical Services, Department of Surgery (J.G.P.), Santa Casa School of Medicine, Sao Paulo, Brazil; Division of Acute Care Surgery (R.C.), and Comparative Effectiveness and Clinical Outcomes Research Center (R.C.), Riverside University Health System Medical Center, Moreno Valley; and Loma Linda University School of Medicine (R.C.), Loma Linda, California.

Despite significant advances in trauma surgery in recent years, patients sustaining penetrating cardiac injuries still have an overall survival rate of 19%. A substantial number of deaths occur at the scene, while approximately 40% of those reaching trauma centers survive. To increase survival, the key factor is timely intervention for bleeding control, pericardial tamponade release, and definitive repair.

View Article and Find Full Text PDF

[Thoracotomy Approach to Large Tumors].

Kyobu Geka

September 2024

Division of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General Hospital, Hamamatsu, Japan.

Surgery for large tumors that occupy one side of the thoracic cavity requires a surgical strategy that considers not only the localization and size of the tumor but also tumor manipulation, access to adjacent vital organs such as the pulmonary arteriovenous, the tumor infiltration range, and combined organ resection. To perform safe and high-quality surgery, it is necessary to obtain a good surgical field, and determining the optimal surgical approach to use is also important. Thoracotomies include posterolateral thoracotomy, rib-cross thoracotomy, clamshell thoracotomy, hemi-clamshell thoracotomy, and transmanubrial osteomascular-sparing approach.

View Article and Find Full Text PDF
Article Synopsis
  • * A case study of a 36-year-old woman showed she had worsening shortness of breath and swelling, leading to a diagnosis of a large anterior mediastinal mass that was successfully surgically removed.
  • * The significance of this case highlights the need for early diagnosis of mediastinal liposarcoma in patients with respiratory symptoms, as prompt treatment can greatly improve patient outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • * There is hope, as some people can survive TCA and recover well with the right treatment right away.
  • * The HOTT protocol helps doctors focus on fixing issues like low blood volume and lack of oxygen, while advanced methods can make treatment even better.
View Article and Find Full Text PDF

Background: The Chiari network mostly causes no symptoms but may occasionally be involved in thrombus formation in the right atrium. We present a case of right atrial thrombus discovered in the postoperative course of blunt cardiac rupture.

Case Presentation: A 19-year-old female injured in a motor vehicle accident was transported to the hospital in a state of shock.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!