CTSNet - Clinical Cases http://www.ctsnet.org Clinical Cases en-us Copyright 2005 CTSNet support@ctsnet.org CTSNet RSS http://www.ctsnet.org/graphics/logos/organizations/ctsnet_logo_wht195.gif http://www.ctsnet.org 195 50 <![CDATA[Intrathoracic Migration Of Breast Implant After Thoracoscopic Surgery]]> Breast implant complications after thoracic surgery are relatively rare. We present an unusual case of an intact implant migration into the pleural space after thoracoscopic surgery that was initially read as hemothorax on computed tomography of the chest.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-30.html Fri, 09 Dec 2011 05:22:00 EST <![CDATA[Management of a Complex Aortic Dissection with Combined Open and Endovascular Techniques]]> Acute Type A aortic dissections can be challenging entities for cardiac surgeons and require close follow-up secondary to their propensity for aneurismal degeneration. A combined open and endovascular technique is described for treating the inital dissection and resultant complications.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-29.html Thu, 22 Sep 2011 05:02:00 EDT <![CDATA[Transcatheter Aortic Valve Implantation]]> Replacement of the aortic valve remains an effective treatment of severe aortic stenosis (AS). The authors provide a brief introduction into catheter-based approaches for the treatment of severe AS, with a focus on the operative techniques.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-28.html Mon, 14 Mar 2011 10:26:00 EDT <![CDATA[Endovascular Repair of Chronic Type B Aortic Dissection with Aneurysm: Midterm Follow-up]]> The article describes the 2-year follow-up of a patient with a 5-cm aneurysm of the descending thoracic aorta associated with a chronic Type B aortic dissection, which was successfully treated with an endovascular stent-graft.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-27.html Mon, 20 Dec 2010 11:56:00 EST <![CDATA[Ivor-Lewis Esophagectomy Without Left Gastric Pedicle Division ]]> Ivor Lewis esophagectomy is occasionally required in patients who have previously undergone gastric surgery.  A technique is described to salvage a gastric conduit by preserving the left gastric pedicle during esophagectomy.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-26.html Wed, 01 Sep 2010 05:35:00 EDT <![CDATA[Treatment of left ventricular pseudoaneurysm through left thoracotomy on a ‘beating’ heart]]>

The patient presented years after coronary artery revascularization with symptoms of CHF. He was diagnosed with a large pseudoaneurysm of the inferior wall of the left ventricle. Resection of the pseudoaneurysm and reconstruction of the left ventricle was completed while maintaining the beating heart.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-25.html Thu, 18 Mar 2010 12:10:00 EDT <![CDATA[Sternoclavicular joint obstruction of a gastric conduit ten years after transhiatal esophagectomy and sub-sternal pull-up]]> We present a patient who underwent transhiatal esophagectomy with a gastric conduit placed in the anterior mediastinum, and subsequently developed dysphagia from compression of her conduit by the left sternoclavicular joint, necessitating corrective surgery.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-24.html Tue, 02 Mar 2010 06:47:00 EST <![CDATA[Double Aortic Arch]]> Double aortic arch is the most common of the complete vascular rings, causing tracheo-esophageal compression. This is a case report of a double aortic arch with balanced aortic arches, presenting with extrinsic tracheobronchial obstruction.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-23.html Tue, 29 Sep 2009 04:28:00 EDT <![CDATA[Parenchymal Sparing Resection of an Infected Pulmonary Intralobar Sequestration]]> Pulmonary sequestrations are rare congenital malformations of lung tissue that do not connect normally to the tracheobronchial tree and receive systemic blood supply … Although 10-15% of patients may remain asymptomatic, most experts recommend resection to establish a diagnosis and prevent future complications.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-20.html Tue, 07 Oct 2008 11:53:00 EDT <![CDATA[Severe Diaphragmatic Eventration]]> Severe Diaphragmatic Eventration

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-22.html Sun, 07 Sep 2008 01:23:00 EDT <![CDATA[Endovascular Technique for Percutaneous Stent Graft Repair of Subclavian Artery Pseudoaneurysm]]> Endovascular Technique for Percutaneous Stent Graft Repair of Subclavian Artery Pseudoaneurysm

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-21.html Tue, 29 Jul 2008 08:55:00 EDT <![CDATA[Resection of an Intrathoracic Thyroid Gland]]> Resection of an Intrathoracic Thyroid Gland

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-18.html Wed, 11 Apr 2007 01:41:00 EDT <![CDATA[Endovascular Repair of a Descending Thoracic Aortic Pseudoaneurysm Using a Tapered Endoprosthesis]]> Endovascular Repair of a Descending Thoracic Aortic Pseudoaneurysm Using a Tapered Endoprosthesis

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-17.html Thu, 16 Nov 2006 11:19:00 EST <![CDATA[Pericardial Cyst]]> Pericardial cysts are an uncommon benign congenital anomaly in the middle mediastinum.  They represent 6% of mediastinal masses, and 33% of mediastinal cysts.  Other cysts in the mediastinum are bronchogenic – 34%, enteric – 12%, thymic and others – 21%.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-16.html Wed, 18 Oct 2006 03:23:00 EDT <![CDATA[Acquired Left Ventricle to Right Atrial Shunt (Gerbode Defect) and Massive Pulmonary Embolus]]> Acquired Left Ventricle to Right Atrial Shunt (Gerbode Defect) and Massive Pulmonary Embolus

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-14.html Mon, 18 Sep 2006 01:29:00 EDT <![CDATA[Chest Wall Invasion from Metastatic Chordoma]]> Chest Wall Invasion from Metastatic Chordoma

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-15.html Tue, 22 Aug 2006 10:45:00 EDT <![CDATA[Peripartum Diagnosis and Management of Diaphragm Agenesis]]> Unilateral diaphragmatic agenesis is a rare diagnosis typically made early in infancy and generally associated with other genetic anomalies. We present an unusual case of adult onset progressive shortness of breath and peripartum hepatic herniation into the chest, which on intraoperative exploration revealed diaphragmatic agenesis.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-13.html Fri, 23 Jun 2006 11:13:00 EDT <![CDATA[Use of Intravascular Ultrasound in Endovascular Stenting of Traumatic Rupture of the Descending Thoracic Aorta]]> Traumatic rupture of the thoracic aorta is a common cause of death after motor vehicle accidents. The gold standard for treatment of traumatic rupture of the descending thoracic aorta is a left thoraoctomy with replacement of the affected aorta. The endovascular treatment of aortic transection is an emerging alternative in multi-traumatized patients.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-12.html Thu, 25 May 2006 11:50:00 EDT <![CDATA[Transthoracic Repair Of Left-Sided Partial Anomalous Pulmonary Venous Connection]]> Partial anomalous pulmonary venous connection of the left upper lobe to a vertical vein is a rare congenital anomaly which can give rise to significant left-to-right cardiac shunting. We present the surgical technique employed in addressing this lesion through a left thoracotomy and include a video demonstration of the procedure.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-11.html Thu, 25 May 2006 03:05:00 EDT <![CDATA[Massive Hemoptysis In Children - Unusual Presentation In Pulmonary Hydatid Disease]]> Massive Hemoptysis In Children - Unusual Presentation In Pulmonary Hydatid Disease

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-10.html Fri, 21 Apr 2006 11:00:00 EDT <![CDATA[Repair of Aortoesophageal Fistula Arising from a Penetrating Atherosclerotic Ulcer of the Distal Transverse Arch]]> There are several scattered reports in the English literature describing successful repair of aortoesophageal fistulae. In most cases, the patients have had prior surgery involving the esophagus or the descending thoracic aorta, with an intrathoracic anastomosis in close proximity to the descending thoracic aorta.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-9.html Thu, 16 Mar 2006 09:00:00 EST <![CDATA[An Unusual Infection Presenting as a Chest Wall Mass]]> An Unusual Infection Presenting as a Chest Wall Mass

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-8.html Tue, 06 Dec 2005 01:00:00 EST <![CDATA[Necrotizing Esophagitis: The Black Esophagus]]> Necrotizing Esophagitis: The Black Esophagus

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-7.html Mon, 07 Nov 2005 10:00:00 EST <![CDATA[Recurrent Thymoma with Intracardiac Extension]]>

A 62-year-old Ukrainian man presented with facial swelling, chest wall varices, and a large mediastinal mass. He underwent core biopsy that demonstrated a mixed thymoma. Nine years previously, the patient had undergone an anterior thoracotomy and excisional biopsy of a mediastinal mass demonstrating necrotic tissue and no definitive diagnosis was made.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-6.html Fri, 21 Oct 2005 12:00:00 EDT <![CDATA[Management of a Left Ventricular Aneurysm in an Adult ]]> Management of a Left Ventricular Aneurysm in an Adult

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-4.html Wed, 14 Sep 2005 11:00:00 EDT <![CDATA[Blunt Traumatic Tracheal Laceration]]> The patient is a 16-year-old male who was a restrained passenger in a car that collided with a guardrail at high speed. He was initially admitted to the referring hospital with no respiratory symptoms and with oxygen saturations over 90%.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-5.html Tue, 16 Aug 2005 09:00:00 EDT <![CDATA[Endovascular Treatment of a Descending Thoracic Aortic Aneurysm]]> A 72 year old white male presented with a complaint of recent onset of upper mid-back pain.  He states that the pain starts in his chest and radiates to his upper back, and that the symptoms have been relatively constant for the last several weeks. 

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-3.html Wed, 08 Jun 2005 11:00:00 EDT <![CDATA[Spiral Vein Graft for SVC Stenosis ]]> A 44 year old female presented with a complaint of increasing swelling in her head and upper chest over the last year. She reported increasing shortness of breath and a drowning sensation when in the supine position. Her face becomes red and tight with minimal exertion. The past medical history is significant for hypogammaglobulinemia related to...

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-2.html Tue, 11 Jan 2005 10:00:00 EST <![CDATA[Bullous Lung Disease]]> A 42-year-old man with chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) complaining of worsening shortness of breath and respiratory distress.  His home oxygen requirement was 2 liters by nasal canula, and he has had multiple prior hospital admissions for respiratory failure.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-1.html Tue, 26 Oct 2004 10:00:00 EDT <![CDATA[An Interesting Source of Hemoptysis]]> A 52-year-old man presented to the emergency department with complaints of hemoptysis for two days (1/2 to 1 cup of bright blood).  At the time of admission, the patient reported a two-day history of fever (102o F) and chills, but denied weight loss or night sweats.

]]> http://www.ctsnet.org/sections/clinicalresources/clinicalcases/article-.html Mon, 26 Jul 2004 09:00:00 EDT