CARDIAC SURGERY

Chest Wall

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Chest Wall

CHEST WALL TUMORS Introduction ▪ Tumors of the chest wall include a wide variety of bone and soft tissue diseases ( Tables 50-1 and 50-2 ): ○ Primary benign and…

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Imaging of the Thoracic Surgery Patient

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Imaging of the Thoracic Surgery Patient

THE THORAX: RADIOLOGIC-ANATOMIC CORRELATIONS IMAGING MODALITIES General Considerations ▪ A variety of imaging options are available to thoracic surgeons for evaluation of the thorax. ▪ The choice of imaging examination…

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Management of Esophageal Perforation

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Management of Esophageal Perforation

INTRODUCTION Esophageal perforation is a dangerous problem with a high mortality rate (9%–36%), as reviewed by Bufkin and associates. Early diagnosis and management is key to improved outcomes. Thus, it…

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Posterior Mediastinal Masses

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Posterior Mediastinal Masses

TERMINOLOGY ▪ The posterior mediastinum is bounded by the pleura laterally and is posterior to the pericardium. It includes the thoracic spine and the paraspinal gutters. ANATOMY Depending on the…

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Masses of the Anterior Mediastinum

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Masses of the Anterior Mediastinum

MASSES OF THE THYMUS DEFINITIONS ▪ Lymphoid follicular thymic hyperplasia (autoimmune thymitis): Replacement of the thymic cortex with multiple lymphoid follicles and germinal centers. The tissue retains its shape but…

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Pleural Effusions and Complications

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Pleural Effusions and Complications

DEFINITION The accumulation of pleural fluid due to an imbalance in hydrostatic and oncotic pressure or increased permeability. ETIOLOGY ▪ The pleural space exists between the parietal and visceral pleura….

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Surgical Techniques and Options

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Surgical Techniques and Options

TERMINOLOGY ▪ Donor ▪ Lung preservation ▪ Single lung transplantation ▪ Sequential bilateral lung transplantation ▪ Living donor (lobar) transplantation ▪ Heart-lung transplantation DONOR ▪ Twenty percent of otherwise suitable…

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Masses of the Middle Mediastinum

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Masses of the Middle Mediastinum

TERMINOLOGY ▪ Amyloidosis ▪ Angioimmunoblastic lymphadenopathy ▪ Angiomatous lymphoid hamartomas ▪ Azygos vein varix ▪ Benign mediastinal lymphadenopathy ▪ Bronchogenic cyst ▪ Castleman’s disease ▪ Chylous cysts ▪ Clear water…

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Pneumothorax and Bronchopleural Fistula

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Pneumothorax and Bronchopleural Fistula

PNEUMOTHORAX DEFINITIONS ▪ A pneumothorax is a condition in which air has entered and becomes entrapped within the pleural space. ▪ A spontaneous pneumothorax is either primary or secondary and…

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