Patient Selection
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Thoracic
October 6, 2009
Ligation of the thoracic duct is indicated in any patient with a traumatic or iatrogenic chylothorax who has not responded to a brief trial of conservative management such as a low-fat diet, medium-chain triglycerides, total parenteral nutrition, and/or octreotide.
September 13, 2009
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.
September 13, 2009
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%.
September 9, 2009
This video was filmed from the perspective of a medical student investigating a career in cardiothoracic surgery.
August 10, 2009
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...
July 21, 2009
This video shows a left lower lobe sleeve resection (reimplantation of the left upper lobe bronchus into the left mainstem bronchus) for a carcinoid tumor in the left lower lobe bronchus.
July 15, 2009
Cardiothoracic surgery is undergoing a period of sweeping change. Our specialty was born out of the surgical treatment of tuberculosis and reached a "tipping point" near the half-way mark of last century.