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.
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Mediastinum
March 1, 2010
February 8, 2010
Patient Selection
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.
August 19, 2008
Patient Selection
July 1, 2008
Epiphrenic diverticuli are acquired mucosal outpouchings protruding through the muscular wall of the distal 10 cm of the esophagus. Most are associated with an underlying esophageal motility disorder.
July 1, 2008
Buttressing suture/staple lines in thoracic surgery has been shown to promote healing and prevent breakdown, especially in situations where the native tissues have been compromised. There are a wide variety of tissue flaps that have been used within the chest ranging from pleura, muscle, to omentum.