Content from the Journal of the American Neurological Surgeons.
Pediatric mediastinal masses pose a challenging case for the pediatric surgeon due to narrow working space and a concentration of vital structures in the area. Mediastinal masses are typically diagnosed on chest radiograph in a child presenting with dyspnea, cough, fever, and/or general malaise, though a large proportion of mediastinal masses are diagnosed as incidental…
We present a case of a 40-year-old female who presented with cyclical abdominal pain and was subsequently diagnosed with endometriosis. Computed tomography scan of the chest revealed a 25mm nodule in the right hemidiaphragm, and she was therefore consented for robot-assisted diaphragmatic resection and repair and pleurectomy to prevent possible catamenial pneumothorax. We initially approached…
A schwannoma is a type of a tumor of the nerve sheath. It’s the most common type of benign peripheral nerve tumor in adults. It can occur anywhere in the body, at any age. Occasionally, it appears within the chest and can affect the anterior or posterior mediastinum. Surgical excision is the preferable treatment option.…
Donation after Circulatory Death (DCD) is gaining worldwide acceptance as an adjunct to brain death (BD) in transplant surgery. Initially performed for abdominal organs procurement, DCD was then carried out for heart and lung transplants (HT). Most DCD-HT protocols regard their first cases to be performed with both donor and recipient located in the same…
I was very nervous about taking on this case because normally when you do a segment 6 or segment 2 resection, the first move is to go in the fissure to then easily dissect out all the anatomy. With the tumor in the fissure, that was not going to be possible. I knew that I…
We present a case of complex redo-reconstruction surgery for recurrent sternal non-union. Our 63yo female patient initially underwent coronary artery bypass grafting with four grafts in 2018 with utilization of both internal mammary arteries. Unfortunately, she developed sternal dehiscence six months afterwards and required sternal reconstruction which failed to heal. She represented with persistent pain…
Bronchial sleeve resection with end-to-end anastomosis is described as the most complex bronchoplasty procedure (1). Cases performed by an experienced surgeon are either done using double or triple port VATS (2). We are presenting a 38-year-old patient who was referred to our service complaining of 1-month history of hemoptysis. CT scan showed soft tissue lesion…
A 29-year-old man was found to have right bundle branch block in ECG during regular health check-up and was diagnosed with SVC type of sinus venosus ASD with PAPVC of right upper and middle pulmonary veins. He refused surgery at that time and was kept under follow up. One year later, he developed dyspnea on…
Purpose: The incidence of long-term Fontan complications have led some centers to reevaluate their “functionally single ventricle” patients for different surgical strategies. [1] Other centers have described their short-term outcomes with biventricular (BiV) conversions for patients with small left-sided heart structures. [2] Methods: We present a video case report of the course and operations for…
AV canal is a complex heart condition and several different techniques of repair have been used. We present different techniques that we adapt to individual patient anatomy.The first infant we present had complete AV canal with a large VSD with minimal chordal attachments to the ventricular septum. We utilized a two-patch technique with two autologous…
This is a video of the first Versius Robotic Segmentectomy. It is a segmentectomy of the apical segment of the right upper lobe by the team in Argenteuil, Paris. It was performed using the Endoscopic base unit, two other instrument units (a 3mm handheld grasper as the third instrument), and an assistant port. They did…
Cleft Sternum (CS) contributes to only 0.15% of all chest wall malformations. It is either complete or incomplete type. Complete CS is very rare and involves non-union of the sternal plates from the manubrium to the xiphoid. There are many methods of surgical correction. Sabiston described multiple bilateral sliding chondrotomies to approximate the defect. In…
Trans-Septal/Intraconal Left Main Coronary Artery (LMCA) is a rare form of coronary arterial anomalies. It has been linked to increase risk of myocardial ischemia and sudden death. In this anomaly, the proximal portion of LMCA is surrounded by the myocardium of the interventricular septum. Usually there is a single anterior coronary artery that gives origin…
Laser-assisted resection of pulmonary metastasis has been established for over a decade (1). A significant advantage over conventional wedge resection is the preservation of lung tissue, allowing resection of multiple and/or bilateral metastasis without compromising pulmonary function, whilst achieving similar survival and recurrence rates (2). The technique has since been adapted to the VATS setting.…
This is a report of a successful slide tracheobronchoplasty for right mainstem bronchial agenesis. Patient is a 2.4kg ex-36 week male (with a corrected gestational age of 39.6 weeks at time of surgery) with an antenatal diagnosis of congenital high airway obstruction syndrome (CHAOS). Patient was born via cesarean section at 36-week GA and 1.94kg.…
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