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.
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Clinical Cases
August 30, 2010
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.
August 30, 2010
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%.
April 7, 2010
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.
March 1, 2010
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.
October 18, 2009
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.
September 28, 2009
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.
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%.
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...