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Thoracic Portal

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CTSNet is celebrating twenty-five years of connecting the global cardiothoracic community! For the big anniversary, members new and old told us what they appreciate about the site and our free... More
October 6, 2009
Patient Selection
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
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 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 3, 2009
Patient Selection
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.
May 26, 2009
Pulmonary endoarterectomy is the treatment of choice in patients with chronic thromboembolic pulmonary hypertension. Traditionally, PEA is achieved by adopting periods of deep hypothermia at 18° Celsius and circulatory arrest. We present an alternative strategy, based on the application of a negative pressure in the left chambers and also in the superior vena cava.

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