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Mediastinum

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
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 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...
September 15, 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.

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