Introduction Combination of acute aortic dissection associated with aortic coarctation in pediatric population is extremely rare. We are presenting a 12-year-old patient with these two conditions who was successfully treated with two-stage surgery. Case Outline A boy with no trauma history was admitted for chest pain. The diagnosis of acute aortic dissection associated with aortic coarctation w...

Esophageal duplication cysts are infrequent anomalies of the gastrointestinal tract that are predominantly found in children. The conventional surgical approach for removal of these cysts is an open surgery one with a posterolateral thoracotomy incision. However, more recently, these cysts have been excised via video-assisted thoracoscopic surgery (VATS). In this article, we present 2 pediatric...

Left upper lobectomy may be followed by complications such as thrombus formation in a stump of the left superior pulmonary vein (LSPV), which may cause systemic embolization. We have encountered four such cases, which account for 3.4% of all left upper lobectomies performed at our institution. Right renal infarction was observed in one of these four cases; the remaining cases were asymptomatic,...

"Isthmus taping method" as the safe and simple technique for division of patent ductus arteriosus (PDA), along with surgical and follow-up results were reported. 175 patients with PDA and without other cardiac anomalies were operated by this technique. Most of the patients were operated by junior surgeons as a first step in cardiac surgery. The left chest was entered through posterolateral thor...

Our patient was incidentally detected to have 32 mm secundum ASD with deficient postero-inferior margin. Pericardial patch closure of the defect on cardiopulmonary bypass through the right posterolateral thoracotomy was uneventful; she was shifted to the ward on the 2nd day after chest tube removal. Although she remained asymptomatic, predischarge echocardiogram on the 6th day showed no residua...

We report the case of a three-year-old girl who complained from dysphagia and post-prandial vomiting since she was 6 months old. Several diagnostic work-ups were performed for her problem. Upper GI endoscopy was normal but barium swallow revealed an external pressure effect over upper part of the esophagus (figure 1) and the CT angiography of thoracic aorta showed that this external pressure ef...

BACKGROUND To report our experience for the treatment of lung tumors of the right main bronchus (RMB) invading the carina. METHODS From February 2000 till January 2007 we have identified 8 cases (1.09%) requiring carinal surgery.Plan of action: Close cooperation with anaesthetics, long flexible ET tube, Right posterolateral thoracotomy, no irrevocable steps until resection guaranteed, mobiliz...

We report the case of an extremely elderly patient with long-term survival after surgical resection for lung cancer. A 93-year-old man was evaluated for an abnormal density on chest radiography. Chest computed tomography (CT) showed a nodular density of 2.5 × 2.5 cm in the left S4b segment. Lung cancer was diagnosed by bronchoscopy, and left posterolateral thoracotomy and S4 segmentectomy were ...

Results Of 1556 trauma patients, 254 had cardiothoracic trauma. 90% (228/254) were male and 10% (26/254) were female. Median age of all patients was 26 (range 1-91). 57% (145) were penetrating injuries mainly knife wounds (128) and gunshots (10). 43% (109) were blunt injuries (90 high and 19 low velocity). The actual injuries are detailed with rib fractures (35%) and pneumothorax (30%) the comm...

PURPOSE This prospective study was conducted to assess the influences of hemodynamics and right ventricular (RV) performance after lobectomy by video-assisted thoracic surgery (VATS) and that by muscle-sparing thoracotomy (MST) using a continuous cardiac output (CCO) monitoring system. SUBJECTS AND METHODS Between October 2002 and April 2004, 16 patients (VATS, 8; MST, 8) who underwent lobect...