The Benefits of Lateral Thoracotomy LVAD Implantation

Abstract Background Paragangliomas are tumors that arise from extra-adrenal chromaffin cells. Herein, we present a rare case of a functional paraganglioma in the posterior mediastinum. Case presentation A 36-year-old man presented with paroxysms of chest pain and headache. At presentation, the patient’s blood pressure was 190/120 mmHg. Chest computed tomography and magnetic resonance imaging revealed a left paravertebral mass in the posterior mediastinum. 123I-metaiodobenzylguanidine scanning revealed focally high tracer uptake in the left paravertebral area. The metanephrine level in the urine was elevated, confirming a rare, catecholamine-producing, functional paraganglioma in the posterior mediastinum. Before surgery, the patient was prepared by orally administering α- and β-adrenergic blockers. The mass was then resected via a lateral thoracotomy. The metanephrine level in urine was normal 24 h after surgery. Conclusions Paragangliomas in the posterior mediastinum are very rare, but more than half of all cases are functional. The associated symptoms are curable with complete resection, and long-term follow-up for recurrence is important.

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Off Pump Complete Revascularization Through Left Lateral Thoracotomy (ThoraCAB): NICVD Experience

Cardiovascular Journal ◽

10.3329/cardio.v3i1.6424 ◽

1970 ◽

Vol 3 (1) ◽

pp. 33-36

Author(s):

MK Hassan ◽

MF Maruf ◽

F Ahmed ◽

ZH Khan ◽

MR Islam ◽

...

Keyword(s):

Atrial Fibrillation ◽

Left Internal Mammary Artery ◽

Artery Bypass ◽

Median Sternotomy ◽

Respiratory Acidosis ◽

Vascular Diseases ◽

Complete Revascularization ◽

Off Pump ◽

Cardio Vascular ◽

Lateral Thoracotomy

Background: Conventional coronary artery bypass surgery (CABG) is associated with substantial morbidity caused by cardiopulmonary bypass (CPB) and median sternotomy. Here we described an innovative technique to perform complete revascularization through a left lateral thoracotomy without CPB (ThoraCAB). Methods: From September 2005 to December 2008 a total 83 patients underwent ThoraCAB in National Institute of Cardio Vascular Diseases (NICVD). The patient is positioned with the left side elevated to 45 degree. A 6 to 8 inches long incision is made over the left 4th or 5th intercostal space from just medial to the nipple to the anterior axillary line. The left internal mammary artery (LIMA) is harvested as a pedicle graft under vision. Distal coronary anastomosis is completed first on the beating heart using a stabilizer, followed by proximal anastomoses on the descending aorta. Peroperative and postoperative complication the arrhythmia hypotension wound infection death was observed. Results: Complete revascularization was achieved in all patients. The number of grafts averaged 2.18±1.08 per patients. One patient died (1.2%) due to severe respiratory acidosis. One patient (1.2%) was converted to CPB due to arrhythmia. No strokes were observed. Of these patients, 7.2% developed new onset postoperative atrial fibrillation. Conclusion: ThoraCAB has been feasible in the vast majority of the patients requiring CABG surgery. The prevalence of the post operative atrial fibrillation was low. Left lateral thoracotomy offers an attractive and effective alteration to Off Pump median sternotomy. Key words: ThoraCAB; Lateral thoracotomy; CABG DOI: 10.3329/cardio.v3i1.6424Cardiovasc. j. 2010; 3(1): 33-36

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Off-Pump Coronary Artery Bypass Grafting and Left Lower Lobectomy Simultaneously Performed Via a Left Postero-Lateral Thoracotomy

Journal of Cardiac Surgery ◽

10.1046/j.1540-8191.2003.01906.x ◽

2003 ◽

Vol 18 (1) ◽

pp. 22-24 ◽

Cited By ~ 2

Author(s):

Balaji Badmanaban ◽

Jim Ballard ◽

Alastair N.J. Graham ◽

Mazin A.I. Sarsam

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting ◽

Off Pump ◽

Lower Lobectomy ◽

Pump Coronary Artery Bypass ◽

Lateral Thoracotomy

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Infective endocarditis developing early after percutaneous closure of a patent ductus arteriosus in a child using the Amplatzer Duct Occluder II

Cardiology in the Young ◽

10.1017/s1047951120000542 ◽

2020 ◽

Vol 30 (4) ◽

pp. 591-593

Author(s):

Murat M. Yilmazer ◽

Timur Meşe

Keyword(s):

Staphylococcus Aureus ◽

Infective Endocarditis ◽

Patent Ductus Arteriosus ◽

Emergency Room ◽

Ductus Arteriosus ◽

Blood Cultures ◽

Amplatzer Duct Occluder ◽

Patent Ductus Arteriosus Closure ◽

Lateral Thoracotomy ◽

Patent Ductus

AbstractA 10-month-old girl underwent patent ductus arteriosus closure with an Amplatzer Duct Occluder II. After 1 week, she was admitted to our emergency room with tachypnoea, fatigue, and fever. Consecutive blood cultures yielded vancomycin-sensitive Staphylococcus aureus. The patient was already receiving vancomycin, but the fever did not respond to this treatment. The device was successfully removed via left lateral thoracotomy.

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