Last. Deirdre J. Epstein(WashU: Washington University in St. Louis)H-Index: 11
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Abstract null null Background null Patient reported outcomes (PROs) are critical for delivering high quality surgical care yet they are seldom collected in routine clinical practice. The objective of this quality improvement study was to improve routine PROs collection in a thoracic surgery clinic. null null null Methods null Thoracic surgery patients at a single academic institution were prospectively followed from April 2019 to March 2020. The National Institutes of Health (NIH)-validated Pati...
Abstract null Background null The optimal minimally invasive surgical (MIS) approach to mediastinal tumors is unknown. There are limited reports comparing the outcomes of resection with robotic-assisted and video-assisted thoracoscopy (RATS vs VATS). We hypothesized that patients who underwent RATS would have improved outcomes. null Methods null The National Cancer Database was queried for all patients who underwent MIS for any mediastinal tumor from 2010-2016. Patients were determined to have a...
Hyper-immunoglobulin E syndrome (HIES) is one of the primary immunodeficiencies characterized by recurrent staphylococcal skin and lung infections that result in lung destruction and critically diminished pulmonary function. Despite the lack of definitive treatment, there have been no reports of successful lung transplantation (LTx) for HIES patients. We report the case of a 42-year-old female HIES patient with progressive bronchiectasis whose pulmonary infection was controlled prior to transpla...
ABSTRACT null null An infant with critical pulmonary valve stenosis underwent a Brock procedure in 1957 with subsequent repair of pulmonary stenosis and an atrial septal defect (ASD) at age 6. At age 17, she developed paradoxical embolization secondary to a residual ASD, which was repaired. Fifty-four years later, she presented with recurrent pulmonary stenosis and a symptomatic 6.2-cm pulmonary artery aneurysm repaired with a 23-mm aortic homograft. This patient is the longest reported postoper...
ABSTRACT null null Background null The Ross operation is a good surgical option for pediatric population with aortic valve disease. However, the need for reoperation due to aortic root dilatation remains the principal limitation of this procedure. We report a small series of adolescents who underwent the Ross operation with goretex membrane reinforcement to avoid the progressive dilatation of the neo-aortic root. null null null Methods null Between March 2002 and March 2010, 15 adolescent patien...
Last. Lawrence Okiror(Guy's and St Thomas' NHS Foundation Trust)H-Index: 10
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A 65-year-old female was diagnosed with early-stage lung cancer in 2020 and scheduled for robotic assisted left upper lobectomy. Unfortunately, the patient contracted symptomatic COVID-19, resulting in postponement of lung resection. 6 weeks following acute infection she was admitted for surgery. A pre-operative computed tomography scan showed widespread interstitial pneumonitis. However, the surgery went ahead given concerns over tumour progression, albeit with a lesser resection to preserve lu...
A male patient in his sixties underwent median sternotomy and thymectomy for thymoma (WHO classification type B1+B3, Masaoka classification stage II). A 10-month follow-up postoperative computed tomography showed a 22-mm nodule in the anterior mediastinal lipid tissue just above the right diaphragm. The patient was followed for 8 years and the nodule's capsule eventually became calcified. Considering the possibility of postoperative recurrence of thymoma, we excised the nodule. The pathological ...