Artificial Pneumothorax With Position Adjustment for Computed Tomography-Guided Percutaneous Core Biopsy of Mediastinum Lesions Zheng-Yu Lin, MD, Yin-Guan.

Slides:

Advertisements

Similar presentations

Pleural Endometriosis and Recurrent Pneumothorax: The Role of Magnetic Resonance Imaging Edson Marchiori, MD, PhD, Gláucia Zanetti, MD, PhD, Patrícia.

Advertisements

Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device

Preoperative Localization of Lung Nodules With Fiducial Markers: Feasibility and Technical Considerations Amita Sharma, MD, Shaunagh McDermott, MD, Douglas.

Successful Treatment of Infected Ascending Aortic Prosthesis by Omental Wrapping Without Graft Removal Gordan Samoukovic, MD, Pierre-Luc Bernier, MD,

Chang Chen, MD, Hui Zheng, MD, Sen Jiang, MD

Solitary Fibrous Tumors of the Pleura: Surgical Outcome and Clinical Course Sook Hwan Sung, MD, Jee-Won Chang, MD, Jhingook Kim, MD, Kyung Soo Lee, MD,

Andranik Petrosyan, MD, Patrice Bergeron, MD

Radio-Guided Localization and Resection of Small or Ill-Defined Pulmonary Lesions Domenico Galetta, MD, PhD, Massimo Bellomi, MD, Chiara Grana, MD, Lorenzo.

Anthracotic Intrapulmonal Lymph Nodes Mimicking Lung Metastases

Successful Treatment of Invasive Pulmonary Mucormycosis in an Immunocompromised Patient Oluwatobi Afolayan, BS, Hannah Copeland, MD, Rachel Hargrove,

Unexpected Small Bowel Intussusception Caused by Lung Cancer Metastasis on 18F- Fluorodeoxyglucose PET-CT Jeong Won Lee, MD, Seok-Ki Kim, MD, Ji Won Park,

Chin-Chih Chang, MD, Yih-Leong Chang, MD, Yung-Chie Lee, MD, PhD

H. Volkan Kara, MD, MS, Jeffrey Javidfar, MD, Thomas A. D’Amico, MD

Clinical Significance of Spontaneous Pneumomediastinum

Endobronchial ultrasonographically guided transbronchial needle aspiration in mediastinal abscesses Yen-Fu Chen, MD, Chao-Chi Ho, MD, PhD, Chung-Yu Chen,

Empyema Thoracis Complicated by Pneumothorax Necessitans Manifesting as Lobulated, Localized Subcutaneous Emphysematous Swellings Yeh Chunn Kuan, MRCP,

Endoscopic Ultrasound-Guided Fine Needle Aspiration for Diagnosis of Recurrent Nonsmall Cell Lung Cancer Rebecca Lai, MD The Annals of Thoracic Surgery

Impact of Preoperative Marking Coils on Surgical and Pathologic Management of Impalpable Lung Nodules Sébastien Bommart, MD, Arnaud Bourdin, MD, PhD,

Benign Metachronous Bilateral Ovarian and Mediastinal Teratomas With an Elevated Alpha-Fetoprotein Michael Z. Caposole, DO, MBS, Veronica Aruca-Bustillo,

Modified Thoracoplasty Using a Breast Implant to Obliterate an Infected Pleural Space: An Alternative to Traditional Thoracoplasty Habib Khan, MBBS,

Makio Hayama, MD, Hiroya Maeda, MD The Annals of Thoracic Surgery

An Unusual Case of Pleural Chordoma

Use of Fusion Imaging to Localize an Ectopic Thoracic Parathyroid Adenoma Benjamin Harris, MD, Dale Bailey, PhD, Paul Roach, MD, David Marshman, MD, Aidan.

Occurrence of a Simultaneous Bilateral Spontaneous Pneumothorax Due to a Pleuro- Pleural Communication Takashi Eguchi, MD, Kazutoshi Hamanaka, MD, PhD,

Coexistent Pulmonary Inflammatory Pseudotumor and Carcinoma in One Patient: Does Positron Emission Tomography/Computed Tomography Help Zhi Zheng, MD,

Gastric Rupture Associated With Diaphragmatic Hernia During Pregnancy

Ni Zhang, MD, Qin-zi Xu, MD, Xiang-ning Fu, MD, Wei Sun, MD

Ara Chrissian, MD, David Misselhorn, RRT, Alexander Chen, MD

Megan Brenner, MS, MD, James V. O'Connor, MD, Thomas M. Scalea, MD

Urgent Surgical Approach to Mediastinal Cyst Causing Life-Threatening Tracheal Obstruction Lin Cheng, MD, Ai Huang, MD, Ke Jiang, MD, Shijie Xing, MD,

Thymic Small Cell Carcinoma Associated With Pulmonary Squamous Cell Carcinoma Takashi Iwata, MD, Kiyotoshi Inoue, MD, Shinjiro Mizuguchi, MD, Ryuhei Morita,

Use of Amiodarone After Major Lung Resection

Mediastinal Emphysema After Head-Banging in a Rock Artist: Pseudo Shaken-Baby Syndrome in Adulthood Saeko Matsuzaki, MD, Koichi Tsunoda, MD, Tonghyo.

Management of Subcutaneous Emphysema After Pulmonary Resection

Joshua K. Knight, MS (MD Candidate), M. Blair Marshall, MD

Severe Mediastinal Infection With Abscess Formation After Endobronchial Ultrasound- Guided Transbrochial Needle Aspiration Kathryn L. Parker, BS, Costas.

An Unusual Case of Needle Embolus Presenting With Delayed Spontaneous Pneumothorax May Al-Sahaf, MB BCh, Leanne Harling, MRCS, PhD, Karen Harrison-Phipps,

Splenic Rupture Caused by Giant Paraesophageal Hernia

Modified Central Line for Pneumothorax

The Utility of Electromagnetic Navigational Bronchoscopy as a Localization Tool for Robotic Resection of Small Pulmonary Nodules William D. Bolton, MD,

Lawek Berzenji, BM, Paul E

Foreign Bodies in Pleura and Chest Wall

Rheumatoid Pleural Effusion in the Absence of Arthritic Disease

Endobronchial and Endoscopic Ultrasound-Guided Transvascular Biopsy of Mediastinal, Hilar, and Lung Lesions Jordan Kazakov, MD, Pravachan Hegde, MD,

Extraskeletal Ewing’s Sarcoma Presenting With Multifocal Intrathoracic Mass Lesions Associated With Mediastinal Shift Akın Kuzucu, MD, Haldun Şükrü.

Arteriovenous Malformation in the Anterior Mediastinum

Thymic and Pulmonary Mucosa-Associated Lymphoid Tissue Lymphomas

The Common Trunk of the Left Pulmonary Vein Injured Incidentally During Lung Cancer Surgery Toru Nakamura, MD, Masaaki Koide, MD, Hidenori Nakamura,

Management of Empyema Cavity With the Vacuum-Assisted Closure Device

Teruya Komatsu, MD, Harry Henteleff, MD The Annals of Thoracic Surgery

Transesophageal Bronchoscopic Ultrasound-Guided Fine-Needle Aspiration for Diagnosis of Peripheral Lung Cancer Masahide Oki, MD, PhD, Hideo Saka, MD,

Richard K. Freeman, MD, Jaclyn M

The Removal of Chest Tubes Despite an Air Leak or a Pneumothorax

Risk of Pleural Recurrence After Computed Tomographic-Guided Percutaneous Needle Biopsy in Stage I Lung Cancer Patients Masayoshi Inoue, MD, PhD, Osamu.

Simultaneous Bilateral Spontaneous Pneumothorax With Pleural Window Communicating With Bilateral Pleural Spaces Shunsuke Yamada, MD, Kazuho Yoshino,

Anterior Mediastinal Mass Secondary to Histoplasmosis

Lipoma of the Diaphragm: A Rare Presentation

Andrew Auerbach, MD, David H. Roberts, MD, Sidhu P

Mediastinal Paragangliomas: The Mayo Clinic Experience

Novel Fixation Technique for the Surgical Repair of Lung Hernias

Reimplantation of the Left Lung 17 Years After a Bronchial Rupture

Jiang Lei, MD The Annals of Thoracic Surgery

Primary Pleural Malignant Melanoma With Rapid Progression

Video-Assisted Thoracic Surgery for Pleural Empyema

Yu-Jen Cheng, MD, Hsien-Pin Li, MD, Eing-Long Kao, MD

Mark I. Block, MD The Annals of Thoracic Surgery

Massive Hemoptysis After Aspiration of a Toothpick

Structural Allograft Implantation for Thoracic Spinal Impalement

Matthew J. Schuchert, MD, Thomas G

Thoracic Lymphangiomatosis: Report of 3 Patients With Different Presentations Yanguo Liu, MD, Xizhao Sui, MD, Kezhong Chen, MD, Jianfeng Li, MD, Fan Yang,

Presentation transcript:

Artificial Pneumothorax With Position Adjustment for Computed Tomography-Guided Percutaneous Core Biopsy of Mediastinum Lesions Zheng-Yu Lin, MD, Yin-Guan Li, MD The Annals of Thoracic Surgery Volume 87, Issue 3, Pages 920-924 (March 2009) DOI: 10.1016/j.athoracsur.2008.10.020 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Axial computed tomographic images from a 36-year-old man with an anterior mediastinal thymoma. (a) Mass in the anterior mediastinum (white arrow). (b) Passage of a 22-gauge pediatric lumbar puncture needle (black arrow) through the parietal pleura into the right pleural space. (c) A very small pneumothorax (black arrow) produced by injection of 20 mL of air. (d) The mass remained covered by aerated lung after injection of 400 mL of air with the patient in his original position. (e) After the patient's position was adjusted, the lung was displaced from the target lesion site, enabling a core biopsy needle to avoid the aerated lung and gain access to the lesion. (f) Most of the air was aspirated from the pleural space after collection of the biopsy sample, leaving a small residual right pneumothorax (white arrows). The Annals of Thoracic Surgery 2009 87, 920-924DOI: (10.1016/j.athoracsur.2008.10.020) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Axial computed tomographic images from a 72-year-old man with an adenocarcinoma in the aortopulmonary window. (a) Mass in the aortopulmonary window. (b) After introduction of 1,000 mL of air, the mass was still covered by the aerated lung. (c) After the patient was adjusted to the lateral decubitus position, the aerated lung was displaced from the path of the biopsy needle and the needle (arrow) was placed anterior to the mass. The Annals of Thoracic Surgery 2009 87, 920-924DOI: (10.1016/j.athoracsur.2008.10.020) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Axial computed tomographic images from a 56-year-old man with right paratracheal tuberculosis. (a) A mass with irregular necrosis (white arrow) in the right paratracheal region. (b, c) After introduction of 500 mL of air into the right pleural space, the aerated lung was displaced from the path of the biopsy needle and the needle (white arrow) was placed in the mass. (d) A small, residual right pneumothorax and subcutaneous emphysema of right chest wall (black arrow) after most of the air was aspirated from the pleural space after collection of the biopsy. The Annals of Thoracic Surgery 2009 87, 920-924DOI: (10.1016/j.athoracsur.2008.10.020) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions