Novel Repair of Disruption of the Costal Margin without associated Diaphragmatic Hernia Renée M. Tholey, Christine E. Feldmeier, Michael J. Walker Eastern.

Slides:

Advertisements

Similar presentations

Diaphragm Ajith Sominanda Department of Anatomy Faculty of Medicine.

Advertisements

THE DIAPHRAGM TYLER POSTMAN. THE BASICS OF THE DIAPHRAGM It is part of the respiratory system It is found in the thoracic cavity or chest Separates the.

CASE PRESENTATION DR TEJAS KAKKAD, MD.. HISTORY 54 YEAR FEMALE OTHERWISE HEALTHY H/0 ROAD TRAFFIC ACCIDENT CHEST TRAUAMA FALL IN BLOOD PRESSURE FALL IN.

Pectus excavatum (PE).  There is a large group of congenital abnormalities of the thoracic cage that manifest as deformities of the anterior chest wall.

TRAUMA Stab Wound to the Chest: Cardiac Tamponade

Elderly Smoker with Punctured Lung. Patient Bio  Brad  63 year old male  Smokes two or more packs of cigarettes a day  Already experiences lung dysfunction.

Clinical Hx (Case 1) 22 year old male. Ejected from a vehicle during a high speed single vehicle rollover. Immediate complaints of chest and back pain.

Risks: balancing harm and benefit A Vohrah. When ever considering a test or procedure? Is there a better investigation which can give the us the answer?

Anatomy & Incisions General Surgery. Incisions A variety of incisions are used The type chosen is dependent on a number of factors Access desired Procedure.

Cardiovascular Pathology I. Cardiovascular Pathology I Case 1.

Block 1 review. The thoracic wall consists of skeletal elements and muscles 1. Posteriorly, it is made up of twelve thoracic vertebrae and their intervening.

A Model Presentation: Pectus Excavatum So pay close attention!

Computed Tomography II

Chest Wall Resection Prosthesis Daniel Haberek, University of Rhode Island, BME 281 Sec 1.

A New Perspective on Correction

Chest x-ray interpretation. Aims 1.To have a system to interpret chest x-rays (CXR) 2.To understand a normal CXR 3.To identify common abnormalities on.

Pectus Carinatum. 15 yo boy with pectus carinatum deformity Seen previously at CHKD in Norfolk Patient repeatedly refused nonoperative management with.

Michael Jackson The 19 years of pain and agony...

Thorax and Abdomen Injuries. Injuries to the Lungs MOI Pneumothorax Pleural cavity surrounding the lung becomes filled with air that enters through a.

Chest Injuries Main Causes of Chest Trauma Blunt Trauma- Blunt (direct) force to chest. Penetrating Trauma- Projectile that enters chest causing small.

Daphney Clermont, Janice A. Taylor

Presenter: Harish Raj Seetha Rammohan

Rib Fixation Mr Nick Odom Consultant Cardiothoracic Surgeon

CORE Case 3 Workshop.

Pectus Excavatum Kamil Arif, R1.

Surgical Management of Pectus Carinatum

Eloesser Flap Thoracostomy Window

Elliot L. Servais, MD, Brendon M. Stiles, MD, Brendan M

Clinical Analysis of 113 Patients With Poland Syndrome

Christopher W. Seder, MD, Mark S. Allen, MD, Francis C

Michael G. Scheidler, MD, Robert J. Keenan, MD, Richard H

Volume 154, Issue 3, Pages e69-e72 (September 2018)

Ectopia cordis and other midline defects

Case 1. Case 1. Images in a 51-year-old man with a history of painful maxillary swelling caused by GCG.A, Contrast-enhanced axial CT image demonstrates.

Jarmo M. Gunn, MD, Jukka Savola, MD, Kari Isotalo, MD

Case 1 South Bay Pathology Society May 2009

An Elderly Man With Dyspnea and Chest Pain

Pectus Excavatum Repair

Successful tissue collection in patients with relapse of EGFR-positive adenocarcinoma after EGFR-TKI treatment. Successful tissue collection in patients.

CASE DISCUSSION By Dr. Zahoor.

Man With Chest Pain and Lump in Neck

Complex Repair of Pectus Excavatum Recurrence and Massive Chest Wall Defect and Lung Herniation After Prior Open Repair Dawn Jaroszewski, MD, Kevin Johnson,

Multidirectional Thoracic Wall Stabilization: A New Device on the Scene Marcus Krüger, MD, Norman Zinne, MD, Ruoyu Zhang, MD, Jan Philipp Schneider, MD,

Bochdalek Hernia in a Symptomatic Adult

CONGENITAL DIAPHRAGMATIC hernia

Dhakshina Moorthy Ganeshan, MD, Arlene M

Thoracic outlet syndrome arising from an extrapleural lipoma

Acute Left Hemothorax as a Late Complication of an Active-Fixation Pacemaker Lead Giovanni B. Forleo, MD, PhD, Jacob Zeitani, MD, PhD, Tommaso Perretta,

Daniel Vallböhmer, MD, Arnulf H

Michael R. DeLong, MD, Duncan B. Hughes, MD, Jeffrey G

The hepatic buttress: A novel surgical technique to treat an intrapericardial diaphragmatic defect after hybrid myocardial ablation William C. Chapman,

A 50-Year-Old Man With a Cough and Painful Chest Wall Mass

Transcatheter arterial embolization for the management of iatrogenic and blunt traumatic intercostal artery injuries Andreas P. Chemelli, MD, Michael.

The History of Surgical Procedures for Emphysema

Thoracic outlet syndrome arising from an extrapleural lipoma

Repair of congenital tricuspid valve abnormalities with artificial chordae tendineae V.Mohan Reddy, MD, Doff B McElhinney, MD, Michael M Brook, MD, Norman.

Z-Type Pattern Pectus Excavatum/Carinatum in A Case of Noonan Syndrome

Amulya K. Saxena, MD, Gunter H. Willital, MD

Pulmonary venous obstruction in a patient with Marfan syndrome: Rare presentation of an expanding dissecting descending thoracic aortic aneurysm with.

A, Coronal CT scan of the paranasal sinuses in a 45-year-old women with difficulty breathing shows the typical appearance of crista galli pneumatization.

Volume 108, Issue 5, Pages (November 1995)

Small and Large Bowel Hernia Migrated Into the Chest 6 Years After Sternal Resection Andrea Billè, MD, Paolo Scanagatta, MD, Mara Gisabella, MD, Giuseppina.

TRAUMA Stab Wound to the Chest: Cardiac Tamponade

Novel Fixation Technique for the Surgical Repair of Lung Hernias

Three patients with incidental thyroid nodules that were similar in size but were reported differently. Three patients with incidental thyroid nodules.

Sagittal reconstruction of a CT scan of a 6-year-old boy (patient 3) after a fall (GCS = 15) demonstrates an REH (thick white arrow), which causes mild.

Novel laparoscopic hernia of morgagni repair technique

Fig. 1. Chest X-ray taken during the patient's first admission demonstrates opacities in the right middle lobe and right lower lobe, suggesting pneumonia.

Presentation transcript:

Novel Repair of Disruption of the Costal Margin without associated Diaphragmatic Hernia Renée M. Tholey, Christine E. Feldmeier, Michael J. Walker Eastern Cardiothoracic Surgery Society Annual Meeting October 23-26, 2013

Patient Case Presentation We present a case of a 58 year old man with right- sided rib pain and shortness of breath following a fall on his left side. On physical exam there was an obvious disruption of the right anterior costal margin with a large separation between the eighth and ninth ribs causing chest wall instability.

Patient Case Presentation CT Chest demonstrated a herniation of lung between the eighth and ninth ribs. There was no evidence of a diaphragmatic hernia.

Patient Case Presentation Our patient was taken to the operating room where a novel technique was used to re-approximate and stabilize the eighth and ninth ribs by employing two Sternal Talon ® devices.

Patient Case Presentation We put forth this case report as both a rare occurrence of costal margin disruption in the absence of diaphragmatic hernia, as well as a novel and never-reported technique to repair this abnormality. Stabilization of the patients chest wall provided relief of his pain, as well as improved lung mechanics.