In Thoracic Surgery: 50 Challenging Cases, editor Wickii T. Vigneswaran has selected 50 challenging cases presented by leading thoracic surgeons. Each case highlights a unique situation from which other surgeons can learn. The selection of Cases includes patients with diagnostic challenges, unconventional and innovative solutions, unexpected findings, and new techniques to treat old problems. The discussions after each case provide a useful starting point for further inquiry. Amply illustrated, this book reflects the wisdom and experience of world leaders in thoracic surgery and teaches junior surgeons how to approach the key thoracic surgical procedures, and how to manage in unexpected and difficult situations. This is a Masterclass in thoracic surgery.

Contents

Case 1: Robotic-Assisted Resection of Fibrous Dysplasia of the Ribs
Case 2: Innovative Approach to Minimally Invasive Resection of a Second Rib Aneurysmal Bone Cyst
Case 3: Hybrid Approach to Repair of Acquired Thoracic Dystrophy in an Adult Patient after Failed Childhood Ravitch Procedure
Case 4: Cystic Bone Lesion of the Sternum
Case 5: Spontaneous Bilateral Sternoclavicular Joint Infections
Case 6: Malignant Solitary Fibrous Tumor of the Pleura
Case 7: Malignant Solitary Fibrous Tumor of the Pleura with Chest Wall Invasion— Treated with Chest Wall Resection, Reconstruction, and Adjuvant Proton Beam Radiotherapy
Case 8: Empyema from Misplacement of Percutaneous Nephrostomy Tube— A Diagnostic Challenge
Case 9: Malignant Solitary Fibrous Tumor of the Pleura Associated with a Paraneoplastic Hypoglycemia
Case 10: Feculent Empyema after Laparoscopic Appendectomy
Case 11: Robotic Stapled Plication of a Left Hemidiaphragm Eventration
Case 12: Iatrogenic Diaphragmatic Hernia Causing Total Right Lung Atelectasis
Case 13: Successful Repair of Right Diaphragmatic Herniation with Recovery of Liver Function
Case 14: Late Presentation of a Post-traumatic Diaphragmatic Hernia
Case 15: Resection of a Giant Posterior Mediastinal Ganglioneuroma
Case 16: An Unexpected Schwannoma of the Phrenic Nerve
Case 17: Acute Life-threatening Mediastinal Complications of Histoplasmosis
Case 18: Mediastinal Liposarcoma after Remote History of Radiation as an Infant
Case 19: Pseudo-aneurysm of Descending Aorta Presenting as Incarcerated Intrathoracic Stomach
Case 20: Tracheal Chondrosarcoma
Case 21: Multi-technique Management of Persistent Postintubation Tracheoesophageal Fistula in a Patient with Achalasia
Case 22: Presentation of a Congenital Tracheal-Esophageal Fistula in Adolescence
Case 23: Repair of a Near Full-Length Malignant Tracheal-Esophageal Fistula— A 17-Year Success Story
Case 24: Gastrobronchial Fistula and Central Diaphragmatic Hernia After Sleeve Gastrectomy
Case 25: A Bronchogenic Cyst Masquerading as a Paraesophageal Hiatal Hernia
Case 26: The Surgical Treatment of Pulmonary Echinococcosis
Case 27: Unusual Case of an Flurodeoxyglucose (FDG]-avid Non-Malignant Solitary Lung Mass
Case 2B: Intralobar Pulmonary Sequestration with Aberrant Venous Drainage
Case 29: Pulmonary Dogwomn (Dirofilaria immitis) Infection Presenting as a Solitary Pulmonary Nodule
Case 30: Concurrent Congenital Diaphragmatic Hernia and Extralobar Pulmonary Sequestration
Case 31: Primary Colloid Carcinoma of Lung
Case 32: Pulmonary Mucormycosis with a Staphylococcus epidermidis Co-infection
Case 33: A Complicated Pulmonary Cystic Echinococcosis in Pregnancy
Case 34: Staged Bilateral UniportalVideo-Assisted Thoracoscopic Surgery (U-VATS) Extended Lung Resection for Chronic Bronchiectasis
Case 35: Robotic Lobectomy in a Patient with Bronchiectasis and Diffuse Pleural Adhesions— Advantages Over Challenges
Case 36: Successful Pulmonary Rescue of Adult Onset Granulomatosis with Polyangiitis Using Extracorporeal Membrane Oxygenation and Window Thoracostomy
Case 37: Intimal Sarcoma of the Pulmonary Artery
Case 38: An Obstructing Benign Fibroepithelial Polyp
Case 39: Getting the “Gist” of Esophageal Gastrointestinal Stromal Tumors (GISTs]
Case 40: Acute Esophageal Necrosis in Prader-Willi Syndrome
Case 41: Enucleation of a Giant Esophageal Leiomyoma with Primary Esophageal Repair
Case 42: Primary Colon Cancer in an Interposition Graft Following Esophagectomy
Case 43: Mixed Cavernous Hemangioma-Lymphangioma of the Gastroesophageal Junction
Case 44: Aortoesophageal Fistula, a Complication of Esophageal Stent Placement
Case 45: Managing an Unusual Case of a Long Segment Benign Esophageal Stricture
Case 46: Post-esophagectomy Colon Diaphragmatic Herniation
Case 47: Normalized Blood Gases and Improved Pulmonary Function after Lung Volume Reduction Surgery in a Patient with Severe Global Respiratory Insufficiency
Case 48: Bilateral Lobar Lung Transplantation with Extra-corporaI Life Support (ECLS) in a Jehovah’s Witness
Case 49: Single-Lung Transplant Recipient with Primary Carcinoma Metastasis from Native Lung to Donor Lung Allograft
Case 50: Multistage Approach to Lung Transplantation in a Cystic Fibrosis Patient with Chronic Superior Vena Cava Occlusion and Patent Foramen Ovale