scholarly journals The costomediastinal border of the left pleura in the precordial area

1947 ◽  
Vol 97 (2) ◽  
pp. 197-210 ◽  
Author(s):  
Russell T. Woodburne
Keyword(s):  
Left Pleura

Case 13.8

2014 ◽  
pp. 628-629
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Malignant Pleural Mesothelioma ◽  
Asbestos Exposure ◽  
The United States ◽  
Extrapleural Pneumonectomy ◽  
Parietal Pleura ◽  
Pleural Mesothelioma ◽  
Pleural Plaques ◽  
Abnormal Chest ◽  
Left Pleura ◽  
Histologic Subtypes

62-year-old man with shortness of breath and an abnormal chest CT Axial 3D SPGR postgadolinium images (Figure 13.8.1) demonstrate diffuse thickening and enhancement of the left pleura, with a few minimally enhancing, focal right-sided pleural plaques. Malignant pleural mesothelioma Malignant pleural mesothelioma is a rare neoplasm that originates from the mesothelial cells lining the visceral and parietal pleura. The incidence of malignant pleural mesothelioma in the United States is 15 cases per million; there is a strong correlation with asbestos exposure. Malignant pleural mesothelioma is divided into 3 histologic subtypes: epithelial (55%-65%), sarcomatoid (10%-15%), and mixed (20%-35%). Patients with epithelial malignant pleural mesothelioma have the best prognosis, and among those with limited disease who undergo extrapleural pneumonectomy (removal of the pleura, lung, hemidiaphragm, and part of the pericardium), survival is longer (5-year survival, 39%) than among all patients (median survival, 8-18 months after diagnosis)....

Cervical necrotizing fasciitis with thoracic extension after total laryngectomy

2002 ◽  
Vol 116 (8) ◽  
pp. 639-641 ◽  
Author(s):  
Aad J. Beerens ◽  
Rob J. Strack van Schijndel ◽  
Hans F. Mahieu ◽  
Charles R. Leemans
Keyword(s):  
Computed Tomography ◽  
Necrotizing Fasciitis ◽  
Antibiotic Treatment ◽  
Total Laryngectomy ◽  
Oxygen Therapy ◽  
Left Pleura ◽  
Extensive Debridement ◽  
Laryngectomized Patient ◽  
A Minor ◽  
Radical Surgical Resection

Cervical necrotizing fasciitis (CNF) with thoracic extension is rare. It has never been reported in laryngectomized patients. A case of fatal CNF in a laryngectomized patient equipped with a voice prosthesis is presented. Diagnosis and treatment are discussed. CNF with thoracic extension was diagnosed on clinical picture, computed tomography (CT) and biopsies were taken just above the tracheostoma. Antibiotic treatment was started and extensive debridement of the affected tissues performed. A minor extension to the left pleura was considered irresectable. Irradical debridement and the impossibility of administering hyperbaric oxygen therapy caused death within two day after presentation. CNF is a rare disease and to our knowledge, has never been reported after total laryngectomy. This case emphasizes the need for early antibiotic treatment and radical surgical resection of the affected tissues.

Pancreatico-Pleural Fistula – from Diagnosis to Management. A Case Report

2018 ◽  
Vol 27 (4) ◽  
pp. 465-469
Author(s):  
Catalina Mihai ◽  
Mariana Floria ◽  
Radu Vulpoi ◽  
Loredana Nichita ◽  
Cristina Cijevschi Prelipcean ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Pleural Effusion ◽  
Pancreatic Pseudocyst ◽  
Pulmonary Thromboembolism ◽  
Pancreatic Pseudocysts ◽  
Kidney Tumor ◽  
Massive Pleural Effusion ◽  
Left Pleura ◽  
Acute And Chronic Pancreatitis ◽  
Left Hemi

Pancreatic pseudocysts are frequent complications of both acute and chronic pancreatitis. By contrast, pancreatico-pleural fistula is rare. Here we report a case of massive pleural effusion secondary to a fistula in the left hemi-diaphragm, between a pancreatic pseudocyst and the left pleura, in a patient with a right kidney tumor and bilateral massive pulmonary thromboembolism. This fistula developed after several episodes of un-investigated acute pancreatitis. The pleural effusion was treated by three thoracocenteses, without recurrence.

Simulation study of volumetric modulated arc therapy for thoracic esophageal cancer using automated-radiotherapy planning software.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 158-158
Author(s):  
Yuji Murakami ◽  
Yasushi Nagata ◽  
Tomoki Kimura ◽  
Ikuno Nishibuchi ◽  
Takeo Nakashima
Keyword(s):  
Esophageal Cancer ◽  
Left Ventricle ◽  
Simulation Study ◽  
Low Dose ◽  
Volumetric Modulated Arc Therapy ◽  
Radiotherapy Planning ◽  
High Dose ◽  
Planning Software ◽  
Arc Therapy ◽  
Left Pleura

158 Background: To prevent cardiac toxicity after chemoradiotherapy for esophageal cancer (EC), decrease of high irradiation dose to the heart without expanding the volume of lung irradiated low dose is needed, but this is not easy under the conventional techniques. Purpose of this study is to investigate the utility of volumetric modulated arc therapy using automated-radiotherapy planning software (auto-VMAT) to solve this issue. Methods: In this simulation study, data of 12 patients with stage I-III ECs previously treated by 3D-conformal radiotherapy (3DCRT) was used. We performed auto-VMAT planning using commercially available ‘Pinnacle3 Auto-Planning’ software. Targets for gross tumor (PTV1) and elective nodal region (PTV2), and organs at risk (OARs: lung, heart, left ventricle, epicardium, left pleura, liver and spinal cord) were delineated. Multi-portal beams were used for 3DCRT and dose description was 40 Gy in 20 fractions for PTV1+2 and 20 Gy in 10 fractions-boost for PTV1. We used the simultaneous integrated boost method for auto-VMAT with a dose description of 60 Gy for PTV1 and 48 Gy for PTV2 in 30 fractions. We performed planning in consideration with decrease of volumes irradiated middle to high dose in left ventricle and achievement of volume irradiated 5 Gy (V5) in lung < 50% as high-priority dose constraints. Results: Prescribed dose coverage of PTVs was equivalent between 3DCRT and auto-VMAT, while auto-VMAT showed better dose-conformity. Auto-VMAT showed a significant decrease of mean dose and V20-V60 in heart, left ventricle and epicardium and significant decrease of V50-V60 in lung and left pleura. V5 in lung was equivalent between 3DCRT and auto-VMAT (46.6±9.6% vs 45.6±4.7%; p = 0.72). Auto-VMAT achieved the V5 in lung < 50% in 10 among 12 patients and the max V5 in lung was 52.5%. Conclusions: Auto-VMAT for ECs achieved better dose conformity of targets, decrease of middle-high dose in heart, left ventricle and epicardium, and equivalent low dose volumes in lung. Auto-VMAT planning brings high quality dose distribution, uniformity of quality of planning, laborsaving and timesaving in treatment planning.

scholarly journals Observations on air found in the pleura, in a case of pneumatothorax; with experiments on the absorption of different kinds of air introduced into the pleura

1833 ◽  
Vol 2 ◽  
pp. 202-202
Keyword(s):  
Nitrous Oxide ◽  
Carbonic Acid ◽  
The Body ◽  
Detailed Account ◽  
Solubility In Water ◽  
Atmospheric Air ◽  
Healthy State ◽  
Left Pleura ◽  
The Right ◽  
Enormous Quantity

In this paper Dr. Davy gives a detailed account of the symptoms produced by the above disease, and of the appearance after death, in a man of thirty years of age. He also adverts to the composition of the air found in the lungs, which was collected by immersing the body in water, and puncturing the pleura, when it issued in the enormous quantity of 225 cubic inches. It was without smell, and extinguished flame, and was not inflammable. It consisted of 8 carbonic acid, and 92 azotic gas per cent.; and the author considers it as derived from the atmosphere by a morbid communication, which was discovered on dissection, between the pleura and atmosphere through the medium of the lung. To determine the mode in which its change of composition had been effected, Dr. Davy inflated the right pleura of a dog with atmospheric air, and killed the animal after 48 hours. On examining the air, the oxygen was found absorbed in larger proportion than the azote, which accounts for the accumulation of the latter gas in the preceding instance. To ascertain how far carbonic acid is absorbed by the pleura, a mixture of 80 parts of common air, and 20 of carbonic acid, was injected into the right pleura of a dog. After two days the animal appeared well, and a mixture of 75 of air and 25 of carbonic acid was thrown into the left pleura. Twentyfour hours after, the dog was killed, and the result was, that during a sojourn of three days in the pleura the oxygen had been absorbed in greater proportion than the carbonic acid, and the latter in a greater degree than the azote. The power thus exhibited by the pleura of absorbing one kind of gas more than another, without reference to their solubility in water, induced the author to institute some similar experiments with hydrogen, nitrous oxide, and nitrous gas. A mixture of carbonic acid and hydrogen thus applied did not appear to affect the health of the animal. A mixture of azote and nitrous gas killed the animal in five hours. In the former case the hydrogen disappeared, and its place was supplied by a small quantity of azote. As the author’s experiments induce him to believe that no air exists in the pleura in a healthy state, he is led to suppose that its appearance in this case is referrible to secretion.—In a note annexed to this paper, Dr. Davy expresses his doubt as to the existence of any free carbonic acid in the blood; since he could, in two experiments made for the purpose, obtain none by means of the air-pump.

scholarly journals Further particulars of a case of pneumato-thorax

1833 ◽  
Vol 2 ◽  
pp. 215-216
Keyword(s):  
Carbonic Acid ◽  
Left Lung ◽  
Bronchial Tube ◽  
Atmospheric Air ◽  
Left Pleura ◽  
The Right

About a month after the operation described in Dr. Davy’s former paper, when the patient appeared to be doing well, symptoms of hydrothorax came on, and fluid again collected in the left side of the chest. A second operation therefore was performed, and fourteen ounces of fluid discharged through a perforation in the fifth rib. During the six following weeks not less than twenty pints of fluid ran off through the opening; at first it was transparent, but became gradually more and more purulent, and was mixed with air composed of oxygen, azote and carbonic acid, in various proportions. The patient’s health improved at first progressively, but in about six weeks after the operation he became worse, and expired suddenly. On examination after death, about six ounces of pus were found in the left pleura. The right pleura was healthy, but tubercles and vomicæ were found in the right lung; the left lung was much condensed, and communicated by two small openings with the pleura. Dr. Davy refers the origin of the disease in this case to a communication between the aspera arteria and cavity of the pleura, established by the rupture of a superficial bronchial tube, and the membrane covering it; and concludes the paper with some remarks upon the fluctuating composition of the air from the chest, which he attributes not to the varying quantity of atmospheric air, admitted through the perforation, which was as carefully closed as possible, but to its vitiation by respiration, and by the absorbent power of the pleura.

Lung Retraction for Exposure of Lateral Wall Vessels in Off-Pump Bypass Grafting

2020 ◽  
Vol 15 (3) ◽  
pp. 270-271
Author(s):  
Lalit Kapoor ◽  
Devraj Kumar ◽  
Sathish Kumar ◽  
Rakesh Gayen ◽  
Somnath Ganguly ◽  
...  
Keyword(s):  
Tidal Volume ◽  
Artery Bypass ◽  
Lateral Wall ◽  
Bypass Grafting ◽  
Circumflex Artery ◽  
Lumen Tube ◽  
Off Pump ◽  
Single Lumen ◽  
Left Pleura ◽  
Pump Coronary Artery Bypass

One of the major challenges in off-pump coronary artery bypass grafting (OPCAB) is ensuring adequate exposure of the lateral wall vessels. In most cases when the left pleura is opened during harvesting of the left internal thoracic artery , the lung frequently obscures the view. Reducing the tidal volume is practised by certain surgeons, which however in the presence of a single lumen tube affects both lungs and is best avoided in OPCAB. We describe a technique that allows adequate exposure of the circumflex artery and its branches without compromising the tidal volume.

scholarly journals Symptomatic isolated thoracic splenosis 11 years after abdominal trauma: Case report

2016 ◽  
Vol 144 (9-10) ◽  
pp. 541-544 ◽  
Author(s):  
Tanja Plesa ◽  
Slavko Zdrale ◽  
Danijela Batinic-Skipina ◽  
Miodrag Kovacevic ◽  
Vladimir Jurisic ◽  
...  
Keyword(s):  
Traumatic Event ◽  
Pulmonary Nodules ◽  
Splenic Tissue ◽  
Surgical Removal ◽  
Histopathological Diagnosis ◽  
Medical Checkup ◽  
Left Pleura ◽  
Trauma Case ◽  
History Of ◽  
Asymptomatic Case

Introduction. Thoracic splenosis is defined as the autotransplantation of splenic tissue into thorax. It occurs due to splenic rupture in association with a diaphragmatic tear on the left side after a traumatic event. It is a rare disease that most commonly remains undiscovered as it is usually asymptomatic. Case Outline. We present a symptomatic case of thoracic splenosis in a 53-year-old smoker male patient with a medical history of abdominal surgery and splenectomy for a thoracoabdominal gunshot. Three years before the medical examination he was suffering from dyspnea, frequent coughing, left pleuritic chest pain and complained about faster fatigue. A chest radiograph obtained during a medical checkup showed a multinodular left pleura-based mass in the upper lobe. Established histopathological diagnosis after surgical removal of the nodule was splenosis. No evidence of malignancy was observed. Conclusion. Splenosis should be considered as a differential diagnosis by the undertaken workup of left pulmonary nodules or masses in patients with a history of trauma.

The case of surplus lung

1911 ◽  
Vol 11 (7-10) ◽  
pp. 217-224
Author(s):  
V. A. Popov
Keyword(s):  
Adrenal Gland ◽  
Lung Tissue ◽  
Respiratory System ◽  
Left Pleura ◽  
The Right

During the preparation at the Anatomical Institute of the Corpse Vessels, one of the interesting deviations from the norm in the respiratory system was noticed, namely: on the opening of cavum thoracis in an infant of the second month of life, in the cavity of the left pleura, when the left diaphragmatic cost sinus was retracted to the right , to the left and posterior to the lower part of the aorta thoracalis, a special formation was seen, somewhat resembling the adrenal gland in shape, of uneven thickness, color and consistency of the lung tissue.

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