RESUMEN
Resuscitative thoracotomy has been extensively described in the civilian trauma literature and has a high mortality rate, due largely to the nature of the injuries leading to arrest. The survival rates are generally highest (10-30%) for penetrating truncal injuries and patients who arrive with vital signs and proceed to arrest or who have impending arrest. They are significantly lower (less than 5%) for blunt trauma victims, particularly those who arrest in the field or during transport (1% or less). In addition, the likelihood of survival with intact neurologic function is significantly lower than the overall survival rates, particularly for blunt trauma victims and for prehospital arrest.
Asunto(s)
Resucitación/métodos , Toracotomía/métodos , Humanos , Puntaje de Gravedad del Traumatismo , Personal Militar , Resucitación/tendencias , Estudios Retrospectivos , Análisis de Supervivencia , Toracotomía/tendencias , GuerraRESUMEN
We present an unusual case of right lower lobe intralobar pulmonary sequestration in a previously healthy and physical active 27-year-old U.S. Marine, who presented with new onset hemoptysis after doing push-ups. Diagnosis was obtained by chest X-ray and contrast computed tomography scan. Preoperatively the patient underwent fluoroscopy-guided embolization of the aberrant systemic artery supplying the sequestration. The segmental resection of the sequestration was then successfully performed through a muscle-sparing thoracotomy.
Asunto(s)
Secuestro Broncopulmonar/complicaciones , Hemoptisis/etiología , Personal Militar , Adulto , Angiografía , Secuestro Broncopulmonar/diagnóstico , Secuestro Broncopulmonar/cirugía , Hemoptisis/diagnóstico , Hemoptisis/cirugía , Humanos , Masculino , Aptitud Física , Toracotomía , Tomografía Computarizada por Rayos X , Estados UnidosRESUMEN
The purpose of this report is to record some of the recent accomplishments of the Surgery Interest Group (SIG) at the Uniformed Services University of the Health Sciences, and to provide a framework for others to follow, with the goal of encouraging students to become interested in the exciting field of surgery. We will outline some of the events that our SIG planned and carried out in order to provide a quality experience to its members.
Asunto(s)
Educación de Pregrado en Medicina , Cirugía General/educación , Personal Militar , Estudiantes de Medicina , Selección de Profesión , Humanos , Facultades de Medicina , Estados UnidosRESUMEN
A 17-year-old male patient presented to his primary care provider with heart failure symptoms and was transferred to our hospital with the diagnosis of idiopathic cardiomyopathy. His workup identified a large mediastinal mass with right ventricular outflow obstruction, which was resected. The pathology of the mass was a low-grade chondrosarcoma. The patient currently remains disease free at 4 years.
Asunto(s)
Condrosarcoma/diagnóstico , Insuficiencia Cardíaca/diagnóstico , Neoplasias del Mediastino/diagnóstico , Pared Torácica/patología , Obstrucción del Flujo Ventricular Externo/diagnóstico , Adolescente , Condrosarcoma/cirugía , Diagnóstico Diferencial , Ecocardiografía Transesofágica , Estudios de Seguimiento , Humanos , Imagen por Resonancia Magnética , Masculino , Neoplasias del Mediastino/cirugía , Toracotomía/métodos , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Obstrucción del Flujo Ventricular Externo/cirugíaRESUMEN
Anomalous origin of the right coronary artery from the left sinus of Valsalva is a rare congenital anomaly but a relatively frequent cause of sudden death in the young. The medical records of 4 consecutive patients with this anomaly were retrospectively reviewed. The first 2 patients underwent coronary artery bypass and had early graft failure. The next 2 patients underwent coronary reimplantation and unroofing and have done well. This limited series suggests that bypass procedures used to treat anomalous origin of the right coronary artery from the left sinus of Valsalva are prone to early graft failure.
Asunto(s)
Angina de Pecho/cirugía , Puente de Arteria Coronaria , Anomalías de los Vasos Coronarios/cirugía , Vasos Coronarios/cirugía , Reimplantación , Seno Aórtico/anomalías , Adulto , Angina de Pecho/diagnóstico por imagen , Angina de Pecho/etiología , Angiografía Coronaria , Anomalías de los Vasos Coronarios/diagnóstico por imagen , Ecocardiografía de Estrés , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico por imagen , Complicaciones Posoperatorias/cirugía , Reoperación , Estudios Retrospectivos , Seno Aórtico/diagnóstico por imagen , Seno Aórtico/cirugía , Venas/trasplanteRESUMEN
This report details the life and contributions of William Ray Rumel, an early cardiovascular surgeon known for his innovations, particularly the "Rumel tourniquet," and the ability to repair the diseased mitral valve without replacing it.