RESUMEN
A 59-year-old man underwent resection of aneurysm of the descending thoracic aorta with graft replacement. A postoperative chylothorax was managed by nonsurgical means and subsided. Subsequently, an expansile mass appeared in the left side of the chest and was surgically removed. This was found to be a chylous pseudocyst. Management of chylothorax and the details of this unique case are described.
Asunto(s)
Aneurisma de la Aorta/cirugía , Quilotórax/etiología , Conducto Torácico/lesiones , Quilotórax/diagnóstico por imagen , Quilotórax/cirugía , Humanos , Enfermedad Iatrogénica , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Tomografía Computarizada por Rayos XRESUMEN
Two patients with solitary plasmacytoma of the sternum were treated with primary surgical resection. Good long-term results were obtained. There is no long-term documentation that primary radiotherapy alone is the treatment of choice for solitary plasmacytomas. An individualized approach is warranted, especially when there is an isolated bulky lesion involving the chest wall.
Asunto(s)
Plasmacitoma/cirugía , Esternón , Neoplasias Torácicas/cirugía , Anciano , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Factores de TiempoRESUMEN
The authors describe a technique for reinforcing sternal wound closure that is recommended for high-risk wounds and for use after sternal dehiscence.