Evaluation and Management of Arterial Thoracic Outlet Syndrome
Arterial thoracic outlet syndrome is rare and may be associated with a bony anomaly. Patient presentation can range from mild arm discoloration and claudication to severe limb-threatening ischemia. For patients with subclavian artery dilation without secondary complications, thoracic outlet decompression and arterial surveillance is sufficient. Patients with subclavian artery aneurysms or distal embolization require decompression with reconstruction or thromboembolectomy and distal bypass respectively. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - November 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Louis L. Nguyen, Andrew J. Soo Hoo Source Type: research
Anatomy and Embryology of the Thoracic Outlet
The thoracic outlet is the space between the thorax and axilla through which the subclavian vein, subclavian artery, and brachial plexus travel from their central origins to their peripheral termini. Its bounds include the clavicle, first thoracic rib, insertion of the pectoralis minor muscle onto the coracoid process of the humerus, and the sternum. It contains three areas: the scalene triangle, the costoclavicular space, and the subcoracoid or pectoralis minor space. Aberrant anatomy is common in the thoracic outlet and may predispose patients to compression of the neurovascular bundle and development of clinical thoraci...
Source: Thoracic Surgery Clinics - November 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Margaret R. Connolly, Hugh G. Auchincloss Source Type: research
Thoracic Outlet Syndrome Evaluation: Patience Is a Virtue
We are excited to bring you a complete resource guide to help you care for your patient with thoracic outlet syndrome (TOS), a challenging diagnosis requiring multidisciplinary management and a cautious, thoughtful, preoperative evaluation. Thoracic surgeons Dean M. Donahue and Hugh G. Auchincloss have invited other thoracic peers, vascular surgeons, physical therapists, and radiologists to contribute to their focused issue. We are reminded of the complexity of this disease and that TOS is one of the few areas in general thoracic surgery that overlap, in particular, with our vascular surgery colleagues. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - November 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Virginia R. Litle Tags: Foreword Source Type: research
Challenges in the Evaluation and Management of Thoracic Outlet Syndrome
Thoracic outlet syndrome (TOS) represents 3 separate, potentially overlapping conditions that will each be discussed in this issue. The vascular forms of this condition (venous and arterial TOS) have more established diagnostic and management criteria. Treating these conditions still requires careful evaluation and skillful surgical management, and these are outlined in 2 outstanding articles in this issue. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - November 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Dean M. Donahue, Hugh G. Auchincloss Tags: Preface Source Type: research
Thoracic Outlet Syndrome
THORACIC SURGERY CLINICS (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - November 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Dean M. Donahue, Hugh G. Auchincloss Source Type: research
Copyright
ELSEVIER (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - November 19, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research
Contributors
VIRGINIA R. LITLE, MD (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - November 19, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research
Contents
Virginia R. Litle (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - November 19, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research
Forthcoming Issues
Surgical Management of Benign Lung Disease (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - November 19, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research
Taken Together
Malignant pleural mesothelioma is an aggressive, deadly cancer often requiring input from multiple medical disciplines. Treatment has evolved over the last several decades with increasing evidence and ongoing advances in chemotherapy, radiation, and immunotherapy; however, no standard treatment regimen has yet been defined. Regardless of the overall strategy, surgery remains the foundation of treatment to remove macroscopic disease, and preservation of lung parenchyma via extended pleurectomy/decortication may be preferable to extrapleural pneumonectomy. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kimberly J. Song, Raja M. Flores, Andrea S. Wolf Source Type: research
Preoperative Identification of Benefit from Surgery for Malignant Pleural Mesothelioma
This article discusses clinical, radiologic, pathologic, and molecular prognostic factors as well as genetic background leading to preoperative identification of benefit from surgery, which have been investigated over the past years to simplify and at the same time specify patient selection for surgical treatment. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Isabelle Opitz, Katarzyna Furrer Source Type: research
Pathology of Malignant Pleural Mesothelioma
Despite multiple diagnostic toolkits, the diagnosis of diffuse malignant pleural mesothelioma relies primarily on proper histologic assessment. The definitive diagnosis of diffuse malignant pleural mesothelioma is based on the pathologic assessment of tumor tissue, which can be obtained from core biopsy sampling, pleurectomy, or other more extensive resections, such as extrapleural pneumonectomy. Given its rarity and overlapping microscopic features with other conditions, the histologic diagnosis of diffuse malignant pleural mesothelioma is challenging. This review discusses the pathologic features and the differential dia...
Source: Thoracic Surgery Clinics - October 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Yin P. Hung, Lucian R. Chirieac Source Type: research
Malignant Pleural Mesothelioma
Malignant pleural mesothelioma (MPM) is a highly fatal malignancy of the pleura that has defeated standard-of-care therapy for decades. The most common cause of MPM is industrial/environmental exposure to asbestos in approximately 80% of cases, although it can result from radiation and is occasionally idiopathic. The 3 common histologic subtypes of MPM are epithelial (60%), biphasic (30%), and sarcomatoid (10%), and patients with epithelial MPM generally have better survival than those with nonepithelial histology. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bryan M. Burt Tags: Preface Source Type: research
Malignant Pleural Mesothelioma: State of the Art
THORACIC SURGERY CLINICS (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bryan M. Burt Source Type: research
Copyright
ELSEVIER (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - October 2, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research
