Know About Cardiothoracic Surgery in 60 Seconds About what cardiothoracic surgery is, why it is done and what is the result of such surgery. A Major Session on #cardiothoracic #surgery at #Congress #2018HCC 2018 Healthcare and Cardiology Conference #BANGKOK http://cosmicseries.org/cardiology-conferences/

The surgeon may use treatment options such as thoracoscopy, electrocautery, laser treatment, resection of blebs or pleura, or open thoracotomy. Other surgical indications are as follows: Persistent air leak for longer than 7 days. Recurrent, ipsilateral pneumothorax.

Bullae resection for right pneumothrax via VATS

Empyema can develop after you have pneumonia. Many different types of bacteria may cause pneumonia, but the two most common are Streptococcus pneumoniae and Staphylococcus aureus. Occasionally, empyema may happen after you've had surgery on your chest. Medical instruments can transfer bacteria into your pleural cavity

Thoracoscopic Management of Lung Abscess Before Empyema

Ectopia cordis is a rare genetic defect. During a baby’s development in utero, their chest wall doesn’t form correctly. It also doesn’t fuse together as it normally would. This prevents the heart from developing where it should, leaving it defenseless and exposed outside of the protection of the chest wall. The defect affects about one in 126,000 births. In partial ectopia cordis, the heart is located outside the chest wall, but just under the skin. The heart can be seen beating through the skin.

A fractured rib is usually a result of a fall or accident. Prolonged coughing and sports with repetitive movement, such as golf, also can cause a rib fracture. Symptoms include pain when taking a deep breath, pressing on the injured area, or bending or twisting the body. In most cases, fractured ribs usually heal on their own in one or two months. Pain relievers can make it easier to breathe deeply.

A fractured rib is usually a result of a fall or accident. Prolonged coughing and sports with repetitive movement, such as golf, also can cause a rib fracture. Symptoms include pain when taking a deep breath, pressing on the injured area, or bending or twisting the body. In most cases, fractured ribs usually heal on their own in one or two months. Pain relievers can make it easier to breathe deeply.

For blunt trauma patients lying supine, drains should be placed anteriorly in the chest. This pevents a tension pneumothorax developing if the chest tube is blocked by dependent lung tissue. Normal movement of the lungs will allow drainage of a basal haemothorax through an anterior chest tube

Paradoxical movement is an obvious sign that the portion of the chest wall is not assisting with the breathing function. Other symptoms of flail chest can include: Bruises, grazes, and/or discoloration in the chest area. Telltale markings from a seat belt.

A flail chest occurs when a segment of the thoracic cage is separated from the rest of the chest wall. This is usually defined as at least two fractures per rib (producing a free segment), in at least two ribs. A segment of the chest wall that is flail is unable to contribute to lung expansion. Large flail segments will involve a much greater proportion of the chest wall and may extend bilaterally or involve the sternum. In these cases the disruption of normal pulmonary mechanics may be large enough to require mechanical ventilation.

Median Sternotomy performed before open heart surgery !

Surgeons Open Chest of Stabbed Patient to Pull Knife Out of His Heart

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CARDIAC TAMPONADE!!! The surgeon in this video is performing a pericardiotomy in a 30-year-old man that presented to ER after a motor vehicle crash....

This video is really sad. You can literally watch this man dying. He was shot in the chest and rushed to the emergency room. His heart has stopped beating or has arrested. As a last resort, surgeons did an extreme procedure called an open thoracotomy which is that crazy tool you see there that basically splits the ribs open and allows easy open access to the heart. They did this so they could give him a cardiac massage. A cardiac massage is when surgeons are manually trying to pump the heart after it has stopped working on its own (cardiac arrest). Unfortunately he lost so much blood from his gun shot wound and he was pronounced dead. There are cases of patients surviving after having this kind of invasive resuscitation but it is rare.

The treatment of cardiac arrest

Start of CRRT circuit within ECMO