ABSTRACT
Inflammatory myofibroblastic tumor occurs primarily in the viscera and soft tissue of children and young adults. This tumor is potentially malignant because of its tendency for local recurrence and its ability to metastasize. It is composed of a variable mixture of collagen, inflammatory cells, and usually bland spindle cells showing myofibroblastic differentiation. We report a 38-year-old female diagnosed with inflammatory myofibroblastic tumor preoperatively and has undergone right upper and middle lobectomy through fifth intercostal space for the same. Post-operative histopathology corroborated with preoperative diagnosis.
ABSTRACT
The incidence of situs inversus totalis is 1/10,000 to 1/50,000 live births. A 43-year-old female patient was incidentally diagnosed to have situs inversus totalis with severe mitral and aortic stenosis. The patient was thoroughly assessed, and the plan of surgery was modified accordingly. Under cardiopulmonary bypass, the mitral valve and aortic valve were replaced with 27-size and 19-size St. Jude medical mechanical valve, respectively, while the operating surgeon stood on left side. The postoperative period was uneventful. Thorough assessment and preoperative planning are essential for success in such cases.
ABSTRACT
Chylothorax following coronary artery bypass graft (CABG) surgery is a very rare complication and its management is debatable. Opinions vary from early aggressive management to prolonged conservative treatment. We describe two cases of post-operative chylothorax following CABG and its management with intravenous octreotide.