Adhesive arachnoiditis is extremely rare, but it can have extremely serious neurologic sequelae. An 80-year-old man underwent right upper lobectomy under general anesthesia with epidural anesthesia for lung cancer. Paralysis of both lower limbs occurred from the day after surgery, and magnetic resonance imaging findings of syringomyelia appeared. Adhesive arachnoiditis was diagnosed, and vertebroplasty and arachnoid release were performed. A postoperative drug-induced lymphocyte stimulation test showed positive results for ropivacaine, which had been used for epidural anesthesia. Local allergy to this drug was therefore suspected as the cause of adhesive arachnoiditis.
{"title":"Adhesive Arachnoiditis in a Patient Undergoing Lung Cancer Surgery","authors":"Takuya Fujita MD, PhD , Yuki Namura MD , Jun Hanaoka MD, PhD","doi":"10.1016/j.atssr.2025.05.001","DOIUrl":"10.1016/j.atssr.2025.05.001","url":null,"abstract":"<div><div>Adhesive arachnoiditis is extremely rare, but it can have extremely serious neurologic sequelae. An 80-year-old man underwent right upper lobectomy under general anesthesia with epidural anesthesia for lung cancer. Paralysis of both lower limbs occurred from the day after surgery, and magnetic resonance imaging findings of syringomyelia appeared. Adhesive arachnoiditis was diagnosed, and vertebroplasty and arachnoid release were performed. A postoperative drug-induced lymphocyte stimulation test showed positive results for ropivacaine, which had been used for epidural anesthesia. Local allergy to this drug was therefore suspected as the cause of adhesive arachnoiditis.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Pages 872-874"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.atssr.2025.05.023
Victor S. Alemany MD, MS , Sajeev Kohli BA , Forhad Ullah MD , Kimberlee Gauvreau ScD , Francis Fynn-Thompson MD , Jose A. Fernandez Alen MD, PhD , Miguel Angel Granados Ruiz MD, PhD , Pedro J. del Nido MD , Tajinder P. Singh MD, MSc , Meena Nathan MD, MPH
Background
Use of hearts identified as eligible for donation after circulatory death (DCD) has been largely suboptimal. We aimed to study how hearts identified as eligible for DCD in the United States have been used and discuss whether innovative techniques or alternate use can enhance allocation of these hearts to benefit children and adults with heart disease.
Methods
Data from United Network for Organ Sharing database of all eligible DCD donors from January 2013 to December 2022 were analyzed. Donor data were categorized based on heart disposition as not recovered, recovered not for transplant, and recovered for transplant but not transplanted.
Results
Overall, 5244 hearts considered eligible for DCD were not transplanted, accounting for 421 hearts per year between 2013 and 2017 and 523 hearts per year between 2018 and 2022. Of these, 3786 hearts (72.2%; 976 from eligible donors aged <18 years) were never recovered, 1425 hearts (27.2%; 608 from pediatric donors) were recovered but not for transplant, and 33 hearts (0.6%; 5 from pediatric donors) were recovered for transplant but not transplanted. Among donors whose organs were not used for transplant, 98% were nondiabetic, 96% were normotensive, and 99.5% were free of coronary artery disease.
Conclusions
A large percentage of hearts identified as eligible for DCD are currently not used. These hearts represent a potential source for expanding the pool of donor hearts for transplantation and for novel techniques, such as a partial heart transplant, particularly in the pediatric population.
{"title":"Fate of Discarded Hearts Donated After Circulatory Death: Is There an Opportunity for Novel Use?","authors":"Victor S. Alemany MD, MS , Sajeev Kohli BA , Forhad Ullah MD , Kimberlee Gauvreau ScD , Francis Fynn-Thompson MD , Jose A. Fernandez Alen MD, PhD , Miguel Angel Granados Ruiz MD, PhD , Pedro J. del Nido MD , Tajinder P. Singh MD, MSc , Meena Nathan MD, MPH","doi":"10.1016/j.atssr.2025.05.023","DOIUrl":"10.1016/j.atssr.2025.05.023","url":null,"abstract":"<div><h3>Background</h3><div>Use of hearts identified as eligible for donation after circulatory death (DCD) has been largely suboptimal. We aimed to study how hearts identified as eligible for DCD in the United States have been used and discuss whether innovative techniques or alternate use can enhance allocation of these hearts to benefit children and adults with heart disease.</div></div><div><h3>Methods</h3><div>Data from United Network for Organ Sharing database of all eligible DCD donors from January 2013 to December 2022 were analyzed. Donor data were categorized based on heart disposition as not recovered, recovered not for transplant, and recovered for transplant but not transplanted.</div></div><div><h3>Results</h3><div>Overall, 5244 hearts considered eligible for DCD were not transplanted, accounting for 421 hearts per year between 2013 and 2017 and 523 hearts per year between 2018 and 2022. Of these, 3786 hearts (72.2%; 976 from eligible donors aged <18 years) were never recovered, 1425 hearts (27.2%; 608 from pediatric donors) were recovered but not for transplant, and 33 hearts (0.6%; 5 from pediatric donors) were recovered for transplant but not transplanted. Among donors whose organs were not used for transplant, 98% were nondiabetic, 96% were normotensive, and 99.5% were free of coronary artery disease.</div></div><div><h3>Conclusions</h3><div>A large percentage of hearts identified as eligible for DCD are currently not used. These hearts represent a potential source for expanding the pool of donor hearts for transplantation and for novel techniques, such as a partial heart transplant, particularly in the pediatric population.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Pages 1111-1115"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to perform the world’s first robot-assisted telesurgery for lung resection in an animal model using Starlink (SpaceX) to address cost and latency issues associated with conventional telesurgery communication methods.
Description
A Saroa (Riverfield Inc) surgical robot with haptic feedback function was used in a swine model. The animal was located 1000 km away in Fukushima, Japan, while the surgeon console was located in Fukuoka, Japan. Starlink provided real-time video and data communication. Surgical parameters including safety, latency, and cost were evaluated.
Evaluation
The surgery was completed in 2 hours 44 minutes. Average communication latency was approximately 130 milliseconds, with minor image disturbances occurring once every 5 minutes, potentially due to satellite switching or weather conditions. Despite these interruptions, the surgery was conducted safely.
Conclusions
The successful performance of this telesurgery highlights the potential of low-cost and low-latency satellite communication systems to overcome barriers in telesurgery. These findings pave the way for broader telesurgery applications, particularly in underserved regions, and set the stage for further technical and clinical advancements in remote robotic surgery.
{"title":"A New Technological Approach to Robotic Telesurgery with Starlink: Safe Telesurgery","authors":"Yuichiro Ueda MD, PhD , Takahiro Kanno PhD , Toshihiko Sato MD, PhD","doi":"10.1016/j.atssr.2025.04.018","DOIUrl":"10.1016/j.atssr.2025.04.018","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to perform the world’s first robot-assisted telesurgery for lung resection in an animal model using Starlink (SpaceX) to address cost and latency issues associated with conventional telesurgery communication methods.</div></div><div><h3>Description</h3><div>A Saroa (Riverfield Inc) surgical robot with haptic feedback function was used in a swine model. The animal was located 1000 km away in Fukushima, Japan, while the surgeon console was located in Fukuoka, Japan. Starlink provided real-time video and data communication. Surgical parameters including safety, latency, and cost were evaluated.</div></div><div><h3>Evaluation</h3><div>The surgery was completed in 2 hours 44 minutes. Average communication latency was approximately 130 milliseconds, with minor image disturbances occurring once every 5 minutes, potentially due to satellite switching or weather conditions. Despite these interruptions, the surgery was conducted safely.</div></div><div><h3>Conclusions</h3><div>The successful performance of this telesurgery highlights the potential of low-cost and low-latency satellite communication systems to overcome barriers in telesurgery. These findings pave the way for broader telesurgery applications, particularly in underserved regions, and set the stage for further technical and clinical advancements in remote robotic surgery.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Pages 867-871"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.atssr.2025.04.008
Samar Semaan MD , Jerry Xiao MD , Ray Chihara MD, PhD , Warren Naselsky MD , Min P. Kim MD
A pericardial hernia is a rare condition in which a pericardial defect allows an adjacent structure to herniate into the pericardium. A 71-year-old man with idiopathic cardiomyopathy underwent left ventricular assist device placement and subsequent heart transplantation. The patient presented 2 years after transplantation with a pericardial hernia of the transverse colon. The patient underwent robot-assisted laparoscopic reduction of the transverse colon and pericardial repair with a GORE-TEX mesh (W. L. Gore & Associates), with resolution of chest discomfort. A pericardial diaphragmatic hernia is a rare complication of left ventricular assist device placement. A robot-assisted platform can be used to reduce abdominal viscera and repair a pericardial defect.
心包疝是一种罕见的情况，其中心包缺损使得邻近的结构疝入心包。一位71岁的特发性心肌病患者接受了左心室辅助装置放置和随后的心脏移植。患者在移植后2年出现横结肠心包疝。患者接受了机器人辅助腹腔镜下横结肠复位和Gore - tex补片心包修复术（W. L. Gore & Associates），胸部不适得到缓解。心包膈疝是一种罕见的左心室辅助装置放置并发症。机器人辅助平台可用于减少腹部脏器和修复心包缺损。
{"title":"Robot-Assisted Laparoscopic Repair of Pericardial Hernia in a Heart Transplant Patient","authors":"Samar Semaan MD , Jerry Xiao MD , Ray Chihara MD, PhD , Warren Naselsky MD , Min P. Kim MD","doi":"10.1016/j.atssr.2025.04.008","DOIUrl":"10.1016/j.atssr.2025.04.008","url":null,"abstract":"<div><div>A pericardial hernia is a rare condition in which a pericardial defect allows an adjacent structure to herniate into the pericardium. A 71-year-old man with idiopathic cardiomyopathy underwent left ventricular assist device placement and subsequent heart transplantation. The patient presented 2 years after transplantation with a pericardial hernia of the transverse colon. The patient underwent robot-assisted laparoscopic reduction of the transverse colon and pericardial repair with a GORE-TEX mesh (W. L. Gore & Associates), with resolution of chest discomfort. A pericardial diaphragmatic hernia is a rare complication of left ventricular assist device placement. A robot-assisted platform can be used to reduce abdominal viscera and repair a pericardial defect.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Pages 940-942"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.atssr.2025.04.002
Joshua Y. Kim MS , Zachary W. Sollie MD , Minoo Kavarana MD
d-Transposition of the great arteries with single coronary artery origin from sinus 1 with bilateral interarterial course is a rare occurrence. We present a case of a 5-day old neonate born with d-transposition of the great arteries and single coronary artery that was repaired with an arterial switch operation by the Lecompte maneuver and coronary artery reimplantation using an autologous coronary tube creation. Postoperative course was uneventful, and the patient was discharged home. Echocardiography showed a patent coronary artery, with normal left and right ventricular function.
{"title":"Arterial Switch Using an Autologous Aortic Sinus Tube With the Lecompte Maneuver","authors":"Joshua Y. Kim MS , Zachary W. Sollie MD , Minoo Kavarana MD","doi":"10.1016/j.atssr.2025.04.002","DOIUrl":"10.1016/j.atssr.2025.04.002","url":null,"abstract":"<div><div>d-Transposition of the great arteries with single coronary artery origin from sinus 1 with bilateral interarterial course is a rare occurrence. We present a case of a 5-day old neonate born with d-transposition of the great arteries and single coronary artery that was repaired with an arterial switch operation by the Lecompte maneuver and coronary artery reimplantation using an autologous coronary tube creation. Postoperative course was uneventful, and the patient was discharged home. Echocardiography showed a patent coronary artery, with normal left and right ventricular function.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Pages 1087-1089"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.atssr.2025.06.028
Nicole Lin MD , Merit Gorgy MD , Kenji Okumura MD , Falyn Katzman MPH , Matthew McGuirk MD , Clara Angeles MD , Tracey Weigel MD
This report presents a rare case of esophageal perforation in a patient with a large, incarcerated Morgagni hernia. At presentation, the Morgagni hernia contained peritoneal contents, including the stomach and duodenum. Because of distal obstruction resulting in persistent emesis, the patient presented in a septic state in the setting of esophageal perforation. We present a hospital course where the esophageal perforation was repaired on an emergency basis through a left thoracotomy, followed by a delayed robotic-assisted diaphragmatic repair using mesh.
{"title":"Management of Congenital Morgagni Hernia With Gastric Outlet Obstruction Causing Perforated Esophagus in a Young Adult","authors":"Nicole Lin MD , Merit Gorgy MD , Kenji Okumura MD , Falyn Katzman MPH , Matthew McGuirk MD , Clara Angeles MD , Tracey Weigel MD","doi":"10.1016/j.atssr.2025.06.028","DOIUrl":"10.1016/j.atssr.2025.06.028","url":null,"abstract":"<div><div>This report presents a rare case of esophageal perforation in a patient with a large, incarcerated Morgagni hernia. At presentation, the Morgagni hernia contained peritoneal contents, including the stomach and duodenum. Because of distal obstruction resulting in persistent emesis, the patient presented in a septic state in the setting of esophageal perforation. We present a hospital course where the esophageal perforation was repaired on an emergency basis through a left thoracotomy, followed by a delayed robotic-assisted diaphragmatic repair using mesh.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Pages 932-935"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Surgical approaches for giant middle mediastinal tumors are challenging owing to the surrounding great vessels and vital organs. Here, we report the resection of a giant middle mediastinal tumor with feeding vessels from the coronary artery causing exertional dyspnea. Surgical resection involved a clamshell incision and temporary transection of the ascending aorta and right pulmonary artery under cardiopulmonary bypass to achieve optimal visualization. The tumor, diagnosed as unicentric Castleman disease, was safely excised with good postoperative outcomes. This method—the transaortopulmonary arterial approach—offers a favorable surgical tool for giant mediastinal tumors.
{"title":"Resection of a Giant Middle Mediastinal Tumor Using a Transaortopulmonary Arterial Approach","authors":"Kaito Yano MD , Tsutomu Ito MD , Keisuke Asakura MD , Yuriko Tanabe MD , Yorihiko Matsumoto MD , Kaoru Kaseda MD , Yutaka Kurebayashi MD , Yoshitake Yamada MD , Tomoyuki Hishida MD , Hideyuki Shimizu MD","doi":"10.1016/j.atssr.2025.04.006","DOIUrl":"10.1016/j.atssr.2025.04.006","url":null,"abstract":"<div><div>Surgical approaches for giant middle mediastinal tumors are challenging owing to the surrounding great vessels and vital organs. Here, we report the resection of a giant middle mediastinal tumor with feeding vessels from the coronary artery causing exertional dyspnea. Surgical resection involved a clamshell incision and temporary transection of the ascending aorta and right pulmonary artery under cardiopulmonary bypass to achieve optimal visualization. The tumor, diagnosed as unicentric Castleman disease, was safely excised with good postoperative outcomes. This method—the transaortopulmonary arterial approach—offers a favorable surgical tool for giant mediastinal tumors.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Pages 936-939"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.atssr.2025.04.024
Abel Cherian BS , Alexander Ryan BS , Yash Rohilla , Kevin Wang MD , Chidiebere Peter Echieh FRCS , Toshinobu Kazui MD, PhD
Redo coronary artery bypass grafting (redo CABG) is a challenging procedure because surgical access must be reestablished, patent grafts must be preserved, and arterial graft selection is limited. We managed the case of a 58-year-old man with a history of prior CABG and end-stage renal disease in whom non–ST-segment elevation myocardial infarction developed as a result of severe in-stent restenosis of the mid right coronary artery. Coronary angiography demonstrated patent grafts, including left internal mammary to left anterior descending. To mitigate redo CABG risks, this patient underwent a sternotomy-sparing, off-pump, redo CABG by a gastroepiploic artery to posterior descending artery anastomosis through a minimally invasive subxiphoid approach.
{"title":"Minimally Invasive Redo Coronary Artery Bypass to Right Coronary Artery With Right Gastroepiploic Artery","authors":"Abel Cherian BS , Alexander Ryan BS , Yash Rohilla , Kevin Wang MD , Chidiebere Peter Echieh FRCS , Toshinobu Kazui MD, PhD","doi":"10.1016/j.atssr.2025.04.024","DOIUrl":"10.1016/j.atssr.2025.04.024","url":null,"abstract":"<div><div>Redo coronary artery bypass grafting (redo CABG) is a challenging procedure because surgical access must be reestablished, patent grafts must be preserved, and arterial graft selection is limited. We managed the case of a 58-year-old man with a history of prior CABG and end-stage renal disease in whom non–ST-segment elevation myocardial infarction developed as a result of severe in-stent restenosis of the mid right coronary artery. Coronary angiography demonstrated patent grafts, including left internal mammary to left anterior descending. To mitigate redo CABG risks, this patient underwent a sternotomy-sparing, off-pump, redo CABG by a gastroepiploic artery to posterior descending artery anastomosis through a minimally invasive subxiphoid approach.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Pages 1009-1012"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.atssr.2025.04.016
Laura DiChiacchio MD, PhD , Michal Schafer MD, PhD , Brigham R. Smith MD , Frederick G.P. Welt MD , Jason P. Glotzbach MD
{"title":"Symptomatic Left Main Coronary Artery Aneurysm With Intraluminal Thrombus","authors":"Laura DiChiacchio MD, PhD , Michal Schafer MD, PhD , Brigham R. Smith MD , Frederick G.P. Welt MD , Jason P. Glotzbach MD","doi":"10.1016/j.atssr.2025.04.016","DOIUrl":"10.1016/j.atssr.2025.04.016","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Page 1016"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patients with intractable pneumothorax often have complex backgrounds, such as extensive pleural adhesions throughout the thoracic cavity, making treatment challenging. Therefore, it is important to tailor treatment options to each patient on the basis of their individual background. We report an alternative surgical technique for the treatment of intractable pneumothorax: plugging the cicatricial tunnel (intrathoracic adhesion membrane structure) with polyglycolic acid sheets by video-assisted thoracoscopic surgery using local anesthesia.
{"title":"Plugging Cicatricial Septum Tunnel in Thoracic Cavity to Treat Intractable Pneumothorax","authors":"Somei Matsuo MD , Hiroyuki Oizumi MD, PhD , Jun Suzuki MD, PhD , Hikaru Watanabe MD , Satoshi Takamori MD, PhD , Kaito Sato MD","doi":"10.1016/j.atssr.2025.06.026","DOIUrl":"10.1016/j.atssr.2025.06.026","url":null,"abstract":"<div><div>Patients with intractable pneumothorax often have complex backgrounds, such as extensive pleural adhesions throughout the thoracic cavity, making treatment challenging. Therefore, it is important to tailor treatment options to each patient on the basis of their individual background. We report an alternative surgical technique for the treatment of intractable pneumothorax: plugging the cicatricial tunnel (intrathoracic adhesion membrane structure) with polyglycolic acid sheets by video-assisted thoracoscopic surgery using local anesthesia.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 4","pages":"Pages 912-915"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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