Cardiothoracic Surgery in Non Malignant Situations

Question 1

lung abscesses

Answer 1

Collection of pus surrounded by granuloma tissue. Usually due to aspiration pneumonia. Lung abscess can burst into pleural cavity and causes sudden onset of chest pain

Question 2

empyema thoracis

Answer 2

post pneumonic, post operative, oesophageal disease,

Question 3

what’s a pleurectomy

Answer 3

peel away parental and visceral pleura

Question 4

decortication

Answer 4

remove fibrous tissue on chest wall or diaphragm

Question 5

thymic tumours

Answer 5

not operable if invade surrounding structures

Question 5

thymic tumours

Answer 5

not operable if invade surrounding structures

Question 6

tracheal surgery

Answer 6

repair of iatrogenic injury or tumour

Question 7

benign lung tumours

Answer 7

hamartoma, fibroma, lipoma, neural tumours 10% can become malignant

Question 8

pneumothorax

Answer 8

recurrence, persistance or after one episode if its bad

Question 9

bullous lung disease

Answer 9

air filled space- standard open thoracotomy

Question 10

bronchogenic cysts

Answer 10

present from birth, cause symptoms by pressing on the trachea or oesophagus