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Article: Surgical techniques: lung transplant and lung volume reduction.

Boasquevisque, Carlos Henrique R / Yildirim, Erkan / Waddel, Thomas K / Keshavjee, Shaf

Proceedings of the American Thoracic Society

2009 Volume 6, Issue 1, Page(s) 66–78

Abstract: Patients with end-stage emphysema can be offered lung volume reduction surgery (LVRS), lung transplantation, or unilateral lung transplantation combined with contralateral LVRS if necessary, depending on multiple factors including age, lung function ... ...

Abstract	Patients with end-stage emphysema can be offered lung volume reduction surgery (LVRS), lung transplantation, or unilateral lung transplantation combined with contralateral LVRS if necessary, depending on multiple factors including age, lung function parameters, lobar predominance, and whether the disease is uni- or bilateral. Lung transplant is a complex and well-established therapeutic modality for patients with end-stage lung disease. The ideal candidate for LVRS is a patient with severe upper-lobe predominant emphysema and markedly impaired exercise capacity. Other groups may benefit from the procedure, but results are likely to be less good. The objective of this chapter is to describe the surgical techniques of bilateral lung transplantation and lung volume reduction surgery as performed at the University of Toronto.
MeSH term(s)	Humans ; Lung Transplantation/methods ; Patient Selection ; Pneumonectomy/methods ; Postoperative Care ; Postoperative Complications ; Pulmonary Emphysema/physiopathology ; Pulmonary Emphysema/surgery ; Respiratory Function Tests ; Suture Techniques ; Thoracic Surgery, Video-Assisted
Language	English
Publishing date	2009-01-15
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2132421-9
ISSN	1943-5665 ; 1546-3222
ISSN (online)	1943-5665
ISSN	1546-3222
DOI	10.1513/pats.200808-083GO
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Article ; Online: Aspectos clínico-patológicos do carcinoma bronquioloalveolar e sobrevida em pacientes no estágio clínico I.

Brandão, Daniel Sammartino / Haddad, Rui / Marsico, Giovanni Antonio / Boasquevisque, Carlos Henrique Ribeiro

Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

2010 Volume 36, Issue 2, Page(s) 167–174

Abstract: Objective: To analyze the clinicopathological aspects of bronchioloalveolar carcinoma (BAC) and the survival in a sample of patients at clinical stage I.: Methods: A retrospective study involving 26 patients diagnosed with clinical stage I BAC and ... ...

Title translation	Clinicopathological aspects of and survival in patients with clinical stage I bronchioloalveolar carcinoma.
Abstract	Objective: To analyze the clinicopathological aspects of bronchioloalveolar carcinoma (BAC) and the survival in a sample of patients at clinical stage I. Methods: A retrospective study involving 26 patients diagnosed with clinical stage I BAC and undergoing surgery at the Thoracic Diseases Institute of the Federal University of Rio de Janeiro, in the city of Rio de Janeiro, Brazil, between 1987 and 2007. We analyzed clinicopathological and radiological aspects, as well as mortality and survival. The data, which were collected from the medical charts of the patients, were statistically analyzed. Results: Females predominated (n = 16). The mean age at diagnosis was 68.5 years. Most patients were active smokers (69.2%). The most common forms of presentation of BAC were the asymptomatic form (84.6%) and the nodular form (88.5%). Involvement of the upper lobes predominated (57.7%). Stage IB was the most common pathological stage, followed by stages IA and IIB (46.2%, 38.4% and 15.4%, respectively). There was no in-hospital mortality. Four patients died during the postoperative follow-up, with a mean disease-free survival time of 21.3 months. The overall five-year survival rate was 83%. The probability of survival for the patients diagnosed after 1999 showed a trend toward an increase when compared with that for those diagnosed up through 1999 (three-year survival rate: 92% vs. 68%; p = 0.07). Conclusions: The clinicopathological aspects of this study sample were similar to those of patients with BAC evaluated in previous studies.
MeSH term(s)	Adenocarcinoma, Bronchiolo-Alveolar/mortality ; Adenocarcinoma, Bronchiolo-Alveolar/pathology ; Aged ; Epidemiologic Methods ; Female ; Humans ; Lung Neoplasms/mortality ; Lung Neoplasms/pathology ; Male ; Neoplasm Staging ; Sex Distribution ; Smoking/epidemiology
Language	Portuguese
Publishing date	2010-05-16
Publishing country	Brazil
Document type	English Abstract ; Journal Article
ZDB-ID	2223157-2
ISSN	1806-3756 ; 1806-3713
ISSN (online)	1806-3756
ISSN	1806-3713
DOI	10.1590/s1806-37132010000200003
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Article ; Online: Symptomatic mucocele after esophageal exclusion.

Haddad, Rui / Teixeira Lima, Rodrigo / Henrique Boasquevisque, Carlos / Antonio Marsico, Giovanni

Interactive cardiovascular and thoracic surgery

2008 Volume 7, Issue 4, Page(s) 742–744

Abstract: Surgical exclusion of the thoracic esophagus can result in the accumulation of secretions and dilatation of the esophageal remnant, a clinical picture known as esophageal mucocele. Although it is usually asymptomatic, if it increases in size it can ... ...

Abstract	Surgical exclusion of the thoracic esophagus can result in the accumulation of secretions and dilatation of the esophageal remnant, a clinical picture known as esophageal mucocele. Although it is usually asymptomatic, if it increases in size it can produce a variety of compressive symptoms such as coughing, chest pain and respiratory distress. We present two cases of symptomatic mucocele after esophageal exclusion treated successfully with surgical resection. We believe that surgical resection should be considered for symptomatic patients, and that esophageal bypass surgery should be used with caution and indicated mostly in patients with a limited life span or with contraindications for esophagectomy.
MeSH term(s)	Adult ; Anastomosis, Surgical/adverse effects ; Digestive System Surgical Procedures/adverse effects ; Esophageal Cyst/diagnostic imaging ; Esophageal Cyst/etiology ; Esophageal Cyst/surgery ; Esophagus/diagnostic imaging ; Esophagus/surgery ; Humans ; Male ; Mucocele/diagnostic imaging ; Mucocele/etiology ; Mucocele/surgery ; Thoracotomy ; Tomography, X-Ray Computed ; Treatment Outcome
Language	English
Publishing date	2008-08
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	2095298-3
ISSN	1569-9285 ; 1569-9293
ISSN (online)	1569-9285
ISSN	1569-9293
DOI	10.1510/icvts.2008.179028
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Article ; Online: Obstrução de valva mitral por embolização tumoral per-operatória (pneumectomia direita) com parada cardíaca irreversível.

Haddad, Rui / Boasquevisque, Carlos Henrique Ribeiro / Ferreira, Tadeu Diniz / Reis, Mario Celso Martins / Teixeira, Fernando D'Imperio

Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

2008 Volume 34, Issue 7, Page(s) 537–540

Abstract: A 26-year-old patient with a voluminous primary pulmonary hemangiopericytoma in the right lung, diagnosed through previous surgical biopsy, presented irreversible cardiac arrest during the hilar dissection portion of a right pneumonectomy. The patient ... ...

Title translation	Mitral valve obstruction by tumor embolus as a cause of irreversible cardiac arrest during right pneumonectomy.
Abstract	A 26-year-old patient with a voluminous primary pulmonary hemangiopericytoma in the right lung, diagnosed through previous surgical biopsy, presented irreversible cardiac arrest during the hilar dissection portion of a right pneumonectomy. The patient did not respond to resuscitation efforts. Autopsy showed total obstruction of the mitral valve by a tumor embolism. In cases of large lung masses with hilar involvement, as in the case presented, we recommend preoperative evaluation using transesophageal echocardiography, magnetic resonance imaging or angiotomography. If injury to the pulmonary vessels or atrial cavities is detected, surgery with extracorporeal circulation should be arranged in order to allow resection of the intravascular or cardiac mass, together with pulmonary resection. We recommend that care be taken in order to recognize and treat this problem in patients not receiving a preoperative diagnosis.
MeSH term(s)	Adult ; Fatal Outcome ; Heart Arrest/etiology ; Heart Arrest/pathology ; Heart Neoplasms/secondary ; Hemangiopericytoma/surgery ; Humans ; Intraoperative Complications/etiology ; Lung Neoplasms/pathology ; Lung Neoplasms/surgery ; Male ; Mitral Valve Stenosis/etiology ; Mitral Valve Stenosis/pathology ; Neoplastic Cells, Circulating ; Pneumonectomy/adverse effects ; Preoperative Care
Language	Portuguese
Publishing date	2008-07-07
Publishing country	Brazil
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	2223157-2
ISSN	1806-3756 ; 1806-3713
ISSN (online)	1806-3756
ISSN	1806-3713
DOI	10.1590/s1806-37132008000700015
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Article ; Online: Pneumothorax and tension pneumopericardium following cardiothoracic surgery.

Haddad, Rui / Lima, Carlos Eduardo Teixeira / Boasquevisque, Carlos Henrique / Haddad, Guilherme Saraiva / Ferreira, Tadeu Diniz

Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

2007 Volume 32, Issue 1, Page(s) 84–87

Abstract: Herein, we report two cases of pneumothorax and tension pneumopericardium after cardiothoracic surgery. Both patients underwent pericardiotomy during the primary operation and developed pericardial tamponade as a complication. The treatment was tube ... ...

Abstract	Herein, we report two cases of pneumothorax and tension pneumopericardium after cardiothoracic surgery. Both patients underwent pericardiotomy during the primary operation and developed pericardial tamponade as a complication. The treatment was tube thoracostomy, and both patients recovered completely.
MeSH term(s)	Adult ; Coronary Artery Bypass/adverse effects ; Drainage ; Humans ; Male ; Middle Aged ; Pneumonectomy/adverse effects ; Pneumopericardium/diagnostic imaging ; Pneumopericardium/etiology ; Pneumopericardium/therapy ; Pneumothorax/diagnostic imaging ; Pneumothorax/etiology ; Pneumothorax/therapy ; Tomography, X-Ray Computed
Language	Portuguese
Publishing date	2007-02-02
Publishing country	Brazil
Document type	Case Reports ; Journal Article
ZDB-ID	2223157-2
ISSN	1806-3756 ; 1806-3713
ISSN (online)	1806-3756
ISSN	1806-3713
DOI	10.1590/s1806-37132006000100016
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Article ; Online: Forma acelerada da fibrose pulmonar idiopática no pulmão nativo após transplante pulmonar unilateral.

Rufino, Rogério / Madi, Kalil / Mourad, Omar / Judice, Angelo / Marsico, Giovanni / Boasquevisque, Carlos Henrique

Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

2007 Volume 33, Issue 6, Page(s) 733–737

Abstract: We report the case of a 56-year-old patient who underwent left single lung transplantation for idiopathic pulmonary fibrosis (IPF). Despite the high level of immunosuppression after the surgery, there was rapid progression to IPF in the native (right) ... ...

Title translation	Accelerated form of interstitial pulmonary fibrosis in the native lung after single lung transplantation.
Abstract	We report the case of a 56-year-old patient who underwent left single lung transplantation for idiopathic pulmonary fibrosis (IPF). Despite the high level of immunosuppression after the surgery, there was rapid progression to IPF in the native (right) lung as demonstrated by thoracoscopic lung biopsy. After 104 days on mechanical ventilation (MV), the patient underwent right lung transplant and was discharged from the hospital on postoperative day 26.
MeSH term(s)	Biopsy ; Humans ; Lung/diagnostic imaging ; Lung/pathology ; Lung Transplantation/adverse effects ; Male ; Middle Aged ; Pulmonary Fibrosis/diagnostic imaging ; Pulmonary Fibrosis/etiology ; Pulmonary Fibrosis/pathology ; Tomography, X-Ray Computed/methods
Language	Portuguese
Publishing date	2007-12-04
Publishing country	Brazil
Document type	Case Reports ; Journal Article
ZDB-ID	2223157-2
ISSN	1806-3756 ; 1806-3713
ISSN (online)	1806-3756
ISSN	1806-3713
DOI	10.1590/s1806-37132007000600018
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Article ; Online: Aspectos clínico-patológicos do carcinoma bronquioloalveolar e sobrevida em pacientes no estágio clínico I Clinicopathological aspects of and survival in patients with clinical stage I bronchioloalveolar carcinoma

Daniel Sammartino Brandão / Rui Haddad / Giovanni Antonio Marsico / Carlos Henrique Ribeiro Boasquevisque

Jornal Brasileiro de Pneumologia, Vol 36, Iss 2, Pp 167-

2010 Volume 174

Abstract: OBJETIVO: Analisar os aspectos clínico-patológicos do carcinoma bronquioloalveolar (CBA) e a sobrevida em uma amostra de pacientes com estadiamento clínico I. MÉTODOS: Foram estudados retrospectivamente 26 pacientes com diagnóstico de CBA e estágio ... ...

Abstract	OBJETIVO: Analisar os aspectos clínico-patológicos do carcinoma bronquioloalveolar (CBA) e a sobrevida em uma amostra de pacientes com estadiamento clínico I. MÉTODOS: Foram estudados retrospectivamente 26 pacientes com diagnóstico de CBA e estágio clínico I, , segundo a classificação tumor-node-metastasis (TNM, tumor-linfonodo-metástase),(15)operados no Instituto de Doenças do Tórax da Universidade Federal do Rio de Janeiro, na cidade do Rio de Janeiro, RJ, entre 1987 e 2007, quanto a variáveis clínico-patológicas e radiológicas, mortalidade e sobrevida. Os dados foram colhidos dos prontuários médicos dos pacientes e analisados estatisticamente. RESULTADOS: Houve predomínio de mulheres (n = 16). A idade média ao diagnóstico foi de 68,5 anos. Houve predomínio de tabagistas (69,2%). As formas de apresentação assintomática (84,6%) e nodular (88,5%) foram as mais comuns. Houve predileção pelos lobos superiores (57,7%). O estágio patológico IB foi o mais comum, seguido pelos estágios IA e IIB (46,2%, 38,4% e 15,4%, respectivamente). Não houve óbitos hospitalares. Quatro pacientes faleceram durante o seguimento pós-operatório, com tempo livre de doença médio de 21,3 meses. A taxa de sobrevida global em cinco anos foi 83%. A probabilidade de sobrevida para os pacientes diagnosticados depois de 1999 tendeu a ser maior do que para aqueles diagnosticados até 1999 (taxa de sobrevida em três anos: 92% vs. 68%; p = 0,07). CONCLUSÕES: Os aspectos clínico-patológicos da amostra estudada foram semelhantes àqueles de estudos anteriores em pacientes com CBA. OBJECTIVE: To analyze the clinicopathological aspects of bronchioloalveolar carcinoma (BAC) and the survival in a sample of patients at clinical stage I. METHODS: A retrospective study involving 26 patients diagnosed with clinical stage I BAC and undergoing surgery at the Thoracic Diseases Institute of the Federal University of Rio de Janeiro, in the city of Rio de Janeiro, Brazil, between 1987 and 2007. We analyzed clinicopathological and radiological aspects, as well as mortality and survival. The data, which were collected from the medical charts of the patients, were statistically analyzed. RESULTS: Females predominated (n = 16). The mean age at diagnosis was 68.5 years. Most patients were active smokers (69.2%). The most common forms of presentation of BAC were the asymptomatic form (84.6%) and the nodular form (88.5%). Involvement of the upper lobes predominated (57.7%). Stage IB was the most common pathological stage, followed by stages IA and IIB (46.2%, 38.4% and 15.4%, respectively). There was no in-hospital mortality. Four patients died during the postoperative follow-up, with a mean disease-free survival time of 21.3 months. The overall five-year survival rate was 83%. The probability of survival for the patients diagnosed after 1999 showed a trend toward an increase when compared with that for those diagnosed up through 1999 (three-year survival rate: 92% vs. 68%; p = 0.07). CONCLUSIONS: The clinicopathological aspects of this study sample were similar to those of patients with BAC evaluated in previous studies.
Keywords	Adenocarcinoma bronquíolo-alveolar ; Carcinoma pulmonar de células não pequenas ; Pulmão ; Tabagismo ; Adenocarcinoma ; bronchiolo-alveolar ; Carcinoma ; non-small-cell lung ; Lung ; Smoking ; Diseases of the respiratory system ; RC705-779 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Internal medicine ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	Portuguese
Publishing date	2010-04-01T00:00:00Z
Publisher	Sociedade Brasileira de Pneumologia e Tisiologia
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Plastic surgery in chest wall reconstruction

Diogo Franco / João Medeiros Tavares Filho / Paola Cardoso / Laércio Moreto Filho / Mario Celso Reis / Carlos Henrique Ribeiro Boasquevisque / Augusto Rocha / Afrânio Coelho-Oliveira / José Aldrovando de Oliveira / Talita Romero Franco

Revista do Colégio Brasileiro de Cirurgiões, Vol 42, Iss 6, Pp 366-

relevant aspects - case series

2015 Volume 370

Abstract: Objective: to discuss the participation of Plastic Surgery in the reconstruction of the chest wall, highlighting relevant aspects of interdisciplinaryness. Methods: we analyzed charts from 20 patients who underwent extensive resection of the thoracic ... ...

Abstract	Objective: to discuss the participation of Plastic Surgery in the reconstruction of the chest wall, highlighting relevant aspects of interdisciplinaryness. Methods: we analyzed charts from 20 patients who underwent extensive resection of the thoracic integument, between 2000 and 2014, recording the indication of resection, the extent and depth of the raw areas, types of reconstructions performed and complications. Results: among the 20 patients, averaging 55 years old, five were males and 15 females. They resections were: one squamous cell carcinoma, two basal cell carcinomas, five chondrosarcomas and 12 breast tumors. The extent of the bloody areas ranged from 4x9 cm to 25x40 cm. In 12 patients the resection included the muscular plane. In the remaining eight, the tumor removal achieved a total wall thickness. For reconstruction we used: one muscular flap associated with skin grafting, nine flaps and ten regional fasciocutaneous flaps. Two patients undergoing reconstruction with fasciocutaneous flaps had partially suffering of the flap, solved with employment of a myocutaneous flap. The other patients displayed no complications with the techniques used, requiring only one surgery. Conclusion: the proper assessment of local tissues and flaps available for reconstruction, in addition to the successful integration of Plastic Surgery with the specialties involved in the treatment, enable extensive resections of the chest wall and reconstructions that provide patient recovery.
Keywords	Parede Torácica/cirurgia ; Neoplasias da Mama/complicações ; Neoplasias da Mama/cirurgia ; Retalho Perfurante/cirurgia ; Retalho Miocutâneo/ cirurgia ; Surgery ; RD1-811 ; Medicine ; R
Subject code	616
Language	Portuguese
Publishing date	2015-12-01T00:00:00Z
Publisher	Colégio Brasileiro de Cirurgiões
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Hérnia traumática do pulmão

Giovanni Antonio Marsico / Carlos Henrique Ribeiro Boasquevisque / Gustavo Lucas Loureiro / Rodrigo Felipe Marques / Antonio Miraldi Clemente

Revista do Colégio Brasileiro de Cirurgiões, Vol 38, Iss 1, Pp 77-

2011 Volume 78

Abstract: Traumatic lung herniation is an unusual clinical problem. We present a case of a large left post-traumatic lung hernia on the left, anterior, second intercostal space following blunt chest trauma. An important factor in the etiology of these lesions is ... ...

Abstract	Traumatic lung herniation is an unusual clinical problem. We present a case of a large left post-traumatic lung hernia on the left, anterior, second intercostal space following blunt chest trauma. An important factor in the etiology of these lesions is the relative lack of muscular support of the anterior part of the chest. This report describes the diagnosis and management of a post-traumatic lung hernia.
Keywords	Hernia ; Intercostal muscles ; Thoracic injuries ; Contusions ; Lung Injury ; Surgery ; RD1-811 ; Medicine ; R
Language	Portuguese
Publishing date	2011-02-01T00:00:00Z
Publisher	Colégio Brasileiro de Cirurgiões
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Forma acelerada da fibrose pulmonar idiopática no pulmão nativo após transplante pulmonar unilateral Accelerated form of interstitial pulmonary fibrosis in the native lung after single lung transplantation

Rogério Rufino / Kalil Madi / Omar Mourad / Angelo Judice / Giovanni Marsico / Carlos Henrique Boasquevisque

Jornal Brasileiro de Pneumologia, Vol 33, Iss 6, Pp 733-

2007 Volume 737

Abstract: Relatamos o caso de um paciente de 56 anos submetido a transplante pulmonar unilateral esquerdo em decorrência de fibrose pulmonar idiopática (FPI). No pós-operatório imediato, sob intensa imunossupressão, houve progressão rápida da FPI no pulmão nativo ... ...

Abstract	Relatamos o caso de um paciente de 56 anos submetido a transplante pulmonar unilateral esquerdo em decorrência de fibrose pulmonar idiopática (FPI). No pós-operatório imediato, sob intensa imunossupressão, houve progressão rápida da FPI no pulmão nativo direito, confirmada pela biópsia pulmonar videotoracoscópica, necessitando de ventilação mecânica durante 104 dias até a realização de outro transplante pulmonar à direita. Obteve alta hospitalar após o 26º dia do segundo pós-operatório. We report the case of a 56-year-old patient who underwent left single lung transplantation for idiopathic pulmonary fibrosis (IPF). Despite the high level of immunosuppression after the surgery, there was rapid progression to IPF in the native (right) lung as demonstrated by thoracoscopic lung biopsy. After 104 days on mechanical ventilation (MV), the patient underwent right lung transplant and was discharged from the hospital on postoperative day 26.
Keywords	Fibrose pulmonar ; Transplante de pulmão ; Relatos de casos ; Idiopathic pulmonary fibrosis ; Lung transplantation ; Case reports ; Diseases of the respiratory system ; RC705-779 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Internal medicine ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	Portuguese
Publishing date	2007-12-01T00:00:00Z
Publisher	Sociedade Brasileira de Pneumologia e Tisiologia
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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