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Thymectomy and Aortopexy

  • Joseph Adam Sujka
  • Shawn D. St. Peter
Chapter

Abstract

This chapter describes the endoscopic/surgical procedure for thymectomy and aortopexy as performed by the following approaches: open and thoracoscopic. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: thoracic access, with identification of the phrenic nerve, thymus resection, pretracheal dissection and exposure of the mediastinal anatomy, pledgeted aortopexy, and chest/wound closure.

Keywords

Pediatric surgery Operative dictation Thymectomy Aortopexy Thoracoscopic 

References

  1. 1.
    Elliott MJ, Speggiorin S, Torre M. Anterior aortopexy for tracheomalacia. Oper Tech Thorac Cardiovasc Surg. 2011;16:309–21.  https://doi.org/10.1053/j.optechstcvs.2011.06.003.CrossRefGoogle Scholar
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    Holcomb GW, Georgeson K, Rothenberg S. Atlas of pediatric laparoscopy and thoracoscopy. Philadelphia, PA: Saunders/Elsevier; 2008.Google Scholar
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    van der Zee DC, Straver M. Thoracoscopic aortopexy for tracheomalacia. World J Surg. 2015;39:158–64.  https://doi.org/10.1007/s00268-014-2798-2.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Joseph Adam Sujka
    • 1
  • Shawn D. St. Peter
    • 1
  1. 1.Children’s Mercy Hospital, Department of Pediatric SurgeryKansas CityUSA

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