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Department of Surgery

Department of Surgery Residents

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Full-Text Articles in Medicine and Health Sciences

Pulmonary Artery Root Replacement For Leiomyosarcoma: A Viable Thoracic Oncovascular Operation., Papus Keita, Matthew Janko, Nicholas J Peterman, Sandor Toledo, Marc Pelletier May 2022

Pulmonary Artery Root Replacement For Leiomyosarcoma: A Viable Thoracic Oncovascular Operation., Papus Keita, Matthew Janko, Nicholas J Peterman, Sandor Toledo, Marc Pelletier

Department of Surgery Residents

Leiomyosarcoma of the pulmonary artery is a rare but potentially fatal disease. Due to its rarity, the treatment algorithm is not well-established. While there may be a role for both chemotherapy and radiotherapy, surgical management is the most definitive method. Unfortunately, when the disease process is advanced, surgery may not be curative. However, it may still be a palliative treatment option. In this case report, we present a patient who suffered from respiratory symptoms that were initially attributed to pulmonary embolism (PE). However, upon the diagnosis of pulmonary artery leiomyosarcoma (PAL), surgery intervention was undertaken and resulted in an improved …


Transcatheter Occlusion Of A Patent Ductus Arteriosus For A Symptomatic Left-To-Right Shunt., Papus Keita, Frank Han, Nicholas J Peterman, Sandor Toledo, Anthony Munaco May 2022

Transcatheter Occlusion Of A Patent Ductus Arteriosus For A Symptomatic Left-To-Right Shunt., Papus Keita, Frank Han, Nicholas J Peterman, Sandor Toledo, Anthony Munaco

Department of Surgery Residents

Congenital diaphragmatic hernias (CDH) can induce life-threatening pulmonary hypertension and right heart failure. The patent ductus arteriosus (PDA) is often maintained in CDH to allow for decompression into the systemic circulation. However, if the PDA becomes hemodynamically significant, PDA closure may be indicated. Traditional methods rely on pharmacological closure. In this report, we document a rare transcatheter closure of a hemodynamically significant PDA.