A case report on mediastinal fixation to save physiology of mediastinum in a lung cancer patient

Abstract

Introduction: The mediastinal space is confined from the top to the thorax inlet, at the bottom with the diaphragm. Presentation of case: A female with a right lung tumor with a history of chemotherapy, intubation, mediastinal fixation was performed on the affected side due to inadequate lung expansion, treatment-resistant fistula and intolerance of surgery to the pulmonary fistula. By fixing the mediastinal space on the affected side, right pleural space was drained. Conclusion: It is recommended that patients undergoing surgery for chronic empyema due to immunodeficiency and refractory infections, who do not tolerate surgery due to chronic pleural effusion and cavitation due to loculated Empyema develop thoracic surgery, fixation and continued treatment should be performed.

Physiologic function of mediastinum space

“…The mediastinum is known to house important cardiopulmonary structures in the thoracic cavity. Owing to the structural composition of mediastinum [ 13 ], the range of functions and clinical presentations is Broadfield [ 14 , 15 ]. Different divisions of mediastinum can develop benign or malignant tumors, based on the structure in the region [ 3 ].…”

Cardiopulmonary bypass for resection of pancoast tumor with mediastinal extension and involvement of right bronchial branch: A case report

“…Surgery for Pancoast tumors (non-small cell carcinoma) [ 1 ], if the tumor is not metastatic but extended to the adjacent vital elements, such as pericardium and main vessels of mediastinal space [ 2 ], is very likely to result in cardiopulmonary complications and hemorrhage [ 3 ]. In such cases, the cardiopulmonary pump machine is recommended to be used, so that the pneumonectomy surgery with the simultaneous resection of Pancoast tumor, mediastinal lymph nodes, hilum of the lung and sub carina can be successfully conducted [ 4 ].…”