Case 40 Part 9

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What's inside?


Trachea
Hemorrhage
Lung, right
Removal heart and lung block
Adhesions




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Discussion Questions

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1. What structure is being cut through a the start of the video?
 
 
2. Is the cut superior or inferior to the larynx?
 
 
3. Is the cut superior or inferior to the top of the aortic arch?
 
 
4. What contents are inside?
 
 
5. What contents are normally inside this structure?
 
 
6. What main structure(s) are cut to reach the spine?
 
 
7. What is being cut at 00:52? Is this a normal structure? Why might it be there, based on the history?
 
 
8. The right posterior lung is visible at 00:45. What lobe of the right lung is visible?





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Case Notes - About this video

 

This video shows blood in the airway.
 
The structure being opened right at the beginnning is not a blood vessel.
 
It is the trachea below the larynx.
 
It is filled with blood when it should have air in it.
 
This bleeding is the result of the patient’s right lung biopsy.
 
The purpose of the autopsy is to understand how the biopsy led to this bleeding.
 
The remaing video shows removal of the chest organs.
 
Most of the video shows the chest organ block being removed from the spine.
 
There are also adhesions behind the left lung, which are released.
 
These adhesions are post-surgical.
 
The patient had a left upper lobectomy for another lung cancer years ago, and then developed scarring (adhesions) in that area.
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 

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