Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

1.4K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
1.4K
Pneumothorax-I01:26

Pneumothorax-I

2.0K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
2.0K
Flail Chest-II01:26

Flail Chest-II

858
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
858
Flail Chest-I01:24

Flail Chest-I

1000
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
1000
The Thoracic Cage: Ribs01:20

The Thoracic Cage: Ribs

10.7K
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
10.7K
The Thoracic Cage: Sternum01:17

The Thoracic Cage: Sternum

9.8K
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
9.8K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Perioperative Factor VIII Replacement in Severe Hemophilia A During Neonatal Supracardiac Total Anomalous Pulmonary Venous Connection Repair.

Journal of cardiothoracic and vascular anesthesia·2026
Same author

Feasibility of 35-mm Balloon-Expandable Transcatheter Pulmonary Valve Implantation in Extra-Large Native Right Ventricular Outflow Tracts.

JACC. Case reports·2026
Same author

Unanticipated Hemodynamic Response Following Device Closure of a Large Patent Ductus Arteriosus in an Infant.

Journal of cardiothoracic and vascular anesthesia·2026
Same author

Recurrent Aortic Coarctation Unmasked During the Second Trimester of Pregnancy.

Journal of cardiothoracic and vascular anesthesia·2026
Same author

Left ventricular mid-cavity obstruction: A novel cause of duct-dependent systemic circulation in a newborn.

Annals of pediatric cardiology·2026
Same author

Incidence and Risk Factors of Recoarctation Following Surgical Repair of Aortic Coarctation in Infants: <i>A retrospective single-centre study</i>.

Sultan Qaboos University medical journal·2026

Related Experiment Video

Updated: Mar 24, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

65.5K

Induced Pectus Carinatum.

Madan Mohan Maddali1, John Valliattu2, Pranav Subbaraya Kandachar2

  • 1Department of Cardiac Anesthesia, National Heart Center, Royal Hospital, Muscat, Sultanate of Oman.

Journal of Cardiac Surgery
|March 19, 2016
PubMed
Summary
This summary is machine-generated.

Surgical repair of truncus arteriosus in an infant required a Contegra conduit. Gradual sternal traction, guided by echocardiography and hemodynamic data, successfully accommodated the conduit, preventing complications.

More Related Videos

Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
05:56

Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit

Published on: September 6, 2024

7.0K
Author Spotlight: Investigating the Underlying Mechanisms of Right Ventricular Failure in Pulmonary Hypertension
04:49

Author Spotlight: Investigating the Underlying Mechanisms of Right Ventricular Failure in Pulmonary Hypertension

Published on: June 14, 2024

1.3K

Related Experiment Videos

Last Updated: Mar 24, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

65.5K
Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
05:56

Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit

Published on: September 6, 2024

7.0K
Author Spotlight: Investigating the Underlying Mechanisms of Right Ventricular Failure in Pulmonary Hypertension
04:49

Author Spotlight: Investigating the Underlying Mechanisms of Right Ventricular Failure in Pulmonary Hypertension

Published on: June 14, 2024

1.3K

Area of Science:

  • Pediatric Cardiac Surgery
  • Congenital Heart Disease Repair
  • Vascular Grafting Techniques

Background:

  • Truncus arteriosus with aortic arch interruption and pulmonary artery stenosis presents complex surgical challenges in infants.
  • The use of synthetic conduits like Contegra is common in complex congenital heart defect repairs.
  • Sizing discrepancies between grafts and pediatric patients can lead to postoperative complications.

Observation:

  • A size mismatch between the implanted Contegra conduit and the infant patient caused conduit protrusion between sternal edges.
  • This protrusion posed a risk to the successful closure of the sternum and overall thoracic integrity.
  • Continuous monitoring of hemodynamic parameters and transesophageal echocardiography-derived cardiac output was crucial.

Findings:

  • A novel approach involving gradual sternal traction was implemented to manage the conduit size mismatch.
  • Sternal traction was carefully released over time, guided by real-time hemodynamic and echocardiographic data.
  • This technique allowed for safe accommodation of the conduit within the thoracic cavity.

Implications:

  • This case demonstrates a successful, minimally invasive technique for managing conduit size discrepancies in infant cardiac surgery.
  • The described method offers a potential solution to prevent complications associated with graft protrusion after complex repairs.
  • This approach highlights the importance of adaptive surgical strategies and precise hemodynamic monitoring in pediatric cardiovascular surgery.