Marc Van Leuven

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BACKGROUND Myocardial infarction can be difficult to diagnose after lung surgery. As recent diagnostic criteria emphasize serum cardiac markers (in particular serum troponin) we set out to evaluate its clinical utility and to establish the long term prognostic impact of detected abnormal postoperative troponin levels after lung resection. METHODS We(More)
Oesophagopleural fistula is a recognized complication of pneumonectomy. Surgical repair with direct closure and reinforcement with omentum, muscle or pleural flap is the mainstay of definitive treatment. However, this option might not be suitable for all patients. The authors report on the case of a 63-year old female refusing surgical repair of an(More)
A 54-year old woman presented with a year long history of increasing dyspnoea and orthopnoea. The chest X-ray and CT scan suggested bilateral hemidiaphragmatic elevation (Fig. 1a and b). Subsequent MRI demonstrated normal position of both hemi-diaphragms and diagnosis of massive hiatus hernia was made (Fig. 2). Herniated stomach, omentum and colon were(More)
Two patients, treated for blunt thoracoabdominal trauma with ruptured diaphragm and concomitant avulsion of the pericardial sac in its entirety from the central tendon of the diaphragm, are presented. We do not think this entity has been reported before. We explain this type of lesion on the basis of embryological development of the pericardium at the level(More)
A small proportion of tumours can undergo malignant transformation. We report a case series of five patients diagnosed with giant solitary fibrous tumours of the pleura. These cases highlight the unpredictable nature of this disease process, with significant variability in clinical course observed, from indolence to aggressive progression. Three patients(More)
Methods A prospective study of the first 40 consecutive VATS lobectomies performed by a single experienced thoracic surgeon over a 3-year period. All patients were divided equally into two groups with Group A being the first 20 patients. Mortality, operative time, complications, conversion rate and need for blood transfusion were recorded for all patients.(More)
Long-term survival after esophagectomy is improving, and hence, quality of life (QOL) of these patients has become a priority. There has been extensive debate regarding the optimal site of surgical anastomosis (cervical or intrathoracic). We aimed to evaluate the impact of anastomotic site on long-term QOL postesophagectomy. Quality of life questionnaires(More)
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