1/11. Fatal fungal infection complicating aortic dissection following coronary artery bypass grafting.The case of a 52-year-old man with severe coronary atheroma/ischaemic heart disease, who underwent successful triple vessel coronary artery bypass grafting is described. One month later this was complicated by aortic dissection arising at the aortic cannulation site. An emergency resection and Dacron graft placement were performed. Five weeks later he represented with haemoptysis. Despite inconclusive investigations the patient went on to suffer a massive fatal haemoptysis. autopsy revealed candida infection of the graft with a secondary aortobronchial fistula.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/11. Transparasternal transpericardial operation in the treatment of chronic empyema with bronchopleural fistula.A 78-year-old man with a lung destroyed by chronic empyema underwent pleuropneumonectomy, 4 months after open-window thoracostomy, via a transparasternal transpericardial approach. This approach is safe and effective in great vessel and bronchus dissection and applicable to cases of persistent chronic empyema such as our.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/11. An unusual epistaxis.The case of a man who presented complaining of epistaxis is reported. He had coarctation repair 18 years previously. Subsequent investigation revealed an aortobronchial fistula resulting from false aneurysm formation distal to the original vessel anastamosis. This was repaired at surgery, the patient suffering a minor stroke, before rehabilitation and good recovery.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
4/11. Pulmonary sequestration with congenital broncho-oesophageal fistula.Complaints of older patients due to a congenital broncho-pulmonary foregut malformation are rare. A 53 yr old woman presented with this condition. The diagnosis was made by means of oesophagography, which showed a broncho-oesophageal fistula. Using the supplying vessel, identified by angiography, as a guideline, an operation was carried out to correct the anomaly.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
5/11. Aortopulmonary fistula in a post-coarctation mycotic aneurysm.A 21-year-old man presented with fever and septicemia resistant to antibiotic therapy. An unusual post-coarctation mycotic aortic aneurysm that had eroded into the left main stem bronchus was identified and replaced with a Dacron graft. A critical factor in achieving the satisfactory result was preparation of the femoral vessels for autotransfusion and possible cardiopulmonary bypass.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
6/11. Iatrogenic liver abscesses. A complication of hepatic artery ligation for tumor.The use of hepatic artery ligation, with or without placement of an indwelling infusion catheter for the instillation of chemotherapy, became widely employed in the late 1960s. This was a natural outgrowth of observations that it was reasonably well tolerated in man if certain precautions were followed and that tumors in the liver, whether primary or metastatic, received the major portion of their blood supply by that vessel. As tumor necrosis following ligation was the anticipated result, it followed that undrained collections of nonviable tumor might well be expected to develop in a certain number of patients and that such collections would form intrahepatic abscesses. It appears that development of the complication does not adversely affect the result of the procedure, and this must certainly only be true because of recognition and proper therapy directed to the complication.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
7/11. Bronchopleural fistula followed by massive fatal hemoptysis in a patient with pulmonary mucormycosis. A case report.A patient had complications of invasive pulmonary mucormycosis. A bronchopleural fistula developed, representing a rare complication of pulmonary mucormycosis. Massive fatal hemoptysis occurred, due to the propensity of mucormycosis to invade blood vessels.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
8/11. Latissimus-sparing thoracotomy in the pediatric patient: a valuable asset for thoracic reconstruction.The traditional posterolateral thoracotomy involves division of the latissimus dorsi muscle (LD). While the division results in no functional disability, it does negate the potential for possible future thoracic reconstruction if required in individual cases (eg, bronchopleural fistula, empyema, etc). A latissimus-sparing thoracotomy (LST) mobilizes the muscle dorsad and does not compromise the operation. Thus, the ipsilateral LD can be used when chest wall reconstruction is required. This option has been used frequently for adults; however, its use in children has not been extensively documented. Microvascular anastomoses for a contralateral LD free-flap may be tenuous in the small vessels of the child; thus, reconstruction using the ipsilateral LD could be beneficial and safer. The feasibility of LST has not been established with regard to the chest of the child. The authors present three pediatric thoracic cases that illustrate the value of this procedure, and discuss different situations in which latissimus-sparing thoracotomy is advantageous.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
9/11. Intrathoracic free flaps.The utility of pedicled muscle flaps transposed into the thoracic cavity to reconstruct complex intrathoracic defects has been well documented. However, in some patients, local chest-wall muscles have already been either sacrificed or transected by previous thoracotomies and are not available for reconstruction. In these patients, we have successfully employed microvascular techniques to transfer distant muscle flaps into the thoracic cavity. Seven patients with complex intrathoracic defects were reconstructed with three latissimus dorsi, one omental, and three rectus abdominis free flaps. In each case, the microvascular anastomosis was extrathoracic, with the flap transposed into the thoracic cavity. Each of the flaps was revascularized successfully. Four of the five bronchopleural fistulas were sealed, with the remaining patient continuing to demonstrate a reduced but persistent air leak. No infections were encountered, and each flap transfer resulted in a healed wound. When local muscle flaps are not available to reconstruct complex intrathoracic wounds, microvascular transfer of distant muscle flaps can provide abundant well-vascularized tissue for reconstruction of any portion of the thoracic cavity. Versatility is afforded in flap selection and recipient vessel site location, making this technique an important option in the treatment of these difficult wounds.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
10/11. parenteral nutrition infused by epicutaneous catheter: pulmonary complication.We present three preterm infants with pulmonary complications due to central venous silicone catheters malpositioned in the left or right pulmonary artery. One infant developed an arterial-bronchial fistula. The other two infants had pneumonitis without evidence of vessel perforation. The course of these complications was good after the catheter was withdrawn into the superior vena cava.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
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