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Lyon Chirurgical 1968
Topics: Female; Hematoma; Humans; Male; Mediastinal Diseases; Middle Aged
PubMed: 5754436
DOI: No ID Found -
Pneumologie (Stuttgart, Germany) Jan 2016Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) has become essential for the workup of patients with lung cancer and other pulmonary... (Review)
Review
Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) has become essential for the workup of patients with lung cancer and other pulmonary diseases. The emphasis of currently available literature is related to the diagnostic yield of EBUS-TBNA which was found to be high. Complications seem to be rare but such data are scant. We report three cases of complications including mediastinitis, pneumothorax and bleeding and provide a review on the existing literature.
Topics: Adult; Endoscopic Ultrasound-Guided Fine Needle Aspiration; Female; Hemoptysis; Humans; Mediastinitis; Middle Aged; Pneumothorax; Treatment Outcome
PubMed: 26789429
DOI: 10.1055/s-0041-109383 -
Echocardiography (Mount Kisco, N.Y.) Nov 2000
Topics: Cardiomyopathy, Dilated; Echocardiography, Transesophageal; Female; Follow-Up Studies; Heart Transplantation; Hematoma; Humans; Mediastinal Diseases; Middle Aged; Treatment Outcome
PubMed: 11153022
DOI: 10.1111/j.1540-8175.2000.tb01229.x -
Chest Jun 2021
Topics: Aged, 80 and over; Aorta, Thoracic; Aortic Aneurysm, Thoracic; Aortic Rupture; Cardiopulmonary Resuscitation; Fatal Outcome; Female; Heart Arrest; Hematoma; Humans; Mediastinum; Neck; Patient Comfort; Tomography, X-Ray Computed; Ultrasonography
PubMed: 34099163
DOI: 10.1016/j.chest.2020.04.077 -
The Journal of Invasive Cardiology May 2019This is the first reported case of evidence of a hydrophilic wire traveling into a small branch and inducing perforation; this case highlights the need for...
This is the first reported case of evidence of a hydrophilic wire traveling into a small branch and inducing perforation; this case highlights the need for fluoroscopically guided hydrophilic wire manipulation. Prompt treatment of such perforations is the best course of action.
Topics: Cardiac Catheterization; Catheterization, Peripheral; Coronary Angiography; Hematoma; Humans; Intraoperative Complications; Male; Mediastinum; Middle Aged; Radial Artery; Subclavian Artery; Tomography, X-Ray Computed; Treatment Outcome; Vascular System Injuries
PubMed: 31034444
DOI: No ID Found -
The Journal of Thoracic and... Sep 2000Several authors studying autotransfusion of shed mediastinal blood in patients undergoing heart operations have published conflicting results regarding reduction of the... (Clinical Trial)
Clinical Trial Randomized Controlled Trial
BACKGROUND
Several authors studying autotransfusion of shed mediastinal blood in patients undergoing heart operations have published conflicting results regarding reduction of the need for homologous blood transfusion. The effect on coagulation parameters is also unclear.
METHODS
In a prospective randomized study, 198 patients who underwent coronary artery bypass grafting or a valvular operation were divided into 2 groups: a group with autotransfusion of shed mediastinal blood after an operation and a control group. Continuous reinfusion of mediastinal blood was done until no drainage was present or for a period of 12 hours after the operation. The amount of blood lost and autotransfused, the number of homologous blood products transfused, and the coagulation parameters were monitored.
RESULTS
The number of patients requiring homologous blood transfusion was significantly different between the 2 groups (54/98 [55%] in autotransfused patients vs 73/100 [73%] in the control group, P =.01). The number of re-explorations for excessive bleeding was similar in the 2 groups (7/98 [7.1%] vs 8/100 [8%]), but the amount of blood collected postoperatively was higher in the autotransfused patients compared with control patients (1200 +/- 201 mL vs 758 +/- 152 mL, P =.0007). Coagulation parameters analyzed and complication rates were similar in the 2 groups after the operations.
CONCLUSION
Autotransfusion of shed mediastinal blood reduces the need for homologous blood transfusion in patients undergoing various cardiac operations. The cause of increased shed blood in patients undergoing autotransfusion remains unclear.
Topics: Analysis of Variance; Blood Component Transfusion; Blood Loss, Surgical; Blood Transfusion, Autologous; Coronary Artery Bypass; Female; Heart Valve Prosthesis Implantation; Humans; Male; Mediastinum; Middle Aged; Prospective Studies
PubMed: 10962411
DOI: 10.1067/mtc.2000.108691 -
BMJ Case Reports Jan 2013Our case report describes an unusual cause of a mediastinal mass. The patient is a current smoker with a background of neurofibromatosis (NF) type 1 who presented with a...
Our case report describes an unusual cause of a mediastinal mass. The patient is a current smoker with a background of neurofibromatosis (NF) type 1 who presented with a right apical mass. Initial investigations suggested a probable malignant cause. The final diagnosis was one of a haematoma from a ruptured thyrocervical aneurysm. The association between neurofibromatosis and vascular aneurysms is an often unrecognised but documented phenomenon. We would like to raise an awareness of this infrequent presentation, as it is associated with a high mortality and may be prevented by early diagnosis.
Topics: Adult; Aneurysm; Hematoma; Humans; Magnetic Resonance Imaging; Male; Mediastinum
PubMed: 23299694
DOI: 10.1136/bcr-2012-007978 -
European Journal of Cardio-thoracic... Dec 2017
Topics: Aged; Bronchial Arteries; Computed Tomography Angiography; Female; Hematoma; Humans; Imaging, Three-Dimensional; Mediastinal Diseases; Mediastinum; Vascular Diseases
PubMed: 29106522
DOI: 10.1093/ejcts/ezx246 -
The Journal of Cardiovascular Surgery Dec 1997The author describes three common mechanisms of hemorrhage which may occur following "open management" of sterno-mediastinitis after cardiac surgery. Recommendations for...
The author describes three common mechanisms of hemorrhage which may occur following "open management" of sterno-mediastinitis after cardiac surgery. Recommendations for prevention and treatment are presented including the suggestion that whenever sterno-mediastinitis is treated by the open method in the initial stage of management, the patient should be paralyzed and maintained on artificial respiration.
Topics: Cardiac Surgical Procedures; Heart Diseases; Hemorrhage; Humans; Mediastinitis; Postoperative Complications; Surgical Wound Infection; Syndrome
PubMed: 9461265
DOI: No ID Found -
Journal of Thoracic Oncology : Official... Jun 2007A 59-year-old man had undergone hemodialysis for 16 years because of chronic renal failure. The patient had taken an aspirin therapy (100 mg per day) for 4 years because...
A 59-year-old man had undergone hemodialysis for 16 years because of chronic renal failure. The patient had taken an aspirin therapy (100 mg per day) for 4 years because of his history of brain infarction. He had a 3-week history of increasing back pain. A chest computed tomographic scan demonstrated a mass in the upper mediastinum. The mass was located among the superior vena cava, trachea, and ascending aorta. Two weeks later, magnetic resonance imaging revealed that the mass had become slightly smaller. The patient's symptom also disappeared gradually. Follow-up imaging showed that the mass had resolved completely. The clinical and imaging findings corresponded with a case of spontaneous mediastinal hematoma presenting as a mass.
Topics: Hematoma; Humans; Magnetic Resonance Imaging; Male; Mediastinal Diseases; Middle Aged
PubMed: 17545851
DOI: 10.1097/JTO.0b013e318060108f