The Experts below are selected from a list of 696 Experts worldwide ranked by ideXlab platform
Didier Carvaillo - One of the best experts on this subject based on the ideXlab platform.
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Closure of a Postpneumonectomy Main Bronchus Fistula Using Video-Assisted Mediastinal Surgery
Chest, 1996Co-Authors: Jacques F. Azωrin, Marc P. Francisci, Bruno Tremblay, Philippe Larmignat, Didier CarvailloAbstract:Disruption of a mainstem Bronchus is a rare but dreaded complication of pneumonectomy. After an anatomic study on cadavers, we successfully used a video mediastinoscope to close a postpneumonectomy main Bronchus Fistula via a cervical incision.
Adriano Carotti - One of the best experts on this subject based on the ideXlab platform.
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airway complications after single stage unifocalization for pulmonary atresia ventricular septal defect and major aortopulmonary collateral arteries
Journal of Cardiac Surgery, 2015Co-Authors: Gianluigi Perri, Sonia B Albanese, Adriano CarottiAbstract:Objective We analyze the incidence of postoperative severe airflow limitation after single-stage unifocalization in patients with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries (PA/VSD/MAPCAs) and comment on the treatment performed. Methods From 1994 until 2014, 118 patients with diagnosis of PA, VSD, MAPCAs underwent surgical treatment. Four patients (3.4%) developed severe airflow complications postoperatively. Chromosome 22q11 deletion was present in three of them. Median age at the time of unifocalization was 6.2 months (range 21 days to 11 months). Results The first patient developed malacia and compression of the left Bronchus from the distal RV-PA conduit and was treated with external bronchial stenting with two incomplete costal cartilage rings. The second patient developed recurrent esophagus-left Bronchus Fistula treated with multiple surgical esophageal and Bronchus reconstructions. The third child presented with bilateral bronchial malacia treated with bilateral stenting followed by surgical elongation of the neo-left pulmonary artery to avoid external compression. The last patient developed bilateral bronchomalacia treated with bilateral bronchial stenting followed by RV-PA conduit replacement and endobronchial stenting calibration. Conclusion Particular categories of patients with PA, VSD, MAPCAs (22q11 chromosome deletion, neonates/infants, patients with dominant/exclusive collaterals) may be more predisposed to develop airway compromise. The treatment of the lesion should be individualized according to the pathogenic mechanism. We suggest endoluminal treatment in absence of compression by vascular structures while surgery was used in case of extrinsic compression. doi: 10.1111/jocs.12539 (J Card Surg 2015;30:453–458)
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airway complications after single stage unifocalization for pulmonary atresia ventricular septal defect and major aortopulmonary collateral arteries
Journal of Pulmonary and Respiratory Medicine, 2014Co-Authors: Gianluigi Perri, Sonia B Albanese, Adriano CarottiAbstract:Objective: We analyze the incidence of postoperative severe airflow limitation after single-stage unifocalization in patients with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries (PA/VSD/ MAPCAs) and comment on the treatment performed. Methods: From 1994 until 2012, 106 patients with diagnosis of PA, VSD, MAPCAs underwent surgical treatment. Four of them (3.8%) developed in the postoperative course severe airflow complication. Chromosome 22q11 deletion was present in three of them. Median age at the time of unifocalization was 6.2 months (range 21 days – 11 months). Results: The first developed malacia and compression of the left Bronchus from the distal RV-PA conduit treated with external bronchial stenting with two incomplete costal cartilage rings. The second patient developed recurrent esophagus-left Bronchus Fistula treated with multiple surgical esophageal and Bronchus reconstruction. The third child presented bilateral bronchial malacia treated with bilateral stenting and after with surgical elongation of the neo-left pulmonary artery to avoid external compression. The last developed bilateral bronchomalacia treated with bilateral bronchial stenting and after with RV-PA conduit replacement and endobronchial stenting calibration Conclusion: Particular categories of patients (22q11 chromosome deletion, neonates/infants, patients with dominant/exclusive collaterals,) may be more predisposed to develop airway limitation. The treatment of the lesion should be individualized according to the supposed pathogenic mechanism. We suggest endoluminal treatment in absence of compression by vascular structures while surgery was used in proven case of extrinsic compression.
Jacques F. Azωrin - One of the best experts on this subject based on the ideXlab platform.
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Closure of a Postpneumonectomy Main Bronchus Fistula Using Video-Assisted Mediastinal Surgery
Chest, 1996Co-Authors: Jacques F. Azωrin, Marc P. Francisci, Bruno Tremblay, Philippe Larmignat, Didier CarvailloAbstract:Disruption of a mainstem Bronchus is a rare but dreaded complication of pneumonectomy. After an anatomic study on cadavers, we successfully used a video mediastinoscope to close a postpneumonectomy main Bronchus Fistula via a cervical incision.
Kewei Ren - One of the best experts on this subject based on the ideXlab platform.
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thoracostomach airway trachea Bronchus Fistula
2019Co-Authors: Kewei Ren, Aiwu Mao, Bingyan LiuAbstract:For many years, earlier stages of esophageal cancer and cardiac cancers have been treated using extensive reconstruction. Reconstruction of the upper alimentary tract through the stomach is one of the most important procedures after reconstruction of the esophagus. In 1933, Ohsawa conducted surgery in which the stomach was used for the reconstruction of the resected esophagus. The stomach has become the favoured organ to use for reconstruction after extensive resection of the esophagus because it makes the operation much easier and results in lower mortality and complication rates. At present, in surgeries that involve the esophagus, extensive resection of the esophagus is widely accepted together with esophagogastrostomy above the aortic arch or at the neck. It is performed by pulling up the stomach to the post mediastinum in which the esophagus is located (Fig. 11.1). However, the blood supply and innervation of the thoracostomach are significantly changed after this surgery, and, in addition, tumor residue, recurrence, and injury caused by postoperative cancer can result in various thoracostomach complications.
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Thoracostomach–Airway (Trachea/Bronchus) Fistula
Airway Stenting in Interventional Radiology, 2018Co-Authors: Kewei Ren, Aiwu Mao, Bingyan LiuAbstract:For many years, earlier stages of esophageal cancer and cardiac cancers have been treated using extensive reconstruction. Reconstruction of the upper alimentary tract through the stomach is one of the most important procedures after reconstruction of the esophagus. In 1933, Ohsawa conducted surgery in which the stomach was used for the reconstruction of the resected esophagus. The stomach has become the favoured organ to use for reconstruction after extensive resection of the esophagus because it makes the operation much easier and results in lower mortality and complication rates. At present, in surgeries that involve the esophagus, extensive resection of the esophagus is widely accepted together with esophagogastrostomy above the aortic arch or at the neck. It is performed by pulling up the stomach to the post mediastinum in which the esophagus is located (Fig. 11.1). However, the blood supply and innervation of the thoracostomach are significantly changed after this surgery, and, in addition, tumor residue, recurrence, and injury caused by postoperative cancer can result in various thoracostomach complications.
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thoracic stomach right main Bronchus Fistula treated with dual y shaped covered airway stents
Clinical Radiology, 2017Co-Authors: Kewei Ren, Xinwei Han, Dechao JiaoAbstract:Aim To determine the efficacy of dual Y-shaped covered airway stents to treat thoracic stomach–right main Bronchus Fistulae. Material and methods Fifteen patients who developed thoracic stomach–right main Bronchus Fistula after oesophageal cancer resection and postoperative irradiation were retrospectively analysed. All Fistulae were close to the right upper lobe Bronchus. Two Y-shaped covered airway stents were designed for each patient. Under radiographic guidance, one stent was placed from the right main Bronchus into the bifurcation of upper lobe and intermediate Bronchus, the other was placed from the trachea into both main bronchi. Results All Fistulae were closed immediately after stenting. All patients could eat a semi-solid diet. The symptom of coughing while lying down resolved in all patients, and no complications, such as airway bleeding or pneumothorax, occurred. The average survival time was 26.65 months (range 2–40 months, 11 patients were still alive at the study end). Two patients died of tumour recurrence. Another two patients died of pulmonary infections. In one of these patients, there was a long delay between symptom onset and stenting. In the other patient, a small rupture occurred in the silicone membrane covering the stent, which allowed the leakage of gastric contents into the lung. Conclusion Dual Y-shaped covered airway stent placement is feasible and safe to treat thoracic stomach–right main Bronchus Fistulae. Improvements to the material covering the stents is required.
Gianluigi Perri - One of the best experts on this subject based on the ideXlab platform.
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airway complications after single stage unifocalization for pulmonary atresia ventricular septal defect and major aortopulmonary collateral arteries
Journal of Cardiac Surgery, 2015Co-Authors: Gianluigi Perri, Sonia B Albanese, Adriano CarottiAbstract:Objective We analyze the incidence of postoperative severe airflow limitation after single-stage unifocalization in patients with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries (PA/VSD/MAPCAs) and comment on the treatment performed. Methods From 1994 until 2014, 118 patients with diagnosis of PA, VSD, MAPCAs underwent surgical treatment. Four patients (3.4%) developed severe airflow complications postoperatively. Chromosome 22q11 deletion was present in three of them. Median age at the time of unifocalization was 6.2 months (range 21 days to 11 months). Results The first patient developed malacia and compression of the left Bronchus from the distal RV-PA conduit and was treated with external bronchial stenting with two incomplete costal cartilage rings. The second patient developed recurrent esophagus-left Bronchus Fistula treated with multiple surgical esophageal and Bronchus reconstructions. The third child presented with bilateral bronchial malacia treated with bilateral stenting followed by surgical elongation of the neo-left pulmonary artery to avoid external compression. The last patient developed bilateral bronchomalacia treated with bilateral bronchial stenting followed by RV-PA conduit replacement and endobronchial stenting calibration. Conclusion Particular categories of patients with PA, VSD, MAPCAs (22q11 chromosome deletion, neonates/infants, patients with dominant/exclusive collaterals) may be more predisposed to develop airway compromise. The treatment of the lesion should be individualized according to the pathogenic mechanism. We suggest endoluminal treatment in absence of compression by vascular structures while surgery was used in case of extrinsic compression. doi: 10.1111/jocs.12539 (J Card Surg 2015;30:453–458)
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airway complications after single stage unifocalization for pulmonary atresia ventricular septal defect and major aortopulmonary collateral arteries
Journal of Pulmonary and Respiratory Medicine, 2014Co-Authors: Gianluigi Perri, Sonia B Albanese, Adriano CarottiAbstract:Objective: We analyze the incidence of postoperative severe airflow limitation after single-stage unifocalization in patients with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries (PA/VSD/ MAPCAs) and comment on the treatment performed. Methods: From 1994 until 2012, 106 patients with diagnosis of PA, VSD, MAPCAs underwent surgical treatment. Four of them (3.8%) developed in the postoperative course severe airflow complication. Chromosome 22q11 deletion was present in three of them. Median age at the time of unifocalization was 6.2 months (range 21 days – 11 months). Results: The first developed malacia and compression of the left Bronchus from the distal RV-PA conduit treated with external bronchial stenting with two incomplete costal cartilage rings. The second patient developed recurrent esophagus-left Bronchus Fistula treated with multiple surgical esophageal and Bronchus reconstruction. The third child presented bilateral bronchial malacia treated with bilateral stenting and after with surgical elongation of the neo-left pulmonary artery to avoid external compression. The last developed bilateral bronchomalacia treated with bilateral bronchial stenting and after with RV-PA conduit replacement and endobronchial stenting calibration Conclusion: Particular categories of patients (22q11 chromosome deletion, neonates/infants, patients with dominant/exclusive collaterals,) may be more predisposed to develop airway limitation. The treatment of the lesion should be individualized according to the supposed pathogenic mechanism. We suggest endoluminal treatment in absence of compression by vascular structures while surgery was used in proven case of extrinsic compression.
