The Experts below are selected from a list of 171 Experts worldwide ranked by ideXlab platform
Masakazu Abe - One of the best experts on this subject based on the ideXlab platform.
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Rescue procedure for left main Bronchus Obstruction after patent ductus arteriosus clipping: a case report
Surgical Case Reports, 2018Co-Authors: Yukiko Ban, Masakazu AbeAbstract:Background Obstruction of the left main Bronchus is a rare but life-threatening complication following the closure of patent ductus arteriosus by surgical clips. We report a successful rescue procedure for this complication in a premature infant. Case presentation A 24-week gestational age premature girl weighing 903 g underwent surgical clipping for patent ductus arteriosus at the age of 24 days after birth. Bronchoscopy revealed the left main Bronchus Obstruction due to the clip compression at 6 h later after the surgery. The patient underwent a rescue re-exploration for this serious complication. New clips were applied to both the intrapericardial and the aortic ends of the patent ductus arteriosus respectively. And then the previous clips, compressing the left main Bronchus, were gently removed from the ductus without ductus injury through a re-thoracotomy. Conclusions Surgeons should be aware of the possible complication and take care not to place patent ductus arteriosus clips obliquely toward the Bronchus.
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Rescue procedure for left main Bronchus Obstruction after patent ductus arteriosus clipping: a case report
Surgical case reports, 2018Co-Authors: Yukiko Ban, Masakazu AbeAbstract:Obstruction of the left main Bronchus is a rare but life-threatening complication following the closure of patent ductus arteriosus by surgical clips. We report a successful rescue procedure for this complication in a premature infant. A 24-week gestational age premature girl weighing 903 g underwent surgical clipping for patent ductus arteriosus at the age of 24 days after birth. Bronchoscopy revealed the left main Bronchus Obstruction due to the clip compression at 6 h later after the surgery. The patient underwent a rescue re-exploration for this serious complication. New clips were applied to both the intrapericardial and the aortic ends of the patent ductus arteriosus respectively. And then the previous clips, compressing the left main Bronchus, were gently removed from the ductus without ductus injury through a re-thoracotomy. Surgeons should be aware of the possible complication and take care not to place patent ductus arteriosus clips obliquely toward the Bronchus.
T. Schaible - One of the best experts on this subject based on the ideXlab platform.
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P01.20: Intrauterine spontaneous main Bronchus Obstruction in congenital diaphragmatic hernia mimicking CAM?
Ultrasound in Obstetrics & Gynecology, 2009Co-Authors: Michael Entezami, B. Tillig, A. Hagen, M. Albig, T. SchaibleAbstract:of innumerable capillary channels. It usually regresses after an initial rapid growth and involutes after 6 months. Although benign, it can be life-threatening due to high output cardiac failure with and without hydrops, hemolytic anemia, thrombocytopenia, and disseminated intravascular coagulopathy (DIC). We experienced a case with infantile hepatic hemangioendothelioma with Kasabach-Merritt sequence. A 41 year-old woman was referred to our hospital with rapid growing liver mass at 39.3 gestational weeks. Ultrasound examination at visit showed a large liver mass (8.4×6.1cm) with cystic and solid elements. Color Doppler showed increased flow in the wall of the tumor. There were no findings of hydrops and arteriovenous shunting. Because of breech presentation, Cesarean section was performed on the next day. The prenatally suspected hemangioendothelioma of the liver was confirmed by magnetic resonance imaging (MRI). On the day 3 after the birth, the neonate suffered DIC as KasabachMerritt sequence, he was treated with prednisolone and interferon. Following MRI showed decreased size of the liver mass (6.5 × 5.8cm) and DIC also resolved.
Linda E. Foppiano - One of the best experts on this subject based on the ideXlab platform.
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Complications of general anesthesia for Nd:YAG laser resection of endobronchial tumors
Chest, 1991Co-Authors: Leland H. Hanowell, Walter R. Martin, Jonathan E. Savelle, Linda E. FoppianoAbstract:We studied the incidence and mechanisms of cardiovascular complications and postoperative respiratory insufficiency associated with GA and Nd:YAG laser endobronchial tumor resection. The records of 73 patients undergoing 87 procedures were reviewed. Preoperative status, anesthetic methods and perioperative complications were analyzed by multiple regression to determine predictors of outcome. Twenty-three percent of patients had greater than 90 percent mainstem Bronchus Obstruction. Longer serum elimination half-life of relaxant drug was significantly correlated with longer duration of mechanical ventilation after neuromuscular blockade reversal. Cardiovascular complications were noted in 24 procedures and often required therapeutic intervention. Variables predicting cardiovascular complications included longer duration of CA and increasing age. Perioperative respiratory and cardiovascular complications are common after CA for Nd:YAG laser resection. Short-acting neuromuscular relaxants, careful assessment prior to postoperative extubation, limiting duration of CA and cardiovascular monitoring are recommended when implementing CA for Nd:YAG laser resection of endobronchial tumors. (Chest 1991; 99:72–76)
Yukiko Ban - One of the best experts on this subject based on the ideXlab platform.
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Rescue procedure for left main Bronchus Obstruction after patent ductus arteriosus clipping: a case report
Surgical Case Reports, 2018Co-Authors: Yukiko Ban, Masakazu AbeAbstract:Background Obstruction of the left main Bronchus is a rare but life-threatening complication following the closure of patent ductus arteriosus by surgical clips. We report a successful rescue procedure for this complication in a premature infant. Case presentation A 24-week gestational age premature girl weighing 903 g underwent surgical clipping for patent ductus arteriosus at the age of 24 days after birth. Bronchoscopy revealed the left main Bronchus Obstruction due to the clip compression at 6 h later after the surgery. The patient underwent a rescue re-exploration for this serious complication. New clips were applied to both the intrapericardial and the aortic ends of the patent ductus arteriosus respectively. And then the previous clips, compressing the left main Bronchus, were gently removed from the ductus without ductus injury through a re-thoracotomy. Conclusions Surgeons should be aware of the possible complication and take care not to place patent ductus arteriosus clips obliquely toward the Bronchus.
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Rescue procedure for left main Bronchus Obstruction after patent ductus arteriosus clipping: a case report
Surgical case reports, 2018Co-Authors: Yukiko Ban, Masakazu AbeAbstract:Obstruction of the left main Bronchus is a rare but life-threatening complication following the closure of patent ductus arteriosus by surgical clips. We report a successful rescue procedure for this complication in a premature infant. A 24-week gestational age premature girl weighing 903 g underwent surgical clipping for patent ductus arteriosus at the age of 24 days after birth. Bronchoscopy revealed the left main Bronchus Obstruction due to the clip compression at 6 h later after the surgery. The patient underwent a rescue re-exploration for this serious complication. New clips were applied to both the intrapericardial and the aortic ends of the patent ductus arteriosus respectively. And then the previous clips, compressing the left main Bronchus, were gently removed from the ductus without ductus injury through a re-thoracotomy. Surgeons should be aware of the possible complication and take care not to place patent ductus arteriosus clips obliquely toward the Bronchus.
J Skovranek - One of the best experts on this subject based on the ideXlab platform.
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results of primary and two stage repair of interrupted aortic arch
European Journal of Cardio-Thoracic Surgery, 1998Co-Authors: Tomas Tlaskal, V Chaloupecky, Jaroslav Hruda, Jan Marek, Bohumil Hučín, Martin Kostelka, Jan Janousek, J SkovranekAbstract:Objective: Early results of primary and two-stage repair of interrupted aortic arch have improved. Experience with different surgical approaches should be analysed and compared. Methods: Forty neonates and infants with interrupted aortic arch underwent primary repair (19 patients) or palliative operation (21 patients). Twenty (50%) patients were followed-up for 5.1 ∠ 4.3 years. All patients were regularly examined with the aim of determining clinical development, presence of residual lesions or complications and need for re-intervention. Aortic arch and the left ventricular outflow tract growth were assessed by echocardiographic examination. Data from hospital and outpatient department records were analysed. Results: The early mortality was 61.9% after palliative operations and 36.8% after the primary repair. Presence of complications (P , 0.001), earlier year of surgery (P , 0.01), bad clinical condition and acidosis ( P , 0.05) represented statistically significant risk factors for death in the whole series. In seven (87.5%) out of eight early survivors, after the initial palliative operation, closure of ventricular septal defect and debanding were done, and in three (37.5%) patients, re-operation for aortic arch Obstruction was also required. Out of 12 patients, after the primary repair, one required early re-operation for persistent left ventricular outflow tract Obstruction and two needed late re-intervention for left Bronchus Obstruction. In three (25%) patients, after the primary repair, left ventricular outflow tract Obstruction with a maximal systolic pressure gradient higher than 30 mmHg developed. At present, all 20 early survivors are alive. Five patients, after palliative operation, are in NYHA class I, but in three patients, who are in class III or IV, the outcome is influenced by severe complications. All patients after the primary repair are in class I or II. Conclusions: Our experience confirmed better results after the primary repair of interrupted aortic arch, which was associated with lower mortality, prevalence of severe complications and need for re-intervention. Higher prevalence of subaortic stenosis after primary repair could be explained by patient selection early in our experience. We recommend the primary repair of interrupted aortic arch and associated heart lesions in neonates, however, in unfavourable conditions an individualised surgical approach with initial palliative surgery should be considered. © 1998 Elsevier Science B.V. All rights reserved
