How to prepare for the worse? Major vessel injury and repair in a live animal model

ABSTRACT Major vessel injury is a possible complication during pericardiectomy for chronic constrictive pericarditis (CCP). We present a case of CCP, who while undergoing radical pericardiectomy incurred an iatrogenic injury of a major vessel with profuse bleeding. A rent in main pulmonary artery (MPA) was detected by the surgical team and simultaneously confirmed on transesophageal echocardiography (TEE), and a timely intervention was done. Importance of monitoring TEE in a patient undergoing pericardiectomy for CCP is highlighted. How to cite this article Makhija N, Narula J, Kumar S, Taneja S, Hote MP. Pulmonary Artery Perforation: Rare reported Complication of Pericardiectomy for Chronic Constrictive Pericarditis recorded on Transesophageal Echocardiography. J Perioper Echocardiogr 2016;4(1):17-18.

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Surgical Principles for Management of Major Vessel Injury during Laparoscopic Gynecologic Surgery

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2021.09.488 ◽

2021 ◽

Vol 28 (11) ◽

pp. S72

Author(s):

MS Orlando ◽

T Falcone ◽

RM Kho

Keyword(s):

Gynecologic Surgery ◽

Vessel Injury ◽

Major Vessel ◽

Laparoscopic Gynecologic Surgery

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Analysis of 31 Cases of Major-Vessel Injury Associated with Gynecologic Laparoscopy Operations

Journal of Gynecologic Surgery ◽

10.1089/104240603322145201 ◽

2003 ◽

Vol 19 (2) ◽

pp. 63-73 ◽

Cited By ~ 11

Author(s):

Michael S. Baggish

Keyword(s):

Vessel Injury ◽

Major Vessel ◽

Gynecologic Laparoscopy

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Recognition and Management of Major Vessel Injury during Laparoscopy

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2010.06.005 ◽

2010 ◽

Vol 17 (6) ◽

pp. 692-702 ◽

Cited By ~ 32

Author(s):

Samith Sandadi ◽

Jay A. Johannigman ◽

Virginia L. Wong ◽

John Blebea ◽

Michael D. Altose ◽

...

Keyword(s):

Vessel Injury ◽

Major Vessel

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Reversible Foix-Chavany-Marie syndrome after right operculo-insular contusion from a spear gun trauma through the cranial base

International Neuroscience Journal ◽

10.1515/inj-2017-0005 ◽

2018 ◽

Vol 2 (1) ◽

pp. 30-33

Author(s):

Marcus André Acioly ◽

Marcílio Diogo de Oliveira Barbosa ◽

Rosemary Tavares Pontes ◽

Marcos Müller ◽

Guilherme Brasileiro de Aguiar

Keyword(s):

Cranial Base ◽

Severe Form ◽

Pseudobulbar Palsy ◽

Facial Weakness ◽

Rare Type ◽

Submandibular Region ◽

Vessel Injury ◽

Major Vessel ◽

Gag Reflex

Abstract Background and object Foix-Chavany-Marie syndrome (FCMS) is a rare type of pseudobulbar palsy, which is characterized by anarthria or severe dysarthria and bilateral central facio-linguo-velo-pharyngo-mastigatory paralysis with “automatic voluntary dissociation”. We report on a patient who suffered a reversible FCMS following a spear gun trauma through the cranial base leading to right operculo-insular contusion. Case Report This 28-year-old lady attempted suicide by shooting a spear gun into the head through her right submandibular region. Major vessel injury was ruled out and the patient was taken to the operating room for shaft removal. Postoperatively, we observed the mouth half open, drooling saliva, inability to move her tongue, anarthria, bilateral facial weakness, and loss of the gag reflex. Yawning was otherwise preserved resulting in a clinical diagnosis of FCMS. Postoperative imaging demonstrated a right operculoinsular contusion. Symptoms were fully recovered after two years of follow-up. Conclusion FCMS is a rare and severe form of pseudobulbar palsy. Unilateral lesions are exceptional but should be recognized, as we presented. Generally, the outcome is moderate to poor but the occurrence in brain trauma can be associated with complete functional recovery.

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