scholarly journals A Case Report of Iatrogenic Pulmonary Artery Injury due to Chest-Tube Insertion Repaired under Cardiopulmonary Bypass

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Ciss Amadou Gabriel ◽  
Dieng Papa Adama ◽  
Ba Papa Salmane ◽  
Gaye Magaye ◽  
Diatta Souleymane ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiopulmonary Bypass ◽  
Pulmonary Artery ◽  
Chest Tube ◽  
Main Pulmonary Artery ◽  
Median Sternotomy ◽  
Posterior Wall ◽  
Ascending Aorta ◽  
Artery Injury ◽  
The Right

The authors presented a case of a 50-year-old patient with multiple trauma who suffered from the inadvertent cannulation of the main pulmonary artery at the second attempt of left chest drainage. Pulmonary artery injury has been suspected because early chest tube production was 2300 mL of blood. CT scan showed injury of the trunk of the pulmonary artery, left hemothorax, and suspect damage of the right branch of the pulmonary artery. That chest tube touched the posterior wall of ascending aorta. Surgical approach was median sternotomy. Exploration showed a perforation of the trunk of pulmonary artery without lesion of the right pulmonary branch and the posterior wall of the ascending aorta. The lesion was repaired under normothermic partial cardiopulmonary bypass. Postoperative period was free of events. Review of the literatures for this rare case report has been done.

scholarly journals Anomalous origin of the right coronary artery from the main pulmonary artery treated surgically in a 6-week-old infant. A case report and review of the literature

2018 ◽  
Vol 18 (72) ◽  
pp. 71-76 ◽  
Author(s):  
Krzysztof Grabowski ◽  
◽  
Maciej Aleksander Karolczak ◽  
Ewa Zacharska-Kokot ◽  
Wojciech Mądry ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Main Pulmonary Artery ◽  
Anomalous Origin ◽  
Review Of The Literature ◽  
The Right

The Value of Dual-Source CT in the Diagnosis of Anomalous Origin of Pulmonary Artery

2021 ◽  
Author(s):  
Yusen Feng ◽  
Pengcheng Ma ◽  
Lijuan Wang ◽  
Guifang Sun ◽  
Bin Liu ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Main Pulmonary Artery ◽  
Left Pulmonary Artery ◽  
Ascending Aorta ◽  
Left Main ◽  
Descending Aorta ◽  
Dual Source ◽  
Inner Diameter ◽  
The Right ◽  
Pulmonary Artery Diameter

Abstract Objective: This study is designed to explore the dual-source computed tomography (DSCT) imaging manifestations of the origin of three rare pulmonary artery abnormalities, and to improve the understanding and diagnosis of the disease.Methods: Collected 30 cases of patients diagnosed by DSCT with pulmonary artery abnormal origins, and retrospectively analyzed their imaging data and postoperative pathological data.Results: Among the 30 patients with abnormal pulmonary artery origin, 16 patients were with unilateral pulmonary artery absence (UAPA), 8 patients were with anomalous origin of unilateral pulmonary artery (AOPA), and 6 patients were left pulmonary artery suspension (LPAS). The diagnosis rate of DSCT is significantly higher than that of echocardiography. The results of DSCT imaging showed that the inner diameter of the ascending aorta, the aortic arch and the descending aorta of UAPA patients were significantly larger than those of LPAS patients (P<0.05). Compared with AOPA patients, the left pulmonary artery diameter, the ratio of the left main pulmonary artery diameter to the main pulmonary artery diameter, and ratio of the left main pulmonary artery diameter to the right main pulmonary artery diameter were significantly increased in UAPA patients (P<0.05). There was no significant difference in the ratio of the inner diameter of the ascending aorta to the descending aorta in patients with UAPA, AOPA and LPAS. Compared with UAPA patients, AOPA patients had no significant changes in the inner diameter of the main pulmonary artery, the inner diameter of the right main pulmonary artery, and the ratio of the inner diameter of the right main pulmonary artery to the main pulmonary artery.Conclusion: DSCT can be used to diagnose the origin of pulmonary artery abnormalities and distinguish its types.

Anomalous Origin of the Right Coronary Artery from the Main Pulmonary Artery. A Case Report

Angiology ◽  
1994 ◽  
Vol 45 (4) ◽  
pp. 325-328 ◽  
Author(s):  
Carl Gustav Dahlström ◽  
Christer Hellekant ◽  
Bengt W. Johansson ◽  
Ulf Nyman
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Main Pulmonary Artery ◽  
Anomalous Origin ◽  
The Right

Anomalous origin of both pulmonary arteries from the ascending aorta with a nonbranching main pulmonary artery arising from the right ventricle

1990 ◽  
Vol 11 (3) ◽  
pp. 156-158 ◽  
Author(s):  
Hiroyuki Aotsuka ◽  
Yoko Nagai ◽  
Manabu Saito ◽  
Hiroo Matsumoto ◽  
Tsunetaro Nakamura
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricle ◽  
Main Pulmonary Artery ◽  
Pulmonary Arteries ◽  
Ascending Aorta ◽  
Anomalous Origin ◽  
The Right

Successful Rescue from Cardiac Arrest in a Patient with Postinfarction Left Ventricular Blow-Out Rupture: "Extra-Pericardial Aortic Cannulation" for Establishment Total Cardiopulmonary Bypass

2014 ◽  
Vol 17 (4) ◽  
pp. 217
Author(s):  
Suguru Ohira ◽  
Hitoshi Yaku ◽  
Shunsuke Nakajima ◽  
Akihiko Takahashi
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Bypass ◽  
Artery Bypass ◽  
Median Sternotomy ◽  
Venous Drainage ◽  
Left Ventricular ◽  
Ascending Aorta ◽  
Right Atrial ◽  
Aortic Cannulation ◽  
The Right

We report a quick and simple technique to establish cardiopulmonary bypass (CPB) in a left ventricular (LV) blow-out rupture. A 74-year-old woman with a diagnosis of acute myocardial infarction suddenly collapsed and lost consciousness. A venous-arterial extracorporeal membrane oxygenation (ECMO) device was inserted by femoral cannulation. Emergent median sternotomy was performed. The pericardium was not opened first, and the thymus was divided to expose the ascending aorta just above the pericardial reflection. After placing two purse-string sutures on the distal ascending aorta, a 7-mm aortic cannula (Terumo, Tokyo, Japan) was inserted. The pericardium was then incised. A large volume of blood was expelled from the pericardial space, and CPB was initiated with suction drainage. A two-stage venous drainage cannula was then inserted from the right atrial appendage without hemodynamic collapse. After cardiac arrest, closure of ruptured LV wall and concomitant coronary artery bypass grafting were performed. The patient was weaned from CPB with an intra-aortic balloon pump (IABP) and the previously inserted venous-arterial ECMO. Extra-pericardial aortic cannulation is an effective and reproducible method to prepare for CPB in emergent cases of LV rupture.

Anomalous origin of the right pulmonary artery from the ascending aorta: repair without cardiopulmonary bypass

1989 ◽  
Vol 23 (3) ◽  
pp. 309-313 ◽  
Author(s):  
Carlo Fucci ◽  
Duccio C. di Carlo ◽  
Roberto Di Donato ◽  
Bruno Marino ◽  
Giuseppe Calcaterra ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Pulmonary Artery ◽  
Ascending Aorta ◽  
Anomalous Origin ◽  
Right Pulmonary Artery ◽  
The Right
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