Traumatic Giant Pseudoaneurysm of Innominate Artery

2005 ◽  
Vol 13 (4) ◽  
pp. 369-371 ◽  
Author(s):  
Rajinder S Dhaliwal ◽  
Suvtesh Luthra ◽  
Sameer Goyal ◽  
Sukant Behra ◽  
Rama Krishna ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Superior Vena ◽  
Vena Cava ◽  
Innominate Artery ◽  
Low Flow ◽  
Successful Outcome ◽  
Severe Respiratory Distress ◽  
Giant Pseudoaneurysm

A 20-year-old man developed a giant pseudoaneurysm of the innominate artery 5 months after blunt chest trauma, causing severe respiratory distress and superior vena cava compression symptoms. The patient was managed with hypothermia and low flow cardiopulmonary bypass resulting in a successful outcome.

Survival after laceration of the superior vena cava from blunt chest trauma

1996 ◽  
Vol 3 (3) ◽  
pp. 191-193 ◽  
Author(s):  
C A GRAHAM ◽  
L S MCLEOD ◽  
R G MITCHELL ◽  
J P WYATT ◽  
W S WALKER
Keyword(s):  
Superior Vena Cava ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Superior Vena ◽  
Vena Cava

Superior Vena Cava Laceration by Rib Fracture After Blunt Chest Trauma

2020 ◽  
pp. 000313482095146
Author(s):  
Monty Littlejohn ◽  
Maria G. Fencer ◽  
Cherry Song ◽  
Joseph S. Hanna
Keyword(s):  
Superior Vena Cava ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Superior Vena ◽  
Vena Cava ◽  
Rib Fracture

scholarly journals Hybrid treatment of an aortic pseudoaneurysm arising at the innominate artery junction secondary to superior vena cava stenting

2015 ◽  
Vol 1 (2) ◽  
pp. 127-129 ◽  
Author(s):  
Arnaud Roussel ◽  
Dominique Fabre ◽  
Elie Fadel ◽  
Claude Angel ◽  
Philippe Dartevelle
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Innominate Artery ◽  
Aortic Pseudoaneurysm ◽  
Hybrid Treatment

Superior Vena Caval Obstruction Presenting as Acute Laryngotracheobronchitis

1974 ◽  
Vol 83 (6) ◽  
pp. 829-832 ◽  
Author(s):  
Donald B. Hawkins ◽  
Victor G. Mikity ◽  
Charles R. Battaglia
Keyword(s):  
Respiratory Distress ◽  
Superior Vena ◽  
Vena Cava ◽  
Ventriculoatrial Shunt ◽  
Superior Vena Caval ◽  
Severe Respiratory Distress ◽  
Airway Symptoms ◽  
Flow Through ◽  
Superior Vena Caval Obstruction ◽  
Collateral Vessels

A two-year-old child was hospitalized with a diagnosis of laryngotracheo-bronchitis. His airway symptoms, however, were the presenting manifestations of superior vena caval thrombosis around a ventriculoatrial shunt. Subglottic edema obstructed his airway initially; this was relieved by tracheostomy. Later, progressive tracheobronchial compression from the dilated superior vena cava and its collateral vessels almost proved fatal. Removal of the shunt allowed blood to flow through the thrombus. This relieved the patient's severe respiratory distress within hours.

scholarly journals The Domino Effect-Treatment of Superior Vena Cava Obstruction Triggering Tumor Lysis Syndrome: A Case Report

2021 ◽  
Vol 3 (1) ◽  
pp. 44-50
Author(s):  
Suman Ghosh ◽  
Tilak TVSVGK ◽  
Venkatesan Somasundaram ◽  
Mutreja Deepti
Keyword(s):  
Superior Vena Cava ◽  
Lymphoblastic Leukemia ◽  
Superior Vena ◽  
Tumor Lysis Syndrome ◽  
Vena Cava ◽  
Potassium Phosphate ◽  
Successful Outcome ◽  
Superior Vena Cava Obstruction ◽  
Tumor Lysis ◽  
Life Threatening

Oncological emergencies present in a multitude of manners-structural, metabolic, hematologic, etc. affecting multiple systems, often. Urgent institution of therapy is often required for a successful outcome. Occasionally, the treatment of one emergency can initiate a related or unrelated emergency, necessitating management of all the complications simultaneously. Superior vena cava obstruction (SVCO) is a medical emergency and most often manifests in patients with a malignant disease process requiring immediate diagnostic evaluation and therapy due to its’ life threatening presentation. The management of the SVCO is usually with chemotherapy, radiotherapy or intervention. In cases of large tumor burden, management of SVCO can trigger other complications. Tumor lysis syndrome is an oncologic emergency, which is characterized by a massive release of intracellular potassium, phosphate, and nucleic acid metabolites into the systemic circulation, which can be life-threatening. We present the case of a T-cell acute lymphoblastic leukemia with superior vena cava syndrome, developing tumor lysis syndrome on instituting definitive chemotherapy in a young patient. Doi: 10.28991/SciMedJ-2021-0301-6 Full Text: PDF

Blunt Trauma to Brachiocephalic Artery: Presentation and Management

2021 ◽  
pp. 000313482110562
Author(s):  
Parvez M. U. Din Dar ◽  
Supreet Kaur ◽  
Vivek Kumar ◽  
Soumya Ghoshal ◽  
Junaid Alam ◽  
...  
Keyword(s):  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Innominate Artery ◽  
Brachiocephalic Artery ◽  
Dacron Graft ◽  
Surgical Exploration ◽  
Postoperative Course ◽  
Artery Injury ◽  
Arch Of The Aorta ◽  
Isolated Innominate Artery

Isolated innominate artery injury is very rare and accounts for less than 3% of recognized arterial injuries. Surgical exploration of the artery, especially at the origin of the artery from the arch of the aorta, is surgically challenging. Due to its rarity, any 1 surgeon’s experience in dealing with innominate artery injury is bound to be limited. We report 2 cases of innominate artery injury post-blunt chest trauma. Both patients underwent thoracotomy and innominate artery Dacron graft repair and both had an uneventful postoperative course.

Direct Femoral Cannulation in Minimal Invasive Pediatric Cardiac Surgery

2018 ◽  
Vol 13 (4) ◽  
pp. 300-304 ◽  
Author(s):  
Vivek A. Wadhawa ◽  
Kartik G. Patel ◽  
Chirag P. Doshi ◽  
Jigar K. Shah ◽  
Jaydip A. Ramani ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Superior Vena Cava ◽  
Femoral Artery ◽  
Superior Vena ◽  
Femoral Vein ◽  
Vena Cava ◽  
Pediatric Cardiac Surgery

Objective One of the major challenges faced in minimally invasive pediatric cardiac surgery is cannulation strategy for cardiopulmonary bypass. Central aortic cannulation through the same incision has been the usual strategy, but it has the disadvantage of cluttering of the operative field. We hereby present the results of femoral cannulation in minimally invasive pediatric cardiac surgery in terms of adequacy and safety. Methods From January 2013 to June 2016, 200 children (122 males) with mean ± SD age of 9.2 ± 4.51 years (median = 6 years, range = 3–18 years) and weight of 19.22 ± 8.49 kg (median = 15 kg, range = 8–45 kg) were operated for congenital cardiac defects through anterolateral thoracotomy. The most common diagnosis was atrial septal defect (144 patients). In all the patients, femoral artery and femoral vein were cannulated along with direct superior vena cava cannulation for institution of cardiopulmonary bypass. Results There were no deaths or any major complications related to femoral cannulation. Femoral artery cannulation provided adequate arterial inflow, whereas femoral vein with direct superior vena cava cannulation provided adequate venous return in all the patients. No patient required vacuum-assisted venous drainage. No patient required conversion to sternotomy or developed vascular, neurological complications. At discharge and at 1-year follow-up, both femoral artery and vein were patent without a significant stenosis on color Doppler ultrasonography in all the patients. At mean ± SD follow-up period of 30.63 ± 10.09 months, all the patients were doing well without any wound-related, neurological, or vascular complications. Conclusions Femoral arterial and venous cannulation is a feasible, reliable, and efficient method for institution of cardiopulmonary bypass in minimally invasive pediatric cardiac surgery.

scholarly journals Interatrial shunt for chronic pulmonary hypertension: differential impact of low-flow vs. high-flow shunting

2009 ◽  
Vol 296 (3) ◽  
pp. H639-H644 ◽  
Author(s):  
Andreas Zierer ◽  
Spencer J. Melby ◽  
Rochus K. Voeller ◽  
Marc R. Moon
Keyword(s):  
Pulmonary Hypertension ◽  
Cardiac Output ◽  
Superior Vena Cava ◽  
Diastolic Pressure ◽  
Superior Vena ◽  
Vena Cava ◽  
High Flow ◽  
Low Flow ◽  
Right Atrial ◽  
Chronic Pulmonary Hypertension

The purpose of the present study was to determine for the first time the qualitative and quantitative impact of varying degrees of interatrial shunting on right heart dynamics and systemic perfusion in subjects with chronic pulmonary hypertension (CPH). Eight dogs underwent 3 mo of progressive pulmonary artery banding, following which right atrial and ventricular end-systolic and end-diastolic pressure-volume relations were calculated using conductance catheters. An 8-mm shunt prosthesis was inserted between the superior vena cava and left atrium, yielding a controlled model of atrial septostomy. Data were obtained 1) preshunt or “CPH”; 2) “Low-Flow” shunt; and 3) “High-Flow” shunt (occluding superior vena cava forcing all flow through the shunt). With progressive shunting, right ventricular pressure fell from 72 ± 19 mmHg (CPH) to 54 ± 17 mmHg (Low-Flow) and 47 ± 17 mmHg (High-Flow) ( P < 0.001). Cardiac output increased from 1.5 ± 0.3 l/min at CPH to 1.8 ± 0.4 l/min at Low-Flow (286 ± 105 ml/min, 15% of cardiac output; P < 0.001), but returned to 1.6 ± 0.3 l/min at High-Flow (466 ± 172 ml/min, 29% of cardiac output; P = 0.008 vs. Low-Flow, P = 0.21 vs. CPH). There was a modest rise in systemic oxygen delivery from 252 ± 46 ml/min at CPH to 276 ± 50 ml/min at Low-Flow ( P = 0.07), but substantial fall to 222 ± 50 ml/min at High-Flow ( P = 0.005 vs. CPH, P < 0.001 vs. Low-Flow). With progressive shunting, bichamber contractility did not change ( P = 0.98), but the slope of the right atrial end-diastolic pressure volume relation decreased ( P < 0.04), consistent with improved compliance. This study demonstrated that Low-Flow interatrial shunting consistently improved right atrial mechanics and systemic perfusion in subjects with CPH, while High-Flow exceeded an “ideal shunt fraction”.

Combined Tracheal Transection and Innominate Artery Disruption from Blunt Chest Trauma

1986 ◽  
Vol 41 (2) ◽  
pp. 213-215 ◽  
Author(s):  
Daniel Goldfaden ◽  
Paul Seifert ◽  
Frank Milloy ◽  
Paul Thomas ◽  
Sidney Levitsky
Keyword(s):  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Innominate Artery
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