scholarly journals Unexpected difficult extubation of double lumen bronchial intubation: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xingcai Zhang ◽  
Shumiao Tang ◽  
Zihui Lu ◽  
Yijun Chen
Keyword(s):  
Thoracoscopic Surgery ◽  
Practical Significance ◽  
Post Anesthesia Care Unit ◽  
General Anesthetic ◽  
Double Lumen ◽  
Case Presentation ◽  
Respiratory Physician ◽  
Surgical Sutures ◽  
Bronchial Intubation ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background The anesthetist and other members of the perioperative team need to be extremely cautious for successful completion of any surgery. If the final step of any general anesthetic-extubation is not sufficiently well planned, it can lead to critical airway incidents during the extubation and hinder transportation of the patient to the post-anesthesia care unit. Case presentation A 48-year-old female underwent video-assisted thoracoscopic surgery (VATS) combined with left lower lobectomy. The distal end of the left branch of the tracheal tube was lodged by surgical sutures. In this case, the respiratory physician burned the sutures using an argon electrode, after discussion with the thoracic surgery experts. Conclusions Teamwork is essential when caring for a patient with a shared airway. The anesthetist and surgeon must communicate well with each other to achieve optimal surgical outcomes. Importantly, testing the patency of the ETT prior to extubation should be a regular procedure, which is practical significance to guide safe extubation.

scholarly journals Development of cavitary lung disease as a long-term complication of coronavirus disease 2019 in a young previously healthy patient: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Goar Egoryan ◽  
Elise Hyser ◽  
Ammar H. Mushtaq ◽  
Maria Adriana Yanez-Bello ◽  
Daniela Patricia Trelles-Garcia ◽  
...  
Keyword(s):  
Lung Disease ◽  
Acute Inflammation ◽  
Thoracoscopic Surgery ◽  
Late Complication ◽  
Left Lung ◽  
Lung Lesion ◽  
Pleuritic Chest Pain ◽  
Case Presentation ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background Cavities are frequent manifestations of a wide variety of pathological processes involving the lung. There has been a growing body of evidence of coronavirus disease 2019 leading to a cavitary pulmonary disease. Case presentation A healthy 29-year-old Filipino male presented to the hospital a couple of months after convalescence from coronavirus disease 2019 with severe pleuritic chest pain, fever, chills, and shortness of breath, and was found to have a cavitary lung lesion on chest computed tomography. While conservative management alone failed to improve the patient’s condition, he ultimately underwent left lung video-assisted thoracoscopic surgery decortication. Even though the surgical pathology revealed only necrosis with dense acute inflammation and granulation tissue with no microorganisms, he gradually improved with medical therapy adjunct with surgical therapy. Conclusion Documented cases of cavitary lung disease secondary to coronavirus disease 2019 have been mostly reported in the acute or subacute phase of the infection. However, clinicians should recognize this entity as a late complication of coronavirus disease 2019, even in previously healthy individuals.

scholarly journals Thoracoscopic Resection of Bilateral Multiple Superior Mediastinal Neurofibromas

2020 ◽  
Author(s):  
Yoko Azuma ◽  
Naobumi Tochigi ◽  
Atsushi Sano ◽  
Takashi Sakai ◽  
Satoshi Koezuka ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Thoracoscopic Resection ◽  
Case Presentation ◽  
Postoperative Course ◽  
Superior Mediastinum ◽  
Chest Cavity ◽  
Video Assisted ◽  
First Case ◽  
Video Assisted Thoracoscopic Surgery ◽  
Multiple Nodules

Abstract Background: The indications for surgical resection concerning multiple bilateral neurofibromas in the superior mediastinum remain controversial, because vascular injury or development of postoperative Horne syndrome are concerned.Case presentation: A 60-year-old woman presented with multiple nodules in her right neck and bilateral chest cavity tops which indicated neurofibromatosis. The thoracic masses grew slowly over 9 years, and she then underwent a 2-stage resection starting with the left to right side. Bilateral tumors were completely removed via video-assisted thoracic surgery. The patient’s postoperative course was uneventful, without postoperative Horner syndrome. Conclusions: To the best of our knowledge, this is the first case of multiple bilateral superior mediastinal neurofibromas resected from the pulmonary apices via thoracoscopy. We selected a minimally invasive pure video-assisted thoracoscopic surgery approach and enucleated some tumors to avoid nerve injury. This approach may be safe and useful for multiple neurofibromas in patients with neurofibromatosis.

scholarly journals Large epiphrenic diverticula: a rare case presentation

2015 ◽  
Vol 5 (4) ◽  
Author(s):  
Ajay H. Bhandarwar ◽  
Pravin N. Tungenwar ◽  
Yogesh M. Sawakare ◽  
Amol Nanasaheb Wagh ◽  
Chintan Babubhai Patel ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Esophageal Leak ◽  
Case Presentation ◽  
Hypertensive Lower Esophageal Sphincter ◽  
Wide Mouth ◽  
Epiphrenic Diverticula ◽  
Esophageal Sphincter ◽  
One Year ◽  
Tomography Scan ◽  
Video Assisted Thoracoscopic Surgery

A 70-year old female was admitted to hospital with heartburn and chronic halitosis since 5 years. She was on proton pump inhibitors for the same. Her complaints worsened during the last one-year. Workup comprising of esophagogastro- duodenoscopy, esophageal manometry, 3D computed tomography scan showed rightsided epiphrenic diverticula measuring 10x10 cm with wide mouth about 5 cm with hypertensive lower esophageal sphincter. Patient underwent a video assisted thoracoscopic surgery for esophageal diverticulectomy using two 45 mm staplers. On day 5, the patient developed leak, which was managed by a covered esophageal stent placement. Patient started on oral feeds from day 3 and the esophageal leak healed completely within 2 weeks. Literature suggests that esophageal leaks treated conservatively took approximately 30-40 days on an average for healing. Literature search did not reveal esophageal leak managed by stent with faster recovery (2 weeks). This is one of the largest epiphrenic diverticuli reported in literature.

scholarly journals Declarations: management of a pulmonary arteriovenous fistulae by uniportal video‐assisted thoracoscopic surgery: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
R. Li ◽  
Y. Zhou ◽  
S. Kang ◽  
F. Kong ◽  
L. Guan ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Rare Case ◽  
Thoracoscopic Surgery ◽  
Rare Condition ◽  
Preoperative Assessment ◽  
Ct Reconstruction ◽  
Case Presentation ◽  
Lower Lobectomy ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background A pulmonary arteriovenous fistula (PAVF) is a rare condition that is associated with pulmonary arteriovenous malformation (PAVM). Few reports have described managing PAVMs using uniportal video-assisted thoracoscopic surgery (VATS). Case presentation A 13-year-old child with PAVF in the left inferior pulmonary artery was treated by uniportal VATS with left lower lobectomy. After surgery, hemoptysis did not recur and there were no postoperative complications. Six months after the operation, postoperative review of computerized tomography showed no recrudescence of PAVF. Conclusions PAVF is a rare case that should be diagnosed and treated early. 3D- computerized tomography (CT) reconstruction is useful for diagnosis and preoperative assessment. The case shows that PAVF can be managed with uniportal VATS.

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