scholarly journals Removal of Unusual Foreign Metal Object (Nail) from the Right Ventricle of Human Heart: A Case Report

2021 ◽  
Vol 24 (3) ◽  
pp. E560-E563
Author(s):  
Mingliang Zuo ◽  
Qiuyi Chen ◽  
Bo Xiang ◽  
Tao Yu ◽  
Lixue Yin
Keyword(s):  
Right Ventricle ◽  
Rare Case ◽  
Human Heart ◽  
Foreign Bodies ◽  
Jugular Vein ◽  
Comet Tail ◽  
Metal Object ◽  
Surgical Extraction ◽  
Life Threatening ◽  
The Right

Migration of foreign bodies (FB) with the blood flow to the heart is a rare, but very alarming condition as it may lead to life-threatening complications and death. Objects that are larger than 5 mm in diameter and/or irregular in shape are recommended for removal from extra- and intracardiac areas to prevent incurable embolization. Surgical extraction of intracardiac objects is a serious surgical challenge associated with difficulties to operate, during the continuous movement of the heart, and identify the exact FB location. Early diagnosis and timely removal of FBs are crucial treatment factors for this rare case resolution. We report a case of accidental migration of a metal FB object (nail) about 1.0*0.3 cm from the right neck area jugular vein to the right ventricle apex in the heart. The FB localization was accurately detected using Bi-plane transesophageal echocardiography (TEE) with a special comet-tail artifact. TEE provided valuable information before surgery, and the nail was successfully removed through open-heart surgical procedures and cardiopulmonary bypass (CPB). Postoperative tests indicated no complications.

scholarly journals Surgical excision of a cardiac hydatid cyst from the right ventricle in a child

2021 ◽  
Author(s):  
Alwaleed Al-Dairy ◽  
Rahim Abo Kasem
Keyword(s):  
Right Ventricle ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Rare Case ◽  
Surgical Excision ◽  
Hydatid Cysts ◽  
Life Threatening ◽  
The Right ◽  
Specific Symptoms

Cardiac Hydatid Cysts are uncommonly encountered entity of hydatid disease. Presentation may be with non-specific symptoms and sometimes with life threatening events. We present a rare case of a 9-year-old female who was diagnosed with a Cardiac Hydatid Cyst in the right ventricle, and underwent successful surgical excision

scholarly journals Improved method for the catheterization of the right ventricle in a rat model of pulmonary artery hypertension

2020 ◽  
Vol 30 (4) ◽  
pp. 535-537
Author(s):  
Marcello Tontodonati ◽  
Debbie Ridley ◽  
René Remie ◽  
Peter Clements
Keyword(s):  
Right Ventricle ◽  
Jugular Vein ◽  
Disease Model ◽  
Pulmonary Artery Hypertension ◽  
Animal Disease ◽  
Improved Method ◽  
Novel Approach ◽  
Catheter Tip ◽  
The Right

Abstract Ventricle catheterization in the rat is widely practiced in cardiopulmonary research. The catheters deployed are either fluid filled or solid tip pressure or pressure–volume catheters. The access to the right ventricle is through the right jugular vein, most commonly without direct visualization such as fluoroscopy. Advancement of the catheter tip is aided by visualizing the pressure signals of the monitoring/recording systems used. This approach may present challenges due to various reasons, including the stiffness of new catheters, their dimensions or anatomical changes associated with the animal disease model. In this article, we present a novel approach, which has been optimized, successfully validated surgically and adopted in current projects. It has been shown to improve both the overall quality of the signals recorded and the time to access the right ventricle, thus reducing the overall time of surgery. The method presented in this article is safe, easy to reproduce and does not require additional skills compared to a more ‘standard’ approach.

The Diagnosis and Surgical Management of Intracardiac Quill Foreign Body in a Dog

2016 ◽  
Vol 52 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Daniel Joseph Santiago Nucci ◽  
Julius Liptak
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Right Ventricle ◽  
Surgical Management ◽  
Foreign Bodies ◽  
Cardiac Injury ◽  
Median Sternotomy ◽  
Good Prognosis ◽  
Bilateral Pneumothorax ◽  
The Right

A dog was referred to Alta Vista Animal Hospital with a porcupine quill penetrating the right ventricle. The presenting complaint was tachypnea and dyspnea secondary to bilateral pneumothorax. Computed tomography revealed bilateral pneumothorax without evidence of quills. A median sternotomy was performed and the quill was removed. The dog recovered uneventfully. Quill injuries are common in dogs; however, intracardiac quill migration is rare. Dogs without evidence of severe cardiac injury secondary to intracardiac foreign bodies may have a good prognosis.

The HeartShield Device Reduces the Risk for Right Ventricular Damage in Patients with Deep Sternal Wound Infection

2014 ◽  
Vol 9 (2) ◽  
pp. 137-141 ◽  
Author(s):  
Richard Ingemansson ◽  
Malin Malmsjö ◽  
Sandra Lindstedt
Keyword(s):  
Right Ventricle ◽  
Right Ventricular ◽  
Anterior Part ◽  
Control Group ◽  
Deep Sternal Wound Infection ◽  
Rigid Barrier ◽  
Continuous Therapy ◽  
Life Threatening ◽  
Grade 3 ◽  
The Right

Objective Right ventricular rupture, resulting in serious bleeding, is a life-threatening complication associated with negative-pressure wound therapy (NPWT) in cardiac surgery. The use of a rigid barrier between the heart and the sharp sternal edges has been successfully tested on pigs. In the present article, we demonstrate increased safety in NPWT through the use of the HeartShield device. Methods Six patients were treated with a specially designed device in combination with NPWT. The device consists of a horizontally placed disk covered in foam. The back of the T-shaped device sticks up between the sternal edges and up above skin level. This part of the device is also covered in foam. Drainage is performed through two holes at the top of the device. The device and foam are changed every second to third day, and −120 mm Hg of continuous therapy is used. Six patients were treated with traditional NPWT, serving as control group. Results No signs of calluslike formation were seen on the right ventricle in the group treated with the HeartShield device. In the conventional NPWT control group, all six patients had calluslike formation (>1 × 2 cm2) on the anterior part of the right ventricle. All patients in the HeartShield group had grade 1 epicardial petechial bleeding (<0.5 cm2) on the right ventricle. In the control group, one patient had grade 1 (<0.5 cm2), three patients had grade 2 (0.5–2.0 cm2), and two patients had grade 3 (>2.0 cm2) epicardial petechial bleeding on the right ventricle. No major bleeding or mortality was observed in either group during the course of the study. Conclusions The use of the HeartShield device significantly minimizes the contact between the right ventricle and the sternal edges, thereby decreasing the risk for life-threatening complications due to bleeding.

Veno-Right Ventricle Bypass as a Lung Support System during Pulmonary Surgery without Ventilation

1997 ◽  
Vol 20 (10) ◽  
pp. 557-561 ◽  
Author(s):  
K. Horita ◽  
Z.L. Cao ◽  
T. Itoh
Keyword(s):  
Right Ventricle ◽  
Jugular Vein ◽  
Superior Vena ◽  
Femoral Vein ◽  
Ventilatory Support ◽  
Vena Cava ◽  
Venous Drainage ◽  
Pulmonary Surgery ◽  
Native Lung ◽  
The Right

A special lung support technique is required during carina! or tracheal surgery. Veno venous extracorporeal membrane oxygenation (ECMO) has become an accepted techinique for temporary lung support. Therefore, the purpose of our experiments was to evaluate the effect of veno venous ECMO (veno-right ventricle bypass) without ventilatory support. In five mongrel dogs, two venous drainage cannula were inserted into the superior vena cava through the right jugular vein and the inferior vena cava through the right femoral vein. In addition, a venous return cannula was inserted into the right ventricle (RV) through the right jugular vein. The veno-right ventricle (veno-RV) bypass system was composed of a centrifugal pump and membrane oxygenator; pump flow was maintained at 88 ± 14 ml/kg/min. Excellent hemodynamics and good oxygenation were obtained. On the basis of these results, we conclude that veno-RV bypass may be used as lung support during pulmonary surgery even though the native lung is not ventilated during the veno-RV bypass procedure.

Utility of blind percutaneous jugular venous cannulation in resource-limited settings

2016 ◽  
Vol 18 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Opeyemi Komolafe ◽  
Olalekan Olatise
Keyword(s):  
Internal Jugular Vein ◽  
Vascular Access ◽  
Jugular Vein ◽  
Resource Limited Settings ◽  
Percutaneous Puncture ◽  
Image Guided ◽  
Vascular Ultrasound ◽  
Resource Limited ◽  
Life Threatening ◽  
The Right

Background For the nephrologist practicing in resource-limited settings, vascular ultrasound is often unavailable; consequently, blind percutaneous puncture of large veins is often employed to establish vascular access for hemodialysis. Methods To examine the efficacy and safety of this approach we evaluated 53 consecutive patients in whom central vascular access was required. The vascular access route utilized was primarily the right internal jugular vein. In the majority of cases, the indication for central vascular access was hemodialysis. Results The average number of needle passes required to obtain vascular access was 1.6 for the patient population studied. A total of 90.6% of the patients required ≤2 needle passes during cannulation. Complication rate for the blind approach was low (7.6%) and no serious or life-threatening complications occurred. Conclusions Our findings suggest that blind percutaneous puncture of the internal jugular vein by trained hands is a relatively safe and effective approach for establishing vascular access for hemodialysis in resource-limited settings. Nevertheless, wherever vascular ultrasound is available, it should be primarily utilized because of the documented advantages of image-guided insertion. Keeping in view the risk of serious peri-procedural complications which include death, the emphasis on image-guided insertion, is appropriate, particularly, in non-emergent situations.

scholarly journals A rare case of acquired benign tracheoesophageal fistula

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Sarah Bouayyad ◽  
Meera Beena ◽  
Ajay Nigam
Keyword(s):  
Case Report ◽  
Patient Selection ◽  
Tracheoesophageal Fistula ◽  
Rare Case ◽  
Foreign Bodies ◽  
Medical Condition ◽  
Surgical Methods ◽  
Life Threatening ◽  
History Of ◽  
Tracheoesophageal Puncture

Abstract Acquired benign tracheoesophageal fistula (TOF) is a rare medical condition that usually results from trauma, foreign bodies or granulomatous infections. This is an unusual presentation of a male patient with a history of laryngectomy who has had over a period of several years inappropriately and vigorously used valve cleaning brushes to clean tracheal secretions, which has led to the formation of a TOF. Due to the patient’s obsessive habit, we could not manage him using conventional surgical methods. Instead, we opted for the placement of a salivary bypass tube, which yielded good results and recovery. To the best of our knowledge, no other case of similar aetiology has been published. We would like to highlight the importance of appropriate patient selection and education prior to performing a tracheoesophageal puncture to avoid developing life-threatening complications as demonstrated in our case report.

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