ABSTRACT
Iatrogenic vascular injury during lumbar disc surgery is a rare but serious complication. This paper reports a patient who sustained an injury to the iliac artery while undergoing intervertebral disc surgery at the lumbar region. He suffered from massive bleeding and shock. An urgent laparatomy was performed under cardiopulmonary bypass, and the vascular injuries were repaired successfully. This case shows that a rapid diagnosis and immediate intervention can result in a favorable outcome.
Subject(s)
Humans , Cardiopulmonary Bypass , Diskectomy , Hemorrhage , Iliac Artery , Intervertebral Disc , Lumbosacral Region , Rupture , Shock , Vascular System InjuriesABSTRACT
Poland syndrome is a rare congenital anomaly characterized by unilateral chest wall hypoplasia and ipsilateral upper extremity abnormalities, usually on the right side. It can be combined with other anomalies such as scapular deformity of the affected side, and hypoplasia or absence of nipple. Typical surgery for a Poland syndrome patient aims to correct the chest wall defect and/or other abnormalities. Ventilation problem such as paradoxical chest movement can occur during anesthesia. We report management of general anesthesia of a Poland syndrome patient with right chest wall defect undergoing inframammary fold reposition and liposuction.