RESUMO
A rupture of an innominate artery caused by blunt trauma is relatively rare because this artery is short and protected by the chest bony cage. This report describes a 25-year-old man who suffered a traffic accident, that resulted in an innominate artery rupture, which was detected by a chest computed tomogram and angiogram. This patient underwent urgent surgery through a right clavicular incision and median sternotomy without a cardiopulmonary bypass due to multiple injuries. An approximately 3 cm sized injury was found from the innominate artery to the proximal right subclavian artery and the origin of the common carotid artery. The injured lesion was repaired with a saphenous vein patch. After surgery, he was discharged from hospital without complications.
Assuntos
Adulto , Humanos , Acidentes de Trânsito , Artérias , Tronco Braquiocefálico , Ponte Cardiopulmonar , Artéria Carótida Primitiva , Traumatismo Múltiplo , Ruptura , Veia Safena , Esternotomia , Artéria Subclávia , TóraxRESUMO
Mucoepidermoid carcinoma of the lung is extremely rare. This rare tumor arise beyond the carina, usually main stem bronchi, but occasionally in lobar or segmental airways. This tumor presents with symptoms of bronchial irritation or obstruction. Distant metastasis is an uncommon, therefore complete surgical resection is the treatment of the choice. The prognosis of this tumor correlates with the histologic grade of the tumor. We experienced a case of mucoepidermoid carcinoma arising from the right middle lobe, which was treated with the right middle lobectomy, with good result. We report this case and follow-up of the patient.
Assuntos
Humanos , Adenocarcinoma , Brônquios , Carcinoma Mucoepidermoide , Seguimentos , Neoplasias Pulmonares , Pulmão , Metástase Neoplásica , PrognósticoRESUMO
Primary pulmonary sarcoma is a rare tumor at all ages. It may be present as a solitary nodule or huge tumor of the thoracic cavity and frequently remain asymptomatic until growing large. A 50-year-old woman who presented sudden chest pain was found to have spontaneous hemothorax. The right upper lobectomy with lymph node dissection was performed, the pathologic result was pulmonary fibrosarcoma.