ABSTRACT
Percutaneous transluminal coronary angioplasty (PTCA) has become an invaluable tool in the treatment of coronary artery disease. However, it is not without risks. For the PTCA patient who develops signs and symptoms of an evolving myocardial infarction, the time delay involved in the transportation of the patient from the angiography suite to the operating room becomes important. Institution of cardiopulmonary bypass in the angiography suite has enabled the successful transport of the patient to the operating room in a hemodynamically stable condition. We now present two case reports of patients treated with emergent percutaneous cardiopulmonary bypass following the development of myocardial infarction during PTCA.
Subject(s)
Angioplasty, Balloon, Coronary/adverse effects , Cardiopulmonary Bypass/methods , Myocardial Infarction/etiology , Humans , Male , Middle AgedSubject(s)
Coronary Artery Bypass , Purpura, Thrombocytopenic/surgery , Splenectomy , Adult , Female , HumansABSTRACT
Pleural mesothelioma is a rare neoplasm that is usually highly malignant, but benign mesotheliomas do occur; approximately 400 cases are described in the literature. We report the case of a young woman with a massive benign mesothelioma that filled the entire left hemithorax but was successfully resected with full reexpansion of the lung.
Subject(s)
Mesothelioma/surgery , Pleural Neoplasms/surgery , Adult , Female , Humans , Mesothelioma/pathology , Pleural Neoplasms/pathologySubject(s)
Sternum/surgery , Tracheotomy/methods , Aged , Aortic Valve/surgery , Bioprosthesis , Heart Valve Prosthesis , Humans , Male , ReoperationABSTRACT
The data presented in this series support the premise that simple appendectomy is adequate therapy for appendiceal carcinoids less than 1 cm in diameter. However, little argument can be made against more radical surgery for gross lymph node metastases. When surgical margins after appendectomy are not free of tumor, additional surgery seems warranted, although in the present series there was a patient who was followed for 30 years who had residual microscopic disease in the appendiceal stump. Adequate treatment for tumors larger than 2 cm includes radical right hemicolectomy. What constitutes adequate therapy for tumors in the 1 to 2 cm range continues to be a point of controversy. From the data presented herein, it seems that appendectomy alone is sufficient except in those instances when both mesoappendiceal and subserosal lymphatic invasion is identified microscopically.
