ABSTRACT
Pulmonary myofibroblastic pseudotumors are rare surgical pathologies, of unknown origin, with benign behavior and a good prognosis if completely resected. We present a 21-year-old male with a solitary pulmonary nodule found during a routine chest X-ray with CT scan confirmation. After a 16-month follow-up, the nodule increased in size and the patient developed mild dyspnea. He underwent an elective left postero-lateral thoracotomy and excision of the mass with an upper lobectomy. Pathologic studies revealed a pulmonary myofibroblastic pseudotumor.
Subject(s)
Plasma Cell Granuloma, Pulmonary , Solitary Pulmonary Nodule , Adult , Humans , Male , Plasma Cell Granuloma, Pulmonary/diagnostic imaging , Plasma Cell Granuloma, Pulmonary/pathology , Plasma Cell Granuloma, Pulmonary/surgery , Pneumonectomy , Solitary Pulmonary Nodule/diagnostic imaging , Solitary Pulmonary Nodule/pathology , Solitary Pulmonary Nodule/surgery , Tomography, X-Ray ComputedABSTRACT
We report a case of aortic valve endocarditis caused by Bartonella henselae. The patient initially presented to a regional hospital with generalized symptoms including lethargy, malaise and decreased appetite. Transthoracic echocardiogram revealed a large vegetation on the aortic valve and he was treated empirically with broad spectrum intravenous antibiotics. Several blood cultures were obtained which all returned negative results and the white blood cell count was normal. He was transferred to our hospital, with persistence of his initial symptoms and additional low-grade fevers. In light of his negative culture results, serological testing for Bartonella and Chlamydia was performed, which gave a positive result for Bartonella henselae. In view of this result and following development of severe aortic valve insufficiency, he underwent an aortic valve replacement and made a good recovery.
Subject(s)
Angiomatosis, Bacillary , Aortic Valve/microbiology , Bartonella henselae/isolation & purification , Endocarditis, Bacterial/etiology , Humans , Male , Middle Aged , Surgical Wound Infection/etiologyABSTRACT
We treated a 26-year-old male who sustained a self-inflicted injury to the mediastinum with a crossbow bolt. Injuries involved penetration of the sternum 1 cm below the sternomanubrial joint, right lung, pericardium, ascending aorta, right pulmonary artery, esophagus, and azygos vein. He was treated successfully with cardiopulmonary bypass and hypothermia. Exposure was achieved with a combination of a sternotomy and right thoracotomy.
Subject(s)
Foreign Bodies/etiology , Mediastinum/injuries , Wounds, Stab/etiology , Adult , Cardiopulmonary Bypass , Embolectomy , Foreign Bodies/diagnostic imaging , Foreign Bodies/surgery , Heart Arrest, Induced , Humans , Male , Mediastinum/diagnostic imaging , Mediastinum/surgery , Postoperative Complications/surgery , Radiography , Reoperation , Sternum/surgery , Thoracotomy , Wounds, Stab/diagnostic imaging , Wounds, Stab/surgeryABSTRACT
A previously well 62-year-old male from North Queensland presented with leptospirosis featuring fever, renal failure, hepatitis and pulmonary haemorrhage. Management was greatly complicated by severe and previously unrecognized aortic stenosis with a peak valve gradient of 125 mmHg. A successful outcome followed careful haemodynamic management and treatment of the infective illness with subsequent valve replacement.
Subject(s)
Aortic Valve Stenosis/complications , Leptospirosis/complications , Aortic Valve , Aortic Valve Stenosis/diagnostic imaging , Aortic Valve Stenosis/surgery , Diagnosis, Differential , Fever/complications , Heart Valve Prosthesis Implantation , Humans , Leptospirosis/diagnosis , Leptospirosis/drug therapy , Leptospirosis/physiopathology , Male , Middle Aged , Penicillin G/therapeutic use , Penicillins/therapeutic use , Queensland , Renal Insufficiency/complications , UltrasonographyABSTRACT
Traditional lobectomy techniques describe division of pulmonary parenchyma within the fissures for access to the pulmonary artery. This results in air leaks, which may prolong chest tube drainage and hospitalization times. We describe a technique for lobectomy in which all lung parenchyma is divided using a stapler.
