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1.
Medicina (Kaunas) ; 57(12)2021 Nov 27.
Article in English | MEDLINE | ID: mdl-34946247

ABSTRACT

Herein, we describe the rare anatomy of an abnormal shunt from the left atrium to the coronary sinus, which ruptured during a percutaneous ablation for atrial fibrillation. The iatrogenic lesion was successfully repaired after emergent extracorporeal membrane oxygenation set up followed by surgical exploration. The patient's postoperative course was uneventful, and she was regularly followed up without any complications.


Subject(s)
Atrial Fibrillation , Catheter Ablation , Coronary Sinus , Extracorporeal Membrane Oxygenation , Atrial Fibrillation/surgery , Coronary Sinus/surgery , Female , Heart Atria , Humans , Treatment Outcome
2.
J Cardiothorac Surg ; 15(1): 203, 2020 Jul 29.
Article in English | MEDLINE | ID: mdl-32727602

ABSTRACT

BACKGROUND: We demonstrated the safety and feasibility of image-guided video-assisted thoracoscopic surgery (iVATS) of bilateral lung lesions in a hybrid operating room. METHODS: This study was a retrospective analysis of a case series. A total of 7 patients with 15 small lung nodules underwent bilateral iVATS between July 2018 and May 2019. All procedures were completed within a single anesthesia procedure and performed in a hybrid operating room that had a cone-beam computed tomography (CT) apparatus equipped with a laser navigation system. The lesion characteristics, operation methods, and peri-operative clinical outcomes were summarized. RESULTS: A total of 7 patients with 15 resected lung nodules were analyzed. The most common pathological result of our bilateral iVATS was metastasis. The median length of hospital stay was 5 days (range from 3 to 10 days). The median right chest tube duration was 2 days (range from 1 to 8 days), and the median left chest tube duration was 3 days (range from 2 to 5 days). Only one patient had a complication during his hospitalization period. There was no surgery-related mortality observed. CONCLUSIONS: For bilateral pulmonary nodules, the iVATS procedure seems to be a feasible and cost-effective approach.


Subject(s)
Adenocarcinoma/surgery , Carcinoma, Hepatocellular/surgery , Carcinoma, Squamous Cell/surgery , Cone-Beam Computed Tomography/methods , Lung Neoplasms/surgery , Multiple Pulmonary Nodules/surgery , Surgery, Computer-Assisted/methods , Thoracic Surgery, Video-Assisted/methods , Adenocarcinoma/secondary , Aged , Carcinoma, Hepatocellular/secondary , Carcinoma, Squamous Cell/secondary , Chest Tubes , Feasibility Studies , Female , Humans , Hydrothorax , Length of Stay , Liver Neoplasms/pathology , Lung/pathology , Lung Neoplasms/secondary , Male , Middle Aged , Postoperative Complications , Retrospective Studies
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