ABSTRACT
Percutaneous occlusion techniques of secundum type atrial septal defects have recently become the treatment of choice, delivering excellent results and being associated with a low rate of early and late complications. The investigators report an unusually delayed presentation of acute right heart failure due to Amplatzer septal device embolisation into the main pulmonary artery, 2 years after implantation.
Subject(s)
Embolization, Therapeutic/adverse effects , Embolization, Therapeutic/instrumentation , Foreign-Body Migration/complications , Heart Failure/etiology , Heart Septal Defects, Atrial/therapy , Pulmonary Artery , Aged , Device Removal , Echocardiography, Transesophageal , Foreign-Body Migration/diagnostic imaging , Heart Septal Defects, Atrial/surgery , Humans , Male , Pulmonary Artery/diagnostic imaging , Time FactorsABSTRACT
Axillary artery cannulation for cardiopulmonary bypass is becoming increasingly used for surgery of aortic dissections for reoperations and extensively diseased ascending aortas. This can be achieved either directly or with a graft. We describe a case with a repair of chronic type A dissection in which axillary cannulation was achieved by placing the arterial cannula into a saphenous vein graft that had been anastomosed end-to-side to the axillary artery. This provides a natural, inexpensive, readily available, and more hemostatic alternative to the use of prosthetic grafts.
Subject(s)
Axillary Artery , Blood Vessel Prosthesis Implantation , Cardiopulmonary Bypass/methods , Catheterization/methods , Saphenous Vein/transplantation , Anastomosis, Surgical , Aortic Dissection/complications , Aortic Dissection/surgery , Aorta , Aortic Aneurysm/complications , Aortic Aneurysm/surgery , Aortic Diseases/complications , Aortic Valve Insufficiency/complications , Aortic Valve Insufficiency/surgery , Arteriosclerosis/complications , Axillary Artery/surgery , Coronary Stenosis/complications , Coronary Stenosis/surgery , Humans , Male , Middle AgedABSTRACT
Prolonged air leak following bullectomy is a common problem and increases the morbidity of the procedure and hence the hospital stay for patients. Different surgical methods have been used to decrease the duration of the air leak. One of the common methods is the use of sealant material, synthetic or biological, over which either a stapler or suture closure is made. We report the use of the wall of the resected bulla as a sealant material to achieve pneumostasis with stapler/suture reinforcement, with good results.
