ABSTRACT
A case is presented of clockwise torsion of the entire left lung on its bronchovascular pedicle during intraoperative manipulations for a nonpulmonary procedure. The grave consequences are presented as well as a discussion of the mechanism of injury and a review of the pertinent literature. To our knowledge, this is the first such case reported.
Subject(s)
Intraoperative Complications/etiology , Lung Diseases/etiology , Esophageal Achalasia/surgery , Female , Humans , Lung/diagnostic imaging , Lung/surgery , Middle Aged , Pulmonary Circulation , Radiography , Thoracic Surgery/adverse effects , Torsion AbnormalityABSTRACT
A clip technique for ligation of the ductus arteriosus in premature infants is presented.
Subject(s)
Ductus Arteriosus, Patent/surgery , Humans , Infant, Newborn , Infant, Premature , Ligation/instrumentation , Ligation/methodsABSTRACT
The cause of hypertension following satisfactory repair of coarctation of the aorta remains obscure. Most agree that significant elevation of the blood pressure after operation demands therapy. Previously the combination of trimethaphan and reserpine was utilized, but the incidence of adverse reactions was high. We recently have used the regimen of sodium nitroprusside and propranolol in six patients with gratifying results. This report reviews the problem as well as our use of nitroprusside and propranolol in managing hypertension following coarctation repair.
