RESUMO
A 58-year-old man with primary lung cancer underwent lung radiofrequency (RF) ablation. Pneumothorax developed 12 days after lung RF ablation. Despite chest drainage for 1 month, air leakage continued through a bronchopleural fistula. Bronchial occlusion was performed with a silicone embolus, causing cessation of the air leakage.
Assuntos
Fístula Brônquica/terapia , Ablação por Cateter/efeitos adversos , Embolização Terapêutica , Fístula/terapia , Doenças Pleurais/terapia , Adenocarcinoma/terapia , Fístula Brônquica/etiologia , Broncoscopia/efeitos adversos , Fístula/etiologia , Humanos , Neoplasias Pulmonares/terapia , Masculino , Pessoa de Meia-Idade , Doenças Pleurais/etiologia , Pneumotórax/etiologia , Pneumotórax/terapia , Radiografia Intervencionista , Silicones/uso terapêuticoRESUMO
A 49-year-old man with a successful bypass grafting for coarctation of the aorta is presented. He has been suffering from hypertension since his 30s. Angiography and magnetic resonance imaging (MRI) revealed the stenosis of distal aortic arch and developed collateral circulation. After left thoracotomy, bypass grafting using a 16 mm woven Dacron graft was placed between the left subclavian artery and the descending aorta. He had a satisfactory postoperative course with no residual pressure gradient. We recommend this procedure to be a safe and minimally invasive technique that can avoid injury to the collateral.
