1,721,039 research outputs found
Successful treatment with one-way endobronchial valve of large air-leakage complicating narrow-bore enteral feeding tube malposition
No full textTracheopulmonary intubation is the most common misplacement site for narrow-bore feeding tube and it might be associated with severe pleuro-pulmonary complications. A 38-year-old female with a severe bilateral pneumonia and acute respiratory insufficiency was admitted in the ICU, intubated, and mechanically ventilated. Few hours after the insertion of a narrow-bore feeding tube the patient's oxygen saturation dropped with hypotension and tachycardia. A large left-side hydropneurnothorax developed requiring a chest tube. Air-leakage was important and bronchoscopic implant of one-way endobronchial valve was accomplished. Immediate and substantial decrease of air-leakage was observed, and it completely stopped after 5 days; as soon as the patient was extubated. Endobrochial one-way valve, specifically designed for bronchoscopic lung volume reduction, resulted in being safe and effective to control a significant and prolonged air-leakage due to a malposition of a narrow-bore feeding tube. (c) 2006 Elsevier B.V. All rights reserved
Multimodality Treatment of Thymic Tumors
No full textTumors of the thymus are rather infrequent compared with all the other thoracic neoplasms. They may display a variable clinical presentation and outcome. Although they may present as a capsulated lesion with an indolent course, in other cases they may be locally aggressive, invading the surrounding structures, or show the presence of distant metastases. At these advanced stages, cure and complete resection may be difficult, and only a multimodality approach integrating surgery with induction chemotherapy and adjuvant treatment can contribute to improve outcome. © 2009 Elsevier Inc. All rights reserved
Extended operations for recurrent thymic carcinoma presenting with intracaval growth and intracardiac extension
No full textThymic carcinoma is a relatively uncommon tumor that represents less than 1% of thymic malignancies. The prognosis is often poor, with a 5-year survival for all patients of between 31% and 50%.1 At present, a multimodality approach including aggressive surgical resection, platinum-based combination chemotherapy, and radiotherapy seems the preferred therapeutic strategy. Overall recurrence rate is very high and vascular invasion is particularly associated with poor prognosis. [2] and [3] Only aggressive and complete resection yields long-term survival. We report the management of recurrent thymic carcinoma with extension into the right atrium, resulting from the progression of intracaval growth, 4 years after induction chemotherapy and successful total resection followed by chemoradiation treatment
Glutaraldeyde preserved autologous pericardium for patch reconstruction of the pulmonary artery and superior vena cava.
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Non-Hodgkin's lymphoma, presenting as an isolated endobronchial mass after bilateral lung trasplantation: a case report
No full textSuccesful treatment of infected residual pleural space after pulmonary resection with autologous platelet-leukocyte gel
No full textComplications of the residual pleural space after pulmonary resection have been reported to be between 5% and 40% depending on the type of resection, and they increase morbidity, mortality, hospital stays, and costs. The therapeutic use of autologous prepared platelet leukocyte-enriched gel is a relatively new technology for the stimulation and acceleration of soft tissue and bone healing. This gel can be applied to a diversity of tissue. We describe the case of a successful application through a chest tube of platelet leukocyte gel to treat an infected residual pleural space that developed after pulmonary lobectomy for lung cancer
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