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Pulmonary artery injury during mediastinoscopy controlled without gauze packing

The most serious complication that can occur during mediastinoscopy is hemorrhage from large vessels in the mediastinum, whereas there are few articles relating to injury to major vessels. We describe a case of 77-year-old male with mediastinal lymphadenopathy, who underwent a mediastinoscopy proced...

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Detalles Bibliográficos
Autores principales: Minowa, Muneo, Chida, Masayuki, Eba, Syunsuke, Matsumura, Yuji
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3042388/
https://www.ncbi.nlm.nih.gov/pubmed/21303514
http://dx.doi.org/10.1186/1749-8090-6-15
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author Minowa, Muneo
Chida, Masayuki
Eba, Syunsuke
Matsumura, Yuji
author_facet Minowa, Muneo
Chida, Masayuki
Eba, Syunsuke
Matsumura, Yuji
author_sort Minowa, Muneo
collection PubMed
description The most serious complication that can occur during mediastinoscopy is hemorrhage from large vessels in the mediastinum, whereas there are few articles relating to injury to major vessels. We describe a case of 77-year-old male with mediastinal lymphadenopathy, who underwent a mediastinoscopy procedure. When the pretracheal lymph nodes adjoining the right pulmonary artery were biopsied, a massive amount of bleeding spilled out through the scope. Immediately, the scope was removed from the body and the bleeding was controlled with digital compression at the skin incision. Then we closed the incision in a three-layer manner without any gauze packing in the mediastinum. Although some reports recommended gauze packing for massive bleeding during mediastinoscopy, we believe not all cases need gauze packing because bleeding from a low-pressure circulation system component into closed compartment, such as mediastinum, would cease without resulting in a large hematoma or pseudoaneurysm.
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spelling pubmed-30423882011-02-22 Pulmonary artery injury during mediastinoscopy controlled without gauze packing Minowa, Muneo Chida, Masayuki Eba, Syunsuke Matsumura, Yuji J Cardiothorac Surg Case Report The most serious complication that can occur during mediastinoscopy is hemorrhage from large vessels in the mediastinum, whereas there are few articles relating to injury to major vessels. We describe a case of 77-year-old male with mediastinal lymphadenopathy, who underwent a mediastinoscopy procedure. When the pretracheal lymph nodes adjoining the right pulmonary artery were biopsied, a massive amount of bleeding spilled out through the scope. Immediately, the scope was removed from the body and the bleeding was controlled with digital compression at the skin incision. Then we closed the incision in a three-layer manner without any gauze packing in the mediastinum. Although some reports recommended gauze packing for massive bleeding during mediastinoscopy, we believe not all cases need gauze packing because bleeding from a low-pressure circulation system component into closed compartment, such as mediastinum, would cease without resulting in a large hematoma or pseudoaneurysm. BioMed Central 2011-02-08 /pmc/articles/PMC3042388/ /pubmed/21303514 http://dx.doi.org/10.1186/1749-8090-6-15 Text en Copyright ©2011 Minowa et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Minowa, Muneo
Chida, Masayuki
Eba, Syunsuke
Matsumura, Yuji
Pulmonary artery injury during mediastinoscopy controlled without gauze packing
title Pulmonary artery injury during mediastinoscopy controlled without gauze packing
title_full Pulmonary artery injury during mediastinoscopy controlled without gauze packing
title_fullStr Pulmonary artery injury during mediastinoscopy controlled without gauze packing
title_full_unstemmed Pulmonary artery injury during mediastinoscopy controlled without gauze packing
title_short Pulmonary artery injury during mediastinoscopy controlled without gauze packing
title_sort pulmonary artery injury during mediastinoscopy controlled without gauze packing
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3042388/
https://www.ncbi.nlm.nih.gov/pubmed/21303514
http://dx.doi.org/10.1186/1749-8090-6-15
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