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Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report
Bronchovenous fistula (BVF) associated with adult cardiac surgery is a rarely reported life-threatening condition. We present a 75-year-old woman who developed a BVF during cardiac surgery. Dense adhesion in the pleural and pericardial cavities was noted. Restrictive pulmonary pathology required hig...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592890/ https://www.ncbi.nlm.nih.gov/pubmed/33031108 http://dx.doi.org/10.1213/XAA.0000000000001321 |
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author | Saita, Kosuke Kariya, Taro Ezaka, Mariko Nakao, Tatsuya Kin, Nobuhide |
author_facet | Saita, Kosuke Kariya, Taro Ezaka, Mariko Nakao, Tatsuya Kin, Nobuhide |
author_sort | Saita, Kosuke |
collection | PubMed |
description | Bronchovenous fistula (BVF) associated with adult cardiac surgery is a rarely reported life-threatening condition. We present a 75-year-old woman who developed a BVF during cardiac surgery. Dense adhesion in the pleural and pericardial cavities was noted. Restrictive pulmonary pathology required high airway pressure. Transesophageal echocardiography and hemoglobin measurement were helpful for the timely diagnosis of BVF, which was controlled by transection of the right upper pulmonary vein where a vent catheter had been inserted. Injuries around the cannulated site presumably initiated the BVF, which was worsened by high-pressure ventilation. Therefore, cannulation site might be a risk factor for BVF. |
format | Online Article Text |
id | pubmed-7592890 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-75928902020-11-03 Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report Saita, Kosuke Kariya, Taro Ezaka, Mariko Nakao, Tatsuya Kin, Nobuhide A A Pract Case Report Bronchovenous fistula (BVF) associated with adult cardiac surgery is a rarely reported life-threatening condition. We present a 75-year-old woman who developed a BVF during cardiac surgery. Dense adhesion in the pleural and pericardial cavities was noted. Restrictive pulmonary pathology required high airway pressure. Transesophageal echocardiography and hemoglobin measurement were helpful for the timely diagnosis of BVF, which was controlled by transection of the right upper pulmonary vein where a vent catheter had been inserted. Injuries around the cannulated site presumably initiated the BVF, which was worsened by high-pressure ventilation. Therefore, cannulation site might be a risk factor for BVF. Lippincott Williams & Wilkins 2020-10-07 /pmc/articles/PMC7592890/ /pubmed/33031108 http://dx.doi.org/10.1213/XAA.0000000000001321 Text en Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Anesthesia Research Society. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Case Report Saita, Kosuke Kariya, Taro Ezaka, Mariko Nakao, Tatsuya Kin, Nobuhide Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report |
title | Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report |
title_full | Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report |
title_fullStr | Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report |
title_full_unstemmed | Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report |
title_short | Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report |
title_sort | bronchovenous fistula during adult cardiac surgery: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7592890/ https://www.ncbi.nlm.nih.gov/pubmed/33031108 http://dx.doi.org/10.1213/XAA.0000000000001321 |
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