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Continuous serratus anterior block for sternotomy analgesia after cardiac surgery: a single-centre feasibility study.
Br J Anaesth
January 2025
Department of Anesthesia, Pain Management & Perioperative Medicine, Dalhousie University, Halifax, NS, Canada.
Background: Moderate-to-severe pain is common after cardiac surgery, peaking during the first and second postoperative days. Several nerve blocks for sternotomy have been described; however, the optimal location for continuous catheters has not been established. This study assessed the feasibility of a larger trial evaluating the efficacy of serratus anterior plane (SAP) catheter analgesia for sternotomy pain.
View Article and Find Full Text PDFSafety and Efficacy of Transsternal Core Biopsy of Anterior Mediastinal Masses.
Ann Thorac Surg Short Rep
December 2024
Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Background: The study evaluated the safety and adequacy of percutaneous transsternal anterior mediastinal core biopsy.
Methods: All percutaneous computed tomography-guided transsternal mediastinal 18-gauge core biopsies performed at 2 academic centers were retrospectively reviewed. Procedural, clinical, and pathology data were recorded.
The Mechanism and Management of Pneumopericardium Caused by Right Ventricular Lead Perforation.
Cardiol Res
December 2024
Department of Cardiology, Fukuoka University Hospital, Fukuoka, Japan.
An 83-year-old man underwent dual-chamber pacemaker placement for complete atrioventricular block at another hospital. The active-fixation ventricular lead was positioned on the free wall of the anterior right ventricle. Ventricular pacing failure occurred on the day after pacemaker implantation, and fluoroscopy revealed right ventricular (RV) lead perforation.
View Article and Find Full Text PDFTalc-induced pericardial granulomatosis after recurrent pleurodesis: a rare cause of incessant pericarditis-case report.
Eur Heart J Case Rep
December 2024
Thoracic Surgery Department, Ramón y Cajal University Hospital, Madrid, Spain.
Article Synopsis
- Management of relapsing pericarditis can be challenging, especially when patients do not respond to typical medical treatments, making surgical options like pericardiectomy a potential solution.
- The case involves a 41-year-old woman who experienced persistent acute pericarditis after talc pleurodesis for recurrent pneumothorax and did not benefit from several medications, ultimately requiring surgery.
- Following an anterior pericardiectomy, where foreign body granulomas were found, the patient recovered without pain, indicating that surgical intervention can be effective for this condition, although talc-induced pericarditis is not commonly documented in medical literature.
Successful pericardial repair and coverage for late pacemaker lead-related atrial perforation and pneumothorax: a case report.
Gen Thorac Cardiovasc Surg Cases
November 2023
Department of Chest Surgery, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.
Background: Various complications of permanent pacemaker implantation have been reported. However, late pacemaker lead-related myocardial perforation rarely occurs. Conservative treatment is generally selected, if possible, but open heart surgery or catheter lead removal should be considered in symptomatic patients.
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