Nonsurgical bleeding after complex thoracic aortic procedures (such as aortic dissection and aortic aneurysm) is a great challenge for cardiac surgeons because of severe coagulopathy, exsanguinous bleeding, and inevitable death. Temporary mediastinal packing (with sponge) in such cases is the only life-saving technique with good result in most cases. Herein, we presented three cases with acute aortic dissection with intractable bleeding that was successfully managed with mediastinal packing.
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http://dx.doi.org/10.1155/2015/513617 | DOI Listing |
J Small Anim Pract
January 2025
European Specialist in Small Animal Medicine, Davies Veterinary Specialists, Hitchin, UK.
Type III von Willebrand disease is a rare coagulopathy, with published reports only existing for four canine breeds - Dutch Kooiker Hounds, Shetland Sheepdogs, Chesapeake Bay Retrievers and Scottish Terriers. A 2-year and 9-month-old male neutered standard dachshund was presented for hypovolaemic shock and a ventral neck mass. One previous bleeding episode following routine castration was reported.
View Article and Find Full Text PDFTop Companion Anim Med
June 2024
Emergency and Critical Care Service, Fundació Hospital Clínic Veterinari-UAB, Universitat Autònoma de Barcelona (UAB), Campus, Carrer de l'Hospital, s/n, 08193 Cerdanyola del Vallès, Barcelona, Spain; Animal Medicine and Surgery Department, Facultat de Veterinària de la UAB, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona, Spain. Electronic address:
Objective: To describe an unusual case of spontaneous hemothorax resulting from thymic involution in a dog with suspected acquired bleeding dyscrasia associated with steroid-responsive meningitis-arteritis (SRMA).
Case Description: A 6-month-old spayed female Golden Retriever was referred due to the sudden onset of lethargy, fever (pyrexia), loss of appetite (anorexia), and moderate neck pain. These symptoms emerged six days after an ovariohysterectomy performed by the primary veterinarian.
J Cardiothorac Surg
March 2024
Department of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan.
Background: Acute type A aortic intramural hematoma (ATAIMH) is a variant of acute type A aortic dissection (ATAAD), exhibiting an increased risk of hemopericardium and cardiac tamponade. It can be life-threatening without emergency treatment. However, comprehensive studies of the clinical features and surgical outcomes of preoperative hemopericardium in patients with ATAIMH remain scarce.
View Article and Find Full Text PDFJ Chest Surg
September 2023
Department of Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Background: A significant proportion of cardiac surgery intensive care unit (CSICU) patients require long-term ventilation, necessitating tracheostomy placement. The goal of this study was to evaluate the long-term postoperative outcomes and complications associated with percutaneous dilatational tracheostomy (PDT) in CSICU patients.
Methods: All patients undergoing PDT after cardiac, thoracic, or vascular operations in the CSICU between January 1, 2013 and January 1, 2021 were identified.
J Cardiothorac Surg
July 2023
Department of Thoracic Surgery, Cho Ray Hospital, Ho Chi Minh City, Vietnam.
Background: The present descriptive study shares the overall experience of treating all these patients where different surgical process was adopted depending on the treatment required after carefully evaluating the risk factors and comorbidities.
Methods: The present study was conducted at the Department of Thoracic Surgery, Choray Hospital, Vietnam between the period of 2010 to 2020. We have treated 95 patients altogether in this duration.
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