We report a case of spontaneous hemothorax after aortic valve replacement in a 72-year-old female resulting from rupture of a pleural adhesion leading to hemodynamic instability. doi: 10.1111/jocs.12729 (J Card Surg 2016;31:211-213).
Neuroblastoma (NB) tumor rupture, typically intra-abdominal, is a rare and life-threatening condition with a poor prognosis, often associated with large aggressive tumors. Intrathoracic ruptures, rarely reported, may result from thoracic NB or malignant invasion. We present the first case of spontaneous intrathoracic rupture in a 2-year-old boy with abdominal NB.
A 62-year-old man was referred to our hospital presenting with a sore throat, dyspnea, and cervical swelling. Initial precontrast CT scans revealed a cervical and mediastinal hematoma, along with a hemothorax. Further dynamic contrast-enhanced CT scans indicated contrast media extravasation dorsal to the right thyroid gland lobe, suggesting a rupture of the right inferior thyroid artery or a parathyroid adenoma.
Zanubrutinib is an orally administered second-generation covalent inhibitor of Bruton tyrosine kinase that was recently approved by the US Food and Drug Administration for the treatment of chronic lymphocytic leukemia and small lymphocytic leukemia. It has been associated with significant major and minor bleeding events, including intracranial and GI hemorrhage and hematuria, with or without concurrent antiplatelet or anticoagulation therapy. We report a case of a 65-year-old man with relapsing chronic lymphocytic leukemia.
- Neurofibromatosis type 1 (NF1) is a common genetic disorder that primarily causes neurofibromas and various vascular issues, such as aneurysms and arterial stenosis.
- A 45-year-old male with NF1 experienced a rare tension hemothorax caused by bleeding from the left costocervical artery, which is typically linked to trauma or aortic aneurysms.
- The patient was successfully treated with chest drainage and transcatheter arterial embolization (TAE) to manage the bleeding, highlighting the need for clinicians to consider potential non-traumatic complications in NF1 patients.
- The study investigates the potential for injury during chest compressions (CC) on infants and children, comparing two depth targets: 1.5 inches and 1/3 of the anterior-posterior chest diameter (APD), finding that the latter may lead to more severe injuries.
- Using an anesthetized swine model, researchers induced asphyxia and delivered CC using both depth targets to assess the resulting injuries, with various factors being monitored and analyzed post-resuscitation.
- Results from 36 animals showed significant differences in injury characteristics between the two compression depths, prompting further evaluation of safe guidelines for pediatric resuscitation practices.
