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Multiple Small Foley Balloons for Large Cardiac or Vascular Lacerations.
Ann Thorac Surg Short Rep
June 2024
Department of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Foley balloons have been used to secure emergency hemostasis for cardiac or vascular injuries since the 1960s. However, using a single large balloon may have drawbacks, such as insufficient hemostasis and blood flow impairment. We have encountered 3 major intraoperative laceration cases since 2011.
View Article and Find Full Text PDFHypovolemic Shock And The Need For Invasive Mechanical Ventilation On A Patient With Congenital Heart Disease.
Port J Card Thorac Vasc Surg
July 2024
Intensive Care Medicine, Hospital São João, Porto, Portugal.
Article Synopsis
- VA-ECMO techniques have advanced and are particularly beneficial for patients with reversible low cardiac output, such as the case of a 21-year-old male with congenital heart disease who experienced severe shock following an upper gastrointestinal bleed.
- Initial treatments included intubation, fluid resuscitation, and emergency endoscopy to control active bleeding, but the patient's condition worsened, leading to the need for VA-ECMO support due to severe ventricular dysfunction and high lactate levels.
- After optimizing care in the ICU and adjusting ventilation strategies, the patient's condition stabilized, allowing for extubation and the discontinuation of certain medications, reflecting a positive recovery trajectory.
Transcatheter Myotomy to Reduce Left Ventricular Outflow Obstruction.
J Am Coll Cardiol
April 2024
Structural Heart and Valve Center, Emory University Hospital, Atlanta, Georgia, USA.
Background: Left ventricular outflow tract (LVOT) obstruction is a source of morbidity in hypertrophic cardiomyopathy (HCM) and a life-threatening complication of transcatheter mitral valve replacement (TMVR) and transcatheter aortic valve replacement (TAVR). Available surgical and transcatheter approaches are limited by high surgical risk, unsuitable septal perforators, and heart block requiring permanent pacemakers.
Objectives: The authors report the initial experience of a novel transcatheter electrosurgical procedure developed to mimic surgical myotomy.
Prophylactic removal of a migratory missile from the cerebral ventricles: case report.
Childs Nerv Syst
April 2024
Department of Neurosurgery, The Johns Hopkins University School of Medicine, Phipps Building 554, 600 N Wolfe St, Baltimore, MD, 21287, USA.
Background And Importance: Nonpowder firearm injuries to the head pose major health risks, with retained fragments potentially causing harmful sequelae that require neurosurgical intervention.
Clinical Presentation: We report the case of 2-year-old girl who sustained an accidental gunshot wound to the head. She sustained a penetrating ballistic intracranial injury caused by a BB shot from a rifle.
Rapid absorption of frontal lobe contusion and laceration with hematoma: A case report and review of literature.
Medicine (Baltimore)
May 2023
Department of Neurosurgery, The Second Hospital of Longyan, Fujian Province, Longyan, China.
Rationale: It is rare for a traumatic intracranial hematoma to self-absorb rapidly after conservative treatment. To the best of our knowledge, there has been no report in the relevant literature of rapid absorption of hematoma formation following cerebral contusion and laceration.
Patient Concerns: A 54-year-old male was admitted to our hospital with head trauma at 3 hours prior to admission.
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