Journal of Yeungnam Medical Science

Case reports

Cardiopulmonary bypass preparation is mandatory in cardiac exploration for blunt cardiac injury patients: two case reports: Shin-Ah Son, Joon Yong Cho, Gun-Jik Kim, Young Ok Lee, Hanna Jung, Tak-Hyuk Oh; Yeungnam Univ J Med. 2021;38(4):356-360. Published online March 3, 2021; DOI: https://doi.org/10.12701/yujm.2020.00822

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Treating cardiac injuries following blunt trauma to the chest requires thorough examination, accurate diagnosis, and therapeutic plan. We present two cases; pulmonary vein rupture and left atrial appendage laceration, both as a result of blunt chest trauma. Through these cases, our team learned the importance of maintaining hemodynamic stability during the examination of injured cardiac structures. And based on the comprehensive cardiac examination, a decision to surgically intervene with median sternotomy via cardiopulmonary bypass was made, saving lives of the patient. This report introduces how such decision was made based on what supporting evidence and the diagnostic process leading to the initiation of surgical intervention. This report may help with decision-making process when confronted by blunt cardiac injury patients who need cardiac exploration.

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The role and timing of cardiopulmonary bypass in the surgical repair of traumatic cardiac injury
Mayo Kondo, Shinichi Ijuin, Tomonori Haraguchi, So Izumi, Reiko Kanno, Kazunori Sakaguchi, Kazumasa Edono, Haruki Nakayama, Satoshi Ishihara, Takuro Tsukube
General Thoracic and Cardiovascular Surgery.2023; 71(10): 561. CrossRef

Effective strategy in the treatment of aortobronchial fistula with recurrent hemoptysis: Shin-Ah Son, Deok Heon Lee, Gun-Jik Kim; Yeungnam Univ J Med. 2020;37(2):141-146. Published online February 25, 2020; DOI: https://doi.org/10.12701/yujm.2019.00444

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Abstract PDF

Aortobronchial fistula (ABF) involves the formation of an abnormal connection between the thoracic aorta and the central airways or the pulmonary parenchyma and is associated with an increased risk of mortality. An ABF typically manifests clinically with symptoms of hemoptysis, and currently, there is a lack of defined guidelines for its treatment. Here, we report the cases of two patients who suffered from recurrent hemoptysis due to ABF with pseudoaneurysm. We propose that removal of the aorta with concomitant lung resection and coverage of the aorta using the pericardial membrane is a definite treatment to lower recurrence of ABF and persistent infection.

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Descending Thoracic Aorta Replacement in the Setting of Coexisting Aortobronchial and Aortoesophageal Fistula Formation After Open Thoracic Aortic Graft Placement and Subsequent Endovascular Aortic Repair
Rachel S. Dada, Jahnavi Kakuturu, Chris Cook, Alper Toker, Matthew Ellison
Journal of Cardiothoracic and Vascular Anesthesia.2024; 38(2): 499. CrossRef
Aortobronchopulmonary Fistula—An Unusual Cause of Hemoptysis
Laura Castellanos López, Elisa Martínez Besteiro, Adrián Martínez Vergara
Archivos de Bronconeumología.2023; 59(8): 510. CrossRef
Hybrid Management of an Aortobronchial Fistula after Patch Aortoplasty for Aortic Coarctation in a Patient with SARS-CoV-2 Pneumonia: Case Report and Review of the Literature
Grigore Tinica, Andrei Tarus, Alberto Bacusca, Raluca Ozana Chistol, Alexandra Cristina Rusu, Mihaela Tomaziu Todosia, Cristina Furnica
Medicina.2022; 58(10): 1385. CrossRef

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