ABSTRACT
A 58-year-old man with primary lung cancer underwent lung radiofrequency (RF) ablation. Pneumothorax developed 12 days after lung RF ablation. Despite chest drainage for 1 month, air leakage continued through a bronchopleural fistula. Bronchial occlusion was performed with a silicone embolus, causing cessation of the air leakage.
Subject(s)
Bronchial Fistula/therapy , Catheter Ablation/adverse effects , Embolization, Therapeutic , Fistula/therapy , Pleural Diseases/therapy , Adenocarcinoma/therapy , Bronchial Fistula/etiology , Bronchoscopy/adverse effects , Fistula/etiology , Humans , Lung Neoplasms/therapy , Male , Middle Aged , Pleural Diseases/etiology , Pneumothorax/etiology , Pneumothorax/therapy , Radiography, Interventional , Silicones/therapeutic useABSTRACT
A 49-year-old man with a successful bypass grafting for coarctation of the aorta is presented. He has been suffering from hypertension since his 30s. Angiography and magnetic resonance imaging (MRI) revealed the stenosis of distal aortic arch and developed collateral circulation. After left thoracotomy, bypass grafting using a 16 mm woven Dacron graft was placed between the left subclavian artery and the descending aorta. He had a satisfactory postoperative course with no residual pressure gradient. We recommend this procedure to be a safe and minimally invasive technique that can avoid injury to the collateral.