Resection of distal tracheal and carinal tumours with the aid of cardiopulmonary bypass.
Peterffy A. Konstantinov IE.
Department of Cardiothoracic Surgery, University Hospital, Linkoping, Sweden.
Two cases of carinal and tracheal reconstruction with the aid of cardiopulmonary bypass (CPB) are presented. The technical problems of surgery and anaesthesia which necessitated CPB in these two patients are discussed. CPB provides both adequate oxygenation and an unobstructed surgical field with optimal access to the trachea and carina. It permits atraumatic handling of the airways and reduction of anastomotic tension during the repair.
Bochdalek hernia in an adult.
Prieto Nieto I. Perez Robledo JP. Hardisson D. Granado de la Fuente A.
Department of Surgery, Hospital La Paz, Madrid, Spain.
Congenital diaphragmatic Bochdalek hernia is rarely seen in adults. It may present with jejunal perforation and strangulation. In a 28-year-old man presenting with nausea and vomiting, absence of respiratory murmur at auscultation, loops of small intestine with air-fluid levels were radiographically visualized in the left hemithorax. Surgery revealed 1.5-m of herniated jejunum with three perforations and necrotic areas, 40 cm of which was resected. The patient remains well ten years postoperatively.