Asian cardiovascular & thoracic annals
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Asian Cardiovasc Thorac Ann · Oct 2011
Case ReportsRight atrial thrombus migrating to the superior vena cava during surgery.
Free-floating right heart thrombi are extremely mobile structures that carry a very high mortality rate. We describe a case of pulmonary embolism with a free-floating right heart thrombus that migrated to the superior vena cava during the institution of cardiopulmonary bypass.
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Asian Cardiovasc Thorac Ann · Oct 2011
Case ReportsPneumocephalus and pneumococcal meningitis after thoracic surgery.
A 62-year-old man with adenocarcinoma underwent complete resection with a right upper lobectomy and en-bloc resection of the chest wall, with metallic clips applied to the vertebral nerve roots. A sudden deterioration in neurological status occurred due to pneumocephalus and ascending bacterial meningitis resulting from a subarachnoid-pleural fistula. The neurological status normalized after thoracoplasty and ceftriaxone treatment.