[Zasshi] [Journal]. Nihon Kyōbu Geka Gakkai
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Nihon Kyobu Geka Gakkai Zasshi · Apr 1996
Case Reports[Isolated rupture of the ventricular septum caused by nonpenetrating trauma--a case report of operation in acute stage].
We experienced a case of the isolated ventricular septal defect due to nonpenetrating chest trauma. The patient was 22-year-old male who hit his chest with a steering wheel on car accident. The echocardiogram examined on the next day revealed a ventricular septal defect. ⋯ On cardiopulmonary bypass the ventricular perforation (35 x 35 mm size) located in the muscular portion near the apex was closed with a PTFE and equestrian pericardial patch. Postoperative cardiopulmonary function could improve enough to wean from IABP and respiratory support. However, the patient died on the fifth postoperative day of severe hepatic failure due to profound shock persisted after the accident.
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Nihon Kyobu Geka Gakkai Zasshi · Apr 1996
Case Reports[A successful surgical case of descending necrotizing mediastinitis with fistula formation to the right main bronchus].
Descending necrotizing mediastinitis (DNM) is extremely rare and one of the most lethal forms of mediastinitis, even in the era of antibiotics. We have recently treated a 65-year-old man who was diagnosed as having a fistula to the right main bronchus caused by DNM secondary to a peritonsillar abscess. ⋯ Postoperative course was uneventful. This is the second known reported case of a successful operation for DNM with bronchial fistula.