Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report

Kosuke Saita; Taro Kariya; Mariko Ezaka; Tatsuya Nakao; Nobuhide Kin

doi:10.1213/XAA.0000000000001321

Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report

Kosuke Saita, Taro Kariya, Mariko Ezaka, Tatsuya Nakao, Nobuhide Kin

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Bronchovenous fistula (BVF) associated with adult cardiac surgery is a rarely reported life-threatening condition. We present a 75-year-old woman who developed a BVF during cardiac surgery. Dense adhesion in the pleural and pericardial cavities was noted. Restrictive pulmonary pathology required high airway pressure. Transesophageal echocardiography and hemoglobin measurement were helpful for the timely diagnosis of BVF, which was controlled by transection of the right upper pulmonary vein where a vent catheter had been inserted. Injuries around the cannulated site presumably initiated the BVF, which was worsened by high-pressure ventilation. Therefore, cannulation site might be a risk factor for BVF.

Original language	English
Pages (from-to)	e01321
Journal	A&A practice
Volume	14
Issue number	12
DOIs	https://doi.org/10.1213/XAA.0000000000001321
State	Published - 1 Oct 2020
Externally published	Yes

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title = "Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report",

abstract = "Bronchovenous fistula (BVF) associated with adult cardiac surgery is a rarely reported life-threatening condition. We present a 75-year-old woman who developed a BVF during cardiac surgery. Dense adhesion in the pleural and pericardial cavities was noted. Restrictive pulmonary pathology required high airway pressure. Transesophageal echocardiography and hemoglobin measurement were helpful for the timely diagnosis of BVF, which was controlled by transection of the right upper pulmonary vein where a vent catheter had been inserted. Injuries around the cannulated site presumably initiated the BVF, which was worsened by high-pressure ventilation. Therefore, cannulation site might be a risk factor for BVF.",

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T1 - Bronchovenous Fistula During Adult Cardiac Surgery

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AU - Saita, Kosuke

AU - Kariya, Taro

AU - Ezaka, Mariko

AU - Nakao, Tatsuya

AU - Kin, Nobuhide

PY - 2020/10/1

Y1 - 2020/10/1

N2 - Bronchovenous fistula (BVF) associated with adult cardiac surgery is a rarely reported life-threatening condition. We present a 75-year-old woman who developed a BVF during cardiac surgery. Dense adhesion in the pleural and pericardial cavities was noted. Restrictive pulmonary pathology required high airway pressure. Transesophageal echocardiography and hemoglobin measurement were helpful for the timely diagnosis of BVF, which was controlled by transection of the right upper pulmonary vein where a vent catheter had been inserted. Injuries around the cannulated site presumably initiated the BVF, which was worsened by high-pressure ventilation. Therefore, cannulation site might be a risk factor for BVF.

AB - Bronchovenous fistula (BVF) associated with adult cardiac surgery is a rarely reported life-threatening condition. We present a 75-year-old woman who developed a BVF during cardiac surgery. Dense adhesion in the pleural and pericardial cavities was noted. Restrictive pulmonary pathology required high airway pressure. Transesophageal echocardiography and hemoglobin measurement were helpful for the timely diagnosis of BVF, which was controlled by transection of the right upper pulmonary vein where a vent catheter had been inserted. Injuries around the cannulated site presumably initiated the BVF, which was worsened by high-pressure ventilation. Therefore, cannulation site might be a risk factor for BVF.

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JO - A&A practice

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Bronchovenous Fistula During Adult Cardiac Surgery: A Case Report

Abstract

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