Presentation
We hereby present a case of a 40-year-old man with such a finding who presented with chest pain and facial congestion. Evaluation revealed a mediastinal mass causing marked superior venacaval obstruction. [ncbi.nlm.nih.gov]
Entire Body System
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Hypothermia
We describe the hazardous transportation of a 57-year-old woman after mediastinoscopic injury of the right common carotid artery and its successful repair with cardiopulmonary bypass and deep hypothermia. [ncbi.nlm.nih.gov]
Adequate finger pulsation generally is lost with hypothermia of a few degrees, hypotension (mean blood pressure less than 50 mm Hg), and infusion of vasoconstrictive drugs. [tele.med.ru]
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Coarctation of the Aorta
In a patient in whom a coarctation of the aorta had been successfully operated on 17 years earlier, a life-threatening haemorrhage from a thin-walled, dilated collateral artery occurred in conjunction with a mediastinoscopy. [ncbi.nlm.nih.gov]
Respiratoric
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Mediastinal Disease
CONTEXT: With the advent of modern anatomical and functional imaging technologies, application of cervical mediastinoscopy has decreased in diagnosis and staging of mediastinal diseases. [ncbi.nlm.nih.gov]
Cardiovascular
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Hypotension
The patient became hypotensive due to a loss of 1500 ml of blood in less than 5 minutes. Rapid administration of plasma and whole blood and emergency thoracotomy to control bleeding were necessary. [ncbi.nlm.nih.gov]
Acute Intraoperative Aspiration; Patent Mammary Disruption During Thoracic Surgery; Immediate Post-lobectomy Crisis Management; Cardiopulmonary Bypass, Rapid Pacing, and ECMO for Emergent Intraoperative Thoracic Situations; Unexplained Intraoperative Hypotension [books.google.ro]
Adequate finger pulsation generally is lost with hypothermia of a few degrees, hypotension (mean blood pressure less than 50 mm Hg), and infusion of vasoconstrictive drugs. [tele.med.ru]
Psychiatrical
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Withdrawn
After the biopsy, the needle is withdrawn and the area is covered with a sterile bandage. In some cases, a catheter may be inserted to allow fluid to continue draining. [mesothelioma.com]
Once all the lymphatics were removed, the scope was withdrawn and the biopsy sites were inspected. On the right side just above level 4 at level 3, another group of lymph nodes immediately popped into the view. [aapc.com]
The scope is withdrawn, and the incision closed with sutures. The procedure takes about 1 hour. Risks and Complications You may experience temporary chest pain, tenderness at the incision site, or a sore throat (due to the breathing tube). [healthcommunities.com]
Workup
You may also be required to undergo several diagnostic tests, including: Blood Workup EKG PET Scan What to Expect Generally an outpatient procedure, mediastinoscopy is performed under general anesthesia. [northshore.org]
X-Ray
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Unilateral Hilar Adenopathy
A radiologic review of these cases does not identify a unique pattern, although paratracheal masses present most often, while unilateral hilar adenopathy occurs somewhat less frequently. [ncbi.nlm.nih.gov]
Treatment
This case report shows an uncommon complication after mediastinoscopy: pseudoaneurysm of the aortic arch and its minimally invasive endovascular stenting treatment in order to facilitate the recovery and to allow minimal delay to oncological treatment [ncbi.nlm.nih.gov]
Prognosis
The involvement of ipsilateral and contralateral mediastinal lymph nodes is associated with poor prognosis and usually excludes patients from upfront surgical treatment. [ncbi.nlm.nih.gov]
Etiology
We reviewed 54 consecutive patients (34 men and 20 women) with mediastinal pathology of varied etiologies who underwent a standard cervical mediastinoscopy from January to December 2012. [ncbi.nlm.nih.gov]
When tubes are inserted for pleural collections of unknown etiology, examination and biochemical analysis of the fluid may yield insight into the etiology. [clinicaladvisor.com]
Other indications include mediastinal lymphadenopathy of unknown etiology, mediastinal masses, primary tracheal tumors, and occasional esophageal tumors. [thoracickey.com]
Epidemiology
[…] and Health UCL Provost and Vice Provost Offices School of Life and Medical Sciences Faculty of Pop Health Sciences Institute of Epidemiology and Health Applied Health Research UCL Provost and Vice Provost Offices UCL BEAMS UCL Provost and Vice Provost [discovery.ucl.ac.uk]
Prevention
Overall, a futile thoracotomy could be prevented in 50% of patients by an additional mediastinoscopy. A representative lymph node aspirate, containing adequate numbers of lymphocytes, did not exclude metastases. [ncbi.nlm.nih.gov]
[…] malignancy S56 EBUS-TBNA prevents mediastinoscopies in patients with isolated mediastinal lymphadenopathy: A prospective clinical trial and cost minimisation analysis Other responses No responses have been published for this article. [thorax.bmj.com]
Janes, SM ; view all (2012) Endobronchial Ultrasound-guided Transbronchial Needle Aspiration Prevents Mediastinoscopies in the Diagnosis of Isolated Mediastinal Lymphadenopathy A Prospective Trial. [discovery.ucl.ac.uk]
Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your primary healthcare provider. [drugs.com]
Endobronchial ultrasound-guided transbronchial needle aspiration prevents mediastinoscopies in the diagnosis of isolated mediastinal lymphadenopathy: a prospective trial. [evidence.nhs.uk]