title: Successful treatment of massive bleeding into the open thoracotomy space by pulmonary artery occlusion: report of a case.
abstract: A 69-year-old man underwent decortication and latissimus dorsi muscle transposition for the treatment of chronic empyema in January 2001. The empyema recurred in March 2002, and open drainage was thus started in July 2002. In February 2003, massive hemorrhaging from the thoracic cavity occurred. Tamponade and hemostasis were performed immediately, and angiography revealed bleeding from the pulmonary artery (PA). After identification of the bleeding point, surgical hemostasis was successfully achieved following PA occlusion with a Swan-Ganz thermodilution catheter.
authors.affiliation: Second Department of Surgery, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Okamoto
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Takagi
authors.forename: Kotaro
authors.initials: K
authors.lastname: Kameyama
authors.forename: Shinya
authors.initials: S
authors.lastname: Ishikawa
authors.forename: Yasumichi
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Cheng-Long
authors.initials: CL
authors.lastname: Huang
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Yokomise
mesh_terms: D000368:Aged; D000792:Angiography; D004322:Drainage / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D016724:Empyema, Pleural / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006491:Hemothorax / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D012008:Recurrence; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D013524:Surgical Flaps; D013908:Thoracotomy / Q000009:adverse effects / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis