title: Successful management of severe pulmonary artery injury during mediastinoscopy.
abstract: Although many reports have shown that mediastinoscopy is an extremely safe procedure, the most serious complication that can occur is hemorrhage from the large vessels in the mediastinum. A patient with severe pulmonary artery injury during mediastinoscopy that was successfully repaired through a right posterolateral thoracotomy is reported. Digital compression based on the anatomy was highly effective in controlling the hemorrhage caused by a longitudinal tear.
authors.affiliation: Division of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. nagayasu@nagasaki-u.ac.jp
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nagayasu
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Tagawa
authors.forename: Naoya
authors.initials: N
authors.lastname: Yamasaki
authors.forename: Tomoshi
authors.initials: T
authors.lastname: Tsuchiya
authors.forename: Takuro
authors.initials: T
authors.lastname: Miyazaki
mesh_terms: D000369:Aged, 80 and over; D006470:Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D008481:Mediastinoscopy / Q000009:adverse effects*; D011312:Pressure; D011651:Pulmonary Artery / Q000293:injuries / Q000601:surgery*; D012720:Severity of Illness Index; D013536:Suture Techniques; D013908:Thoracotomy; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000209:etiology / Q000601:surgery*