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Massive hemorrhage caused by major pulmonary vessel-cutaneous fistula in the late postoperative period: report of two cases

Sudden life-threatening hemorrhage caused by erosion of the wall of a thoracic blood vessel such as the aorta, pulmonary artery, or pulmonary vein, in the late postoperative period is extremely rare and presents a challenging emergency. We report the cases of two patients whose only clinical manifes...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2006-01, Vol.36 (1), p.82-84
Main Authors: Misthos, Panagiotis, Sepsas, Evangelos, Athanassiadi, Kalliopi, Skottis, Ioannis
Format: Article
Language:English
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Summary:Sudden life-threatening hemorrhage caused by erosion of the wall of a thoracic blood vessel such as the aorta, pulmonary artery, or pulmonary vein, in the late postoperative period is extremely rare and presents a challenging emergency. We report the cases of two patients whose only clinical manifestation was a hemorrhagic cutaneous chest wall fistula. Both patients were treated by emergency surgery. The diagnosis and management of this clinical entity requires a high index of suspicion and innovative therapeutic solutions.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-005-3103-7