The Annals of thoracic surgery
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A 16-year-old male patient underwent bilateral pulmonary embolectomy complicated by reperfusion injury and acute respiratory distress syndrome requiring venovenous extracorporeal membrane oxygenation support using a bicaval double-lumen catheter. A unique hemodynamic profile developed consistent with tamponade but without an associated decrease in venovenous extracorporeal membrane oxygenation pump flow, improved venovenous extracorporeal membrane oxygenation circuit preload, and decreased recirculation. The use of newer bicaval double-lumen catheters can result in old problems presenting in new ways and require clinicians to be ever vigilant.
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Case Reports
Innominate pseudoaneurysm subtotally compressing the trachea as a result of blunt trauma.
Blunt traumatic innominate pseudoaneurysm is rare, and coexisting airway distress is even rarer. We describe a case of innominate pseudoaneurysm that subtotally compressed the trachea in a 45-year-old man. The patient also had bovine-type arch anatomy. ⋯ The pseudoaneurysm was eliminated and airway compression was completely relieved. The patient fully recovered without major complications. The unique feature of this case is its association with airway compression, which is uncommon but potentially lethal.
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Biography Historical Article
Herbert Sloan, MD, October 10, 1914 - May 17, 2013.
Dr Herbert Sloan was the 10th president of The Society of Thoracic Surgeons and served for 15 years as the second editor of The Annals of Thoracic Surgery. One of few thoracic surgeons to lead both organizations, he also served as the 60th president of the American Association for Thoracic Surgery. Deeply committed to the mission of the American Board of Thoracic Surgery to maintain the highest standards for our specialty, he served on the American Board of Thoracic Surgery for 20 years, 13 as its secretary-treasurer. He left a legacy of thoracic surgery resident education as head of the Section of Thoracic Surgery at the University of Michigan.