Postoperative aortic injury caused by a staple line formed during wedge resection of the lung

Author:

Yamaji Masayuki1,Yano Motoki2ORCID,Okamaoto Sawako1,Fukui Takayuki1

Affiliation:

1. Division of Chest Surgery, Department of Surgery, Aichi Medical University , Nagakute, Japan

2. Surgical Oncology Center, Oncology Center, Aichi Medical University Hospital , Nagakute, Japan

Abstract

Abstract We report a case of aortic perforation caused by the staple line formed during a wedge resection for lung cancer. Six hours after an uneventful wedge resection, sudden frank drainage of blood from the chest tube occurred. A reoperation was performed, and we found bleeding from the aorta. After suturing the bleeding spot on the aorta, we found that the stapling line of the lung rode on the aorta with longitudinal contact. We speculated that the stapling line scratched the aorta in synchrony with the patient's breathing and injured the aorta.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,Surgery

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