Idiopathic pulmonary artery hypertension (IPAH) is a progressive disease with a dismal prognosis and lung transplantation is often the only option for patients, who do not respond to pharmacological therapy. We report the use of an extracorporeal membrane oxygenation (ECMO) system in a 49-year-old woman with primary pulmonary hypertension, previously liver transplanted. The patient, listed for ...

REVERSIBLE PULMONARY HYPERTENSION 689 Ficuax 1. Preoperative posteroanterior chest x-ray film. Note calcified margins of mass. peel was removed, the underlying lung was seen to expand, except for the right upper lobe, which contained the old tuberculosis. After surgery the patient did require a naso-tracheal tube and respiratory support for several days, eventually undergoing tracheostomy. Afte...

BACKGROUND Pulmonary vein thrombosis represents a potentially fatal disease. This syndrome may clinically mimic pulmonary embolism but has a different investigation strategy and prognosis. Pulmonary vein thrombosis is difficult to diagnose clinically and usually requires a combination of conventionally used diagnostic modalities. CASE PRESENTATION The authors report a case of a 78-year-old pr...

In view of the increasing advances in our knowledge of pulmonary tuberculosis it is indeed timely that we should, while none the less maintaining a progressive outlook, 'go wisely and slow-they stumble that run faster.' In other words, we should now pause to assess the situation in so far as the position of artificial pneumothorax in the sphere of collapse therapy is concerned, and ask ourselve...

CONTEXT New York City firefighters responding to the World Trade Center (WTC) disaster on September 11, 2001, were exposed to numerous hazards. A medical screening program was conducted 3 weeks after the disaster on a sample of firefighters. OBJECTIVES To determine whether arrival time at the WTC and other exposure variables (including respirator use) were associated with symptoms and changes...

In view of the increasing advances in our knowledge of pulmonary tuberculosis it is indeed timely that we should, while none the less maintaining a progressive outlook, 'go wisely and slow-they stumble that run faster.' In other words, we should now pause to assess the situation in so far as the position of artificial pneumothorax in the sphere of collapse therapy is concerned, and ask ourselve...

Hazards of carbon dioxide insufflation during thoracoscopy Editor,—I read with interest the review article on the anaesthetic implications of thoracoscopic sympathectomy. 1 When endobronchial anaesthesia is used, carbon dioxide may be insufflated only initially into the ipsilateral pleural space to augment lung collapse. In contrast , when a tracheal tube is used, carbon dioxide is insufflated ...

OBJECTIVE To determine the ability of conventional and Doppler echocardiography to distinguish between minor, acute massive, and subacute massive pulmonary embolism in patients with confirmed pulmonary embolism. DESIGN Prospective study of a consecutive series of 47 patients with confirmed pulmonary embolism. SETTING Department of internal medicine, university clinic. PATIENTS 11 patients...