Arun C. Nachiappan, MD, Amita Sharma, MBBS, Jo-Anne O

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Presentation transcript:

Radiofrequency Ablation in the Lung Complicated by Positive Airway Pressure Ventilation Arun C. Nachiappan, MD, Amita Sharma, MBBS, Jo-Anne O. Shepard, MD, Michael Lanuti, MD The Annals of Thoracic Surgery Volume 89, Issue 5, Pages 1665-1667 (May 2010) DOI: 10.1016/j.athoracsur.2009.09.086 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Radiofrequency cluster electrode (arrow) is advanced into right upper lobe mass (*). The Annals of Thoracic Surgery 2010 89, 1665-1667DOI: (10.1016/j.athoracsur.2009.09.086) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Immediate postprocedural computed tomography scan shows the ablation zone (arrow) surrounding the tumor (*). The Annals of Thoracic Surgery 2010 89, 1665-1667DOI: (10.1016/j.athoracsur.2009.09.086) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 At 2 weeks after the procedure, the ablation zone has become a necrotic cavity (arrow), the right lung is atelectatic, and a right hemothorax herniates into chest wall. The Annals of Thoracic Surgery 2010 89, 1665-1667DOI: (10.1016/j.athoracsur.2009.09.086) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 At 2 months after the procedure, a bronchopleural fistula (arrow) is identified between a segmental bronchus and loculated pneumothorax (arrowhead). A chest tube (t) is present. The Annals of Thoracic Surgery 2010 89, 1665-1667DOI: (10.1016/j.athoracsur.2009.09.086) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions