Thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretions
A 57-year-old male patient suffering from Buerger′s disease presented with pre-gangrenous changes in right foot and ischemic symptoms in right hand. Computed tomographic angiography revealed diffuse distal disease not suitable for vascular bypass and angioplasty. Right lumbar sympathectomy was done...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Lung India |
| Subjects: | |
| Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2015;volume=32;issue=1;spage=73;epage=75;aulast=Goyal |
| _version_ | 1818108295061176320 |
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| author | Vikas Deep Goyal Bharti Gupta Sanjeev Kumar Sanjay Pal |
| author_facet | Vikas Deep Goyal Bharti Gupta Sanjeev Kumar Sanjay Pal |
| author_sort | Vikas Deep Goyal |
| collection | DOAJ |
| description | A 57-year-old male patient suffering from Buerger′s disease presented with pre-gangrenous changes in right foot and ischemic symptoms in right hand. Computed tomographic angiography revealed diffuse distal disease not suitable for vascular bypass and angioplasty. Right lumbar sympathectomy was done using a retroperitoneal approach followed 1 year later by right thoracic sympathectomy using a transaxillary approach. Postoperatively, the patient had severe bronchospasm and excessive secretions in the respiratory tract resistant to theophylline and sympathomimetic group of drugs and without any clinical, laboratory and radiological evidence of infection. The patient was started on anticholinergics in anticipation that sympathectomy might have lead to unopposed cholinergic activity and the symptoms improved rapidly. The patient recovered well and was discharged on 10 th post-operative day. |
| first_indexed | 2024-12-11T02:13:05Z |
| format | Article |
| id | doaj.art-4bdc6d31d5ec4159b769de66fa8e3541 |
| institution | Directory Open Access Journal |
| issn | 0970-2113 0974-598X |
| language | English |
| last_indexed | 2024-12-11T02:13:05Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Lung India |
| spelling | doaj.art-4bdc6d31d5ec4159b769de66fa8e35412022-12-22T01:24:14ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2015-01-01321737510.4103/0970-2113.148458Thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretionsVikas Deep GoyalBharti GuptaSanjeev KumarSanjay PalA 57-year-old male patient suffering from Buerger′s disease presented with pre-gangrenous changes in right foot and ischemic symptoms in right hand. Computed tomographic angiography revealed diffuse distal disease not suitable for vascular bypass and angioplasty. Right lumbar sympathectomy was done using a retroperitoneal approach followed 1 year later by right thoracic sympathectomy using a transaxillary approach. Postoperatively, the patient had severe bronchospasm and excessive secretions in the respiratory tract resistant to theophylline and sympathomimetic group of drugs and without any clinical, laboratory and radiological evidence of infection. The patient was started on anticholinergics in anticipation that sympathectomy might have lead to unopposed cholinergic activity and the symptoms improved rapidly. The patient recovered well and was discharged on 10 th post-operative day.http://www.lungindia.com/article.asp?issn=0970-2113;year=2015;volume=32;issue=1;spage=73;epage=75;aulast=GoyalAnticholinergicsbronchospasmthoracic sympathectomy |
| spellingShingle | Vikas Deep Goyal Bharti Gupta Sanjeev Kumar Sanjay Pal Thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretions Lung India Anticholinergics bronchospasm thoracic sympathectomy |
| title | Thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretions |
| title_full | Thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretions |
| title_fullStr | Thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretions |
| title_full_unstemmed | Thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretions |
| title_short | Thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretions |
| title_sort | thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretions |
| topic | Anticholinergics bronchospasm thoracic sympathectomy |
| url | http://www.lungindia.com/article.asp?issn=0970-2113;year=2015;volume=32;issue=1;spage=73;epage=75;aulast=Goyal |
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