M yocardial infarction is a well recognized but infrequent complication of coronary arteriography. In most cases, it has usually been attributed to coronary artery dissection, dislodgement of an arteriosclerotic plaque, sustained hypotension, thromboembolism or spasm of the vessel.’ Fatal thromboembolism following coronary arteriography has rarely been confirmed by postmortem examination since ...

Recently, hair transplantation has been frequently commonly applied for aesthetic surgical procedures. Hair transplantation has a low complication rate compared to other aesthetic surgical procedures. However, it can cause serious complications if proper attention is not given. But there are a wide range of possible complications that are less severe and manageable. Common postoperative complic...

Chemoport, a central venous infusion system is commonly used in cancer patients for administration of chemotherapy. Dislodgement with subsequent migration of chemoport catheter in to the heart is rare but potentially catastrophic complication. The treatment of choice is immediate retrieval of dislodged part of catheter by either surgery or percutaneous approach. Percutaneous removal is safer an...

Fixing a surgical tube-drain is a common procedure (usually delegated to the junior-most trainees) that can significantly alter the postoperative morbidity. Ironically, in spite of today's technological advances in the surgical field, drain-related complications are still being reported. However, its inadequate fixation is largely responsible for a significant, though, preventable morbidity (li...

Dislodgment of trial femoral heads and migration into the pelvis during total hip arthroplasty is a rarely reported complication with limited published cases. There are three primary mechanisms of femoral head separation: dislodgement during reduction attempt, disassociation from anterior dislocation while assessing anterior stability, and during dislocation after implant trialing. If the trial...

An obese 52-year-old woman underwent mitral valve replacement. On the first day after the operation, she had left-sided weakness. Brain CT showed right side middle cerebral artery infarction, and a hypodense filling defect was noted in the right distal internal carotid artery (figure, A). Region of interest measurement of CT density of the hypodense lesion was –83 Hounsfield units (figure, B), ...

Management of the artificial airway includes securing the tube to prevent dislodgement or migration as well as removal of secretions. Preventive measures include adequate humidification and appropriate airway suctioning. Monitoring airway patency and removing obstruction are potentially life-saving components of airway management. Cuff pressure management is important for preventing aspiration ...

Percutaneous endoscopic gastrostomy (PEG) is commonly performed for feeding difficulties, in patients suffering from complications of nasopharyngeal carcinoma and its treatment, namely radiotherapy and surgery. This case report describes the challenges in hemostasis and subsequent re-establishment of enteral access for feeding, in an elderly patient with a history of NPC, treated surgically, fo...

S cervical laminoplasty was developed in Japan in the 1970s for the treatment of ossification of the posterior longitudinal ligament and degenerative spinal canal stenosis; it remained a good alternate to laminectomy. By leaving the dorsal structures in situ, laminoplasty avoids the problems associated with laminectomy such as kyphosis, instability, and delayed neurologic problems due to scar i...

Subclavian route is a standard way of performing a permanent pacemaker. However in cases with superior vena caval or bilateral subclavian occlusion and bilateral infection of pacemaker site, alternative site is warranted. Epicardial route needs general anesthesia and has its own problems. Iliofemoral route has been used previously but has more lead related problems and patient discomfort. Here ...