4.6 Article

Aortic and bronchial perforation caused by a vascular clip 3 years after its placement

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OXFORD UNIV PRESS INC
DOI: 10.1093/ejcts/ezac457

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Clip; Perforation; Aorta; Bronchus; Adverse event

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Clips can cause rare but life-threatening complications in the mediastinum, especially when placed between a fixed structure and a large blood vessel or respiratory tract.
Cushing first introduced the use of metal clips during surgical procedures >100 years ago [1]. Vascular clips are currently acknowledged as a safe and efficient tool for vessel ligation in every surgical field. Here, we describe a case of massive haemoptysis due to perforation of both the aorta and bronchus, caused by a titanium clip that was placed between them 3 years ago. The present case highlights the rare but life-threatening complications that clips can cause in the mediastinum, especially when placed between a fixed structure and a large blood vessel or respiratory tract.

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