Early removal of chest tubes after lung resection -- VATS the reason?

Abstract

diagnose whether it was aorto-iliac occlusive disease (Leriche syndrome) with significant collateralization or results from cardiac thrombus. However, the development of such a bypassing collateral vascular network obviously indicates it was not an acute aortic occlusion (AAO). The patient did not have a previous peripheral arterial reconstruction and atherosclerotic cardiac disease but suffered from rheumatic heart disease. Severe mitral valve stenosis was believed to be the cause of atrial fibrillation and thrombus in the left atrium. It must be pointed that the patient had cerebral embolism and acute left lower extremity which recovered after treatment 5 years ago, but no traumatic history, abdominal aortic aneurysms, and dyscinesia of both lower extremities. No anticoagulants were administrated during the past several years before being admitted to our hospital for cardiac surgery. We had no sufficient evidences to conclude that chronic atrial fibrillation is not associated with the infrarenal aortic occlusion. Perhaps we should objectively describe Fig. 2 as ‘occlusion of the infrarenal aorta and abundant collateral bypassing arteries between abdominal aorta and bilateral femoral artery.’ Luckily, the patient recovered well and remains healthy.