Balloon dilatation of salivary duct stenosis is a simple, safe, and clinically effective method of relieving obstructive symptoms of parotid duct stenosis.
Tracheoesophageal fistula (TOF) is a serious consequence of invasive malignancy or iatrogenic injury. TOF can result in aspiration, infection, and sepsis causing significant morbidly and mortality. Management of TOF is challenging and deciding an appropriate strategy requires a multidisciplinary approach. Surgical management has limited application with associated risks and is not an option for a large portion of patients. Minimally invasive methods such as endoscopic repair and stent insertion are favorable. Radiological insertion of metallic stents allows accurate stent placement with the aid of fluoroscopic mapping. This review describes the various methods of managing TOF by a multidisciplinary team.
Saphenous vein graft aneurysm (SVGA) is an uncommon complication of coronary artery bypass graft surgery (CABG). An 82-year-old man underwent contrast-enhanced computed tomography to investigate aorto-iliac disease. He was coincidentally noted to have an aneurysm of the saphenous vein graft to his right coronary artery. This was visualised on transthoracic echocardiography, computed tomography and coronary angiography. In the absence of symptoms and in view of high surgical risk, conservative management with anticoagulation was chosen. The patient was commenced on warfarin and remains asymptomatic.
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