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Ann Card Anaesth ; 2014 Jan; 17(1): 59-61
Artigo em Inglês | IMSEAR | ID: sea-149696

RESUMO

Improved survival from congenital heart disease has led to an increasing need for complex reoperation by reentrant sternotomy. Peripheral cannulation and initiation of cardiopulmonary bypass prior to sternotomy to avoid the risk of cardiac injury and massive hemorrhage is an option in adults and larger children, but femoral vessel size precludes this strategy in infants. We describe the management of a high‑risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm after prior homograft repair of tetralogy of Fallot, using surgical dissection for suprasternal cannulation of the innominate artery and subxyphoid cannulation of the inferior vena cava.


Assuntos
Anestesia/métodos , Falso Aneurisma/cirurgia , Cateterismo Cardíaco , Ponte Cardiopulmonar , Feminino , Cardiopatias Congênitas/cirurgia , Ventrículos do Coração/cirurgia , Humanos , Lactente , Reoperação , Esternotomia/métodos , Tetralogia de Fallot/métodos , Resultado do Tratamento , Disfunção Ventricular Direita/cirurgia
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