Management of high-risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm of the right ventricular outflow tract.
Ann Card Anaesth
;
2014 Jan; 17(1): 59-61
Article
in English
| IMSEAR
| ID: sea-149696
ABSTRACT
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.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Reoperation
/
Tetralogy of Fallot
/
Female
/
Humans
/
Cardiac Catheterization
/
Cardiopulmonary Bypass
/
Treatment Outcome
/
Aneurysm, False
/
Ventricular Dysfunction, Right
/
Sternotomy
Type of study:
Etiology study
Language:
English
Journal:
Ann Card Anaesth
Year:
2014
Type:
Article
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