Management of high-risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm of the right ventricular outflow tract

Bibliographic Details
Title: Management of high-risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm of the right ventricular outflow tract
Authors: Bryan G Maxwell, Lisa Wise-Faberowski
Source: Annals of Cardiac Anaesthesia, Vol 17, Iss 1, Pp 59-61 (2014)
Publisher Information: Wolters Kluwer Medknow Publications, 2014.
Publication Year: 2014
Collection: LCC:Anesthesiology
LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Fallot′s tetralogy, Innominate artery cannulation, Pseudoaneurysm, Reentry sternotomy, Anesthesiology, RD78.3-87.3, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: 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.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0971-9784
Relation: http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=1;spage=59;epage=61;aulast=Maxwell; https://doaj.org/toc/0971-9784
DOI: 10.4103/0971-9784.124145
Access URL: https://doaj.org/article/7d17468f11af441cb1fb2643daf4c115
Accession Number: edsdoj.7d17468f11af441cb1fb2643daf4c115
Database: Directory of Open Access Journals
More Details
ISSN:09719784
DOI:10.4103/0971-9784.124145
Published in:Annals of Cardiac Anaesthesia
Language:English