Management of iatrogenic RV injury — RV packing and CPB through PTFE graft attached to femoral artery

Cardiac injuries during repeat sternotomy are rare. While undergoing debridement for chronic osteomyelitis (post arterial septal defect closure), a 4-year-old girl sustained significant right ventricular (RV) injury. Bleeding from the RV was controlled by packing the injury site, which helped in mai...

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Detalles Bibliográficos
Autores principales: Mangukia, Chirantan V, Agarwal, Saket, Satyarthy, Subodh, Aggarwal, Satish Kumar, Datt, Vishnu, Satsangi, Deepak Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322403/
https://www.ncbi.nlm.nih.gov/pubmed/25684889
http://dx.doi.org/10.4103/0974-2069.149520
Descripción
Sumario:Cardiac injuries during repeat sternotomy are rare. While undergoing debridement for chronic osteomyelitis (post arterial septal defect closure), a 4-year-old girl sustained significant right ventricular (RV) injury. Bleeding from the RV was controlled by packing the injury site, which helped in maintaining stable hemodynamics till arrangements were made for instituting cardiopulmonary bypass (CPB). Since the femoral artery was very small and unsuitable for direct cannulation, a polytetrafluoroethylene (PTFE) graft sutured end-to-side to the femoral artery was used for establishing CPB. The injury was successfully repaired.

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