Cardiac surgery in a child with sacral and intrasacral haemangioma.
A 23-month-old female with giant sacral (S1-S5) and intrasacral (L4-S5) haemangioma, lipomyeloschisis and a tethered cord presented for correction of a sinus venosus atrial septal defect. Angiography revealed a large perisacral hypervascular mass with large veins and an intraspinal extension. The patient had a neurogenic bladder and left extremity weakness due to spinal cord compression. The potential for additional neurological injury secondary to bleeding, venous congestion, ischaemia and steal phenomenon during cardiopulmonary bypass is discussed.
Department of Anesthesia, Children's Hospital Boston and Harvard Medical School, Boston, MA, USA. msarkar@genetics.med.harvard.edu
Molly
M
Sarkar
Kirsten
K
Odegard
Peter
P
Laussen
D002315:Cardiopulmonary Bypass; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery*; D006391:Hemangioma / Q000098:blood supply / Q000150:complications*; D006801:Humans; D007223:Infant; D008161:Lumbosacral Region; D009436:Neural Tube Defects / Q000150:complications; D013125:Spinal Neoplasms / Q000098:blood supply / Q000150:complications*