A practical tool to control bleeding during sternal reentry for pseudoaneurysm of the ascending aorta.
Big pseudoaneurysms of the ascending aorta after a previous thoracic operation are rare and represent a surgical challenge. Because the rupture during sternal reentry occurs before the clamp-control of the distal ascending aorta, it is essential to control the bleeding until the adhesions are released in order to place the sternal retractor. We report the use of Foley catheter with a malleable guidewire to control the bleeding from the defect in the ascending aorta causing a pseudoaneurysm in case of a limited access.
Apaydin
Anil Z
AZ
Department of Cardiovascular Surgery, Ege University Medical School, Izmir, Turkey. apaydina@efes.net.tr
Posacioglu
Hakan
H
Islamoglu
Fatih
F
Telli
Ali
A
D017541:Aneurysm, False / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D002315:Cardiopulmonary Bypass; D002404:Catheterization / Q000295:instrumentation*; D004697:Endocarditis, Bacterial / Q000601:surgery; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation / Q000295:instrumentation; D013249:Sternum / Q000601:surgery*; D013536:Suture Techniques; D000267:Tissue Adhesions