Selective mediastinal tamponade to control coagulopathic bleeding.
End-stage congestive heart failure in combination with major cardiac surgery may cause severe postoperative bleeding due to coagulopathy. Bleeding diathesis can be very difficult to control despite careful surgical hemostasis and aggressive medical treatment. We describe a technique that involves the use of negative pressure in the mediastinum to control severe postoperative bleeding after cardiac surgery.
Sjögren
Johan
J
Heart and Lung Division, Section of Cardiothoracic Surgery, University Hospital, Lund, Sweden. johan.sjogren@thorax.lu.se
Gustafsson
Ronny
R
Koul
Bansi
B
Ingemansson
Richard
R
D001778:Blood Coagulation Disorders / Q000150:complications*; D005260:Female; D006333:Heart Failure / Q000150:complications; D006353:Heart-Assist Devices; D006470:Hemorrhage / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D008482:Mediastinum; D008875:Middle Aged; D011183:Postoperative Complications; D019919:Prosthesis Implantation / Q000009:adverse effects