title: Selective mediastinal tamponade to control coagulopathic bleeding.
abstract: 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.
authors.affiliation: Heart and Lung Division, Section of Cardiothoracic Surgery, University Hospital, Lund, Sweden. johan.sjogren@thorax.lu.se
authors.forename: Johan
authors.initials: J
authors.lastname: Sjögren
authors.forename: Ronny
authors.initials: R
authors.lastname: Gustafsson
authors.forename: Bansi
authors.initials: B
authors.lastname: Koul
authors.forename: Richard
authors.initials: R
authors.lastname: Ingemansson
mesh_terms: 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