Total circulatory arrest: a life-saving procedure for mediastinoscopic major hemorrhage.
Acute hemorrhage during mediastinoscopy is a life-threatening complication. Although rare, iatrogenic damage of the thoracic great vessels is probable during mediastinoscopic biopsy. We report two cases of iatrogenic massive mediastinoscopic bleeding from the aortic arch and innominate artery managed initially by simple packing and controlled finally by cardiopulmonary bypass and repair under total circulatory arrest.
Department of Cardiac and Thoracic Surgery, G. Papanikolaou General Hospital of Thessaloniki, Papanikolaou Avenue, Thessaloniki, GR-57010, Greece.
Theodoros
T
Karaiskos
Elias A
EA
Karfis
Ioanna
I
Tsagaropoulou
George E
GE
Drossos
D000368:Aged; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D001706:Biopsy; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D019917:Blood Vessel Prosthesis Implantation; D016122:Brachiocephalic Trunk / Q000293:injuries* / Q000601:surgery; D002315:Cardiopulmonary Bypass; D050792:Circulatory Arrest, Deep Hypothermia Induced; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008481:Mediastinoscopy / Q000009:adverse effects*; D008875:Middle Aged; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome