title: Managing major vessel injuries with a Fogarty catheter during chest re-opening in children.
abstract: Injury of structures, leading to a major bleeding during chest opening, is a severe and potentially life-threatening complication, especially in redo cardiac surgery, both in adults and children. In three paediatric redo operations performed via midline sternotomy, we managed this complication successfully and uneventfully by using an inflated Fogarty catheter to plug the blood leak from the injured vessel before repairing the lesion under direct vision in a bloodless surgical field. Herein we report in detail the technique used and a comment on our experience.
authors.affiliation: Department of Paediatric Cardiac Surgery, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy. dottorgandolfo@hotmail.com
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Gandolfo
authors.forename: Sergio
authors.initials: S
authors.lastname: Filippelli
authors.forename: Enrico
authors.initials: E
authors.lastname: Cetrano
authors.forename: Adriano
authors.initials: A
authors.lastname: Carotti
mesh_terms: D000293:Adolescent; D021721:Balloon Occlusion / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002648:Child; D004867:Equipment Design; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D012086:Reoperation; D056346:Sternotomy / Q000009:adverse effects*; D016896:Treatment Outcome; D062666:Vascular Access Devices; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*
keywords: Paediatric cardiac surgery; Re-operation; Surgery for congenital heart defect
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