title: Management of iatrogenic RV injury - RV packing and CPB through PTFE graft attached to femoral artery.
abstract: Cardiac injuries during repeat sternotomy are rare. While undergoing debridement for chronic osteomyelitis (post arterial septal defect closure), a 4-year-old girl sustained significant right ventricular (RV) injury. Bleeding from the RV was controlled by packing the injury site, which helped in maintaining stable hemodynamics till arrangements were made for instituting cardiopulmonary bypass (CPB). Since the femoral artery was very small and unsuitable for direct cannulation, a polytetrafluoroethylene (PTFE) graft sutured end-to-side to the femoral artery was used for establishing CPB. The injury was successfully repaired.
authors: Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi, India.
authors: Chirantan V
authors: CV
authors: Mangukia
authors: Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi, India.
authors: Saket
authors: S
authors: Agarwal
authors: Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi, India.
authors: Subodh
authors: S
authors: Satyarthy
authors: Department of Paediatric Surgery, Maulana Azad Medical College, New Delhi, India.
authors: Satish Kumar
authors: SK
authors: Aggarwal
authors: Department of Anaesthesia, Govind Ballabh Pant Hospital, New Delhi, India.
authors: Vishnu
authors: V
authors: Datt
authors: Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi, India.
authors: Deepak Kumar
authors: DK
authors: Satsangi
keywords: Cardiopulmonary bypass; Interposition PTFE graft; femoral cannulation; pediatric cardiac surgery; resternotomy