title: Great Vessel Injury in Thoracic Surgery.
abstract: The potential for intraoperative bleeding is inherent to the practice of thoracic surgery due to the presence of multiple vital vascular structures, complex anatomy, and constant cardiorespiratory motion. Careful and detailed preoperative evaluation and planning, comprehensive review of imaging studies, and a thorough knowledge of the operative procedure, anatomic relationships, and potential complications are of the highest importance in prevention and avoidance of bleeding complications. Preparation with a clear crisis management plan ensures an effective and expedited response when intraoperative bleeding occurs.
authors.affiliation: Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
authors.forename: Manuel
authors.initials: M
authors.lastname: Villa
authors.affiliation: Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: sarkariais@upmc.edu.
authors.forename: Inderpal S
authors.initials: IS
authors.lastname: Sarkaria
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D004868:Equipment Failure; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D019616:Thoracic Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D057772:Vascular System Injuries / Q000209:etiology* / Q000517:prevention & control
keywords: Bleeding control; Esophagectomy; Lung resection; Mediastinoscopy; Minimally invasive thoracic surgery; Thymectomy