Managing major vessel injuries with a Fogarty catheter during chest re-opening in children

Interact Cardiovasc Thorac Surg. 2013 Jul;17(1):216-7. doi: 10.1093/icvts/ivt084. Epub 2013 Mar 29.

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.

Keywords: Paediatric cardiac surgery; Re-operation; Surgery for congenital heart defect.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Balloon Occlusion / instrumentation*
  • Cardiac Surgical Procedures / adverse effects*
  • Child
  • Equipment Design
  • Female
  • Heart Defects, Congenital / surgery*
  • Hemodynamics
  • Humans
  • Iatrogenic Disease*
  • Male
  • Reoperation
  • Sternotomy / adverse effects*
  • Treatment Outcome
  • Vascular Access Devices*
  • Vascular System Injuries / diagnosis
  • Vascular System Injuries / etiology
  • Vascular System Injuries / physiopathology
  • Vascular System Injuries / therapy*