Total circulatory arrest: a life-saving procedure for mediastinoscopic major hemorrhage

Theodoros Karaiskos; Elias A Karfis; Ioanna Tsagaropoulou; George E Drossos

doi:10.1007/s11748-009-0533-y

Total circulatory arrest: a life-saving procedure for mediastinoscopic major hemorrhage

Gen Thorac Cardiovasc Surg. 2010 Nov;58(11):577-9. doi: 10.1007/s11748-009-0533-y. Epub 2010 Nov 11.

Authors

Theodoros Karaiskos¹, Elias A Karfis, Ioanna Tsagaropoulou, George E Drossos

Affiliation

¹ Department of Cardiac and Thoracic Surgery, G. Papanikolaou General Hospital of Thessaloniki, Papanikolaou Avenue, Thessaloniki, GR-57010, Greece.

PMID: 21069497
DOI: 10.1007/s11748-009-0533-y

Abstract

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.

Publication types

Case Reports

MeSH terms

Aged
Aorta, Thoracic / injuries*
Aorta, Thoracic / surgery
Biopsy
Blood Loss, Surgical / prevention & control*
Blood Vessel Prosthesis Implantation
Brachiocephalic Trunk / injuries*
Brachiocephalic Trunk / surgery
Cardiopulmonary Bypass
Circulatory Arrest, Deep Hypothermia Induced*
Humans
Iatrogenic Disease
Male
Mediastinoscopy / adverse effects*
Middle Aged
Suture Techniques
Tomography, X-Ray Computed
Treatment Outcome