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

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 manage...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	General thoracic and cardiovascular surgery 2010-11, Vol.58 (11), p.577-579
Hauptverfasser:	Karaiskos, Theodoros, Karfis, Elias A., Tsagaropoulou, Ioanna, Drossos, George E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aorta, Thoracic - injuries Aorta, Thoracic - surgery Biopsy Blood Loss, Surgical - prevention & control Blood Vessel Prosthesis Implantation Brachiocephalic Trunk - injuries Brachiocephalic Trunk - surgery Cardiac Surgery Cardiology Cardiopulmonary Bypass Case Report Circulatory Arrest, Deep Hypothermia Induced Humans Iatrogenic Disease Male Mediastinoscopy - adverse effects Medicine Medicine & Public Health Middle Aged Surgical Oncology Suture Techniques Thoracic Surgery Tomography, X-Ray Computed Treatment Outcome
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	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.
ISSN:	1863-6705 1863-6713
DOI:	10.1007/s11748-009-0533-y