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...
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Veröffentlicht in: | General thoracic and cardiovascular surgery 2010-11, Vol.58 (11), p.577-579 |
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creator | Karaiskos, Theodoros Karfis, Elias A. Tsagaropoulou, Ioanna Drossos, George E. |
description | 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. |
doi_str_mv | 10.1007/s11748-009-0533-y |
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Although rare, iatrogenic damage of the thoracic great vessels is probable during mediastinoscopic biopsy. 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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.</description><subject>Aged</subject><subject>Aorta, Thoracic - injuries</subject><subject>Aorta, Thoracic - surgery</subject><subject>Biopsy</subject><subject>Blood Loss, Surgical - prevention & control</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Brachiocephalic Trunk - injuries</subject><subject>Brachiocephalic Trunk - surgery</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cardiopulmonary Bypass</subject><subject>Case Report</subject><subject>Circulatory Arrest, Deep Hypothermia Induced</subject><subject>Humans</subject><subject>Iatrogenic Disease</subject><subject>Male</subject><subject>Mediastinoscopy - adverse effects</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Surgical Oncology</subject><subject>Suture Techniques</subject><subject>Thoracic Surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kF1LwzAUhoMobk5_gDdS8MKratJ8tPFOhl8w8GbiZUjT062jbWbSCv33ZnROELxKSJ7znpcHoUuCbwnG6Z0nJGVZjLGMMac0Ho7QlGSCxiIl9Phwx3yCzrzfYMxFRvgpmiQEC8lkOkUfS9vpOjKVM32tO-uGSDsHvruPdFRXJcRef1XtKto6a6DoHUSldVEDRaV9V7XWG7utTNToTXheQ2OdW-sVnKOTUtceLvbnDL0_PS7nL_Hi7fl1_rCIDUtYF7NMspwaAMwzkQHDBWak1KaghkiZl6xMNaciMSKnBAQ3CZW5AUplWQBAQmfoZswN_T770Fs1lTdQ17oF23uVCsYk5cHODF3_ITe2d20opxJJspQKTnGgyEgZZ713UKqtqxrtBkWw2klXo3QVpKuddDWEmat9cp8HMYeJH8sBSEbAh692Be539f-p3-mhjkI</recordid><startdate>20101101</startdate><enddate>20101101</enddate><creator>Karaiskos, Theodoros</creator><creator>Karfis, Elias A.</creator><creator>Tsagaropoulou, Ioanna</creator><creator>Drossos, George E.</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20101101</creationdate><title>Total circulatory arrest: a life-saving procedure for mediastinoscopic major hemorrhage</title><author>Karaiskos, Theodoros ; Karfis, Elias A. ; Tsagaropoulou, Ioanna ; Drossos, George E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-4894b3cee05868e40d041facd3c199bf4f7a5362c6b31e65c239bce339fdeee23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aorta, Thoracic - injuries</topic><topic>Aorta, Thoracic - surgery</topic><topic>Biopsy</topic><topic>Blood Loss, Surgical - prevention & control</topic><topic>Blood Vessel Prosthesis Implantation</topic><topic>Brachiocephalic Trunk - injuries</topic><topic>Brachiocephalic Trunk - surgery</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cardiopulmonary Bypass</topic><topic>Case Report</topic><topic>Circulatory Arrest, Deep Hypothermia Induced</topic><topic>Humans</topic><topic>Iatrogenic Disease</topic><topic>Male</topic><topic>Mediastinoscopy - adverse effects</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Surgical Oncology</topic><topic>Suture Techniques</topic><topic>Thoracic Surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karaiskos, Theodoros</creatorcontrib><creatorcontrib>Karfis, Elias A.</creatorcontrib><creatorcontrib>Tsagaropoulou, Ioanna</creatorcontrib><creatorcontrib>Drossos, George E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karaiskos, Theodoros</au><au>Karfis, Elias A.</au><au>Tsagaropoulou, Ioanna</au><au>Drossos, George E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Total circulatory arrest: a life-saving procedure for mediastinoscopic major hemorrhage</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><date>2010-11-01</date><risdate>2010</risdate><volume>58</volume><issue>11</issue><spage>577</spage><epage>579</epage><pages>577-579</pages><issn>1863-6705</issn><eissn>1863-6713</eissn><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.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>21069497</pmid><doi>10.1007/s11748-009-0533-y</doi><tpages>3</tpages></addata></record> |
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subjects | 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 |
title | Total circulatory arrest: a life-saving procedure for mediastinoscopic major hemorrhage |
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