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
Hauptverfasser: Karaiskos, Theodoros, Karfis, Elias A., Tsagaropoulou, Ioanna, Drossos, George E.
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container_end_page 579
container_issue 11
container_start_page 577
container_title General thoracic and cardiovascular surgery
container_volume 58
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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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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