Management of high-risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm of the right ventricular outflow tract.
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Date
2014-01
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Abstract
Improved survival from congenital heart disease has led to an increasing need for complex reoperation by
reentrant sternotomy. Peripheral cannulation and initiation of cardiopulmonary bypass prior to sternotomy
to avoid the risk of cardiac injury and massive hemorrhage is an option in adults and larger children, but
femoral vessel size precludes this strategy in infants. We describe the management of a high‑risk reentry
sternotomy in an infant for repair of a giant pseudoaneurysm after prior homograft repair of tetralogy of Fallot,
using surgical dissection for suprasternal cannulation of the innominate artery and subxyphoid cannulation
of the inferior vena cava.
Description
Keywords
Fallot’s tetralogy, Innominate artery cannulation, Pseudoaneurysm, Reentry sternotomy
Citation
Maxwell Bryan G, Wise‑Faberowski Lisa. Management of high-risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm of the right ventricular outflow tract. Annals of Cardiac Anaesthesia. 2014 Jan; 17(1): 59-61.