Maxwell, Bryan GWise‑Faberowski, Lisa2014-01-032014-01-032014-01Maxwell 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.http://imsear.searo.who.int/handle/123456789/149696Improved 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.enFallot’s tetralogyInnominate artery cannulationPseudoaneurysmReentry sternotomyAnesthesia --methodsAneurysm, False --surgeryCardiac CatheterizationCardiopulmonary BypassFemaleFluroscopyHeart Defects, Congenital --surgeryHeart Ventricles --surgeryHumansInfantReoperationSternotomy --methodsTetralogy of Fallot --methodsTreatment OutcomeVentricular Dysfunction, Right --surgeryArticle