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Management of iatrogenic RV injury - RV packing and CPB through PTFE graft attached to femoral artery


1 Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi, India
2 Department of Paediatric Surgery, Maulana Azad Medical College, New Delhi, India
3 Department of Anaesthesia, Govind Ballabh Pant Hospital, New Delhi, India

Correspondence Address:
Chirantan V Mangukia
Ward 30, Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.149520

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Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 53-55

 

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Cardiac injuries during repeat sternotomy are rare. While undergoing debridement for chronic osteomyelitis (post arterial septal defect closure), a 4-year-old girl sustained significant right ventricular (RV) injury. Bleeding from the RV was controlled by packing the injury site, which helped in maintaining stable hemodynamics till arrangements were made for instituting cardiopulmonary bypass (CPB). Since the femoral artery was very small and unsuitable for direct cannulation, a polytetrafluoroethylene (PTFE) graft sutured end-to-side to the femoral artery was used for establishing CPB. The injury was successfully repaired.






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1 Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi, India
2 Department of Paediatric Surgery, Maulana Azad Medical College, New Delhi, India
3 Department of Anaesthesia, Govind Ballabh Pant Hospital, New Delhi, India

Correspondence Address:
Chirantan V Mangukia
Ward 30, Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Hospital, New Delhi - 110 002
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.149520

Rights and Permissions

Cardiac injuries during repeat sternotomy are rare. While undergoing debridement for chronic osteomyelitis (post arterial septal defect closure), a 4-year-old girl sustained significant right ventricular (RV) injury. Bleeding from the RV was controlled by packing the injury site, which helped in maintaining stable hemodynamics till arrangements were made for instituting cardiopulmonary bypass (CPB). Since the femoral artery was very small and unsuitable for direct cannulation, a polytetrafluoroethylene (PTFE) graft sutured end-to-side to the femoral artery was used for establishing CPB. The injury was successfully repaired.






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