Management of high-risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm of the right ventricular outflow tract

Bryan Maxwell, Lisa Wise-Faberowski

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)59-61
Number of pages3
JournalAnnals of Cardiac Anaesthesia
Volume17
Issue number1
DOIs
StatePublished - Jan 1 2014

Keywords

  • Fallot's tetralogy
  • Innominate artery cannulation
  • Pseudoaneurysm
  • Reentry sternotomy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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