Year : 2014  |  Volume : 17  |  Issue : 1  |  Page : 59--61

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


Bryan G Maxwell1, Lisa Wise-Faberowski2 
1 Department of Anesthesia, The Stanford University School of Medicine, Stanford, CA, USA
2 Department of Anesthesia, Lucile Packard Children's Hospital, and The Stanford University School of Medicine, Stanford, CA, USA

Correspondence Address:
Bryan G Maxwell
Department of Anesthesiology, Stanford University Medical Center, 300 Pasteur Drive H3586, Stanford, CA
USA

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.


How to cite this article:
Maxwell BG, Wise-Faberowski L. Management of high-risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm of the right ventricular outflow tract.Ann Card Anaesth 2014;17:59-61


How to cite this URL:
Maxwell BG, Wise-Faberowski L. Management of high-risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm of the right ventricular outflow tract. Ann Card Anaesth [serial online] 2014 [cited 2019 Nov 18 ];17:59-61
Available from: http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=1;spage=59;epage=61;aulast=Maxwell;type=0