Department of Pediatric Cardiac Surgery, Mitera Children's Hospital, Athens, Greece.
Department of Pediatric Cardiac Surgery, Mitera Children's Hospital, Athens, Greece.
Ann Thorac Surg. 2020 Mar;109(3):e219-e221. doi: 10.1016/j.athoracsur.2019.08.097. Epub 2019 Oct 4.
Repeat cardiac operations are common among patients with complex congenital heart disease. Inadvertent cardiotomy during redo sternotomy can increase intraoperative time and mortality. Establishing extracorporeal circulation before resternotomy may render redo congenital cardiac surgery cases safer and more expeditious. In the present report, we describe the technique of preemptive cannulation of the abdominal aorta (or right common iliac artery) and inferior vena cava. This approach may be a useful when femoral vessels are occluded owing to many catheterizations or prior cannulations. In our practice, no reentry injuries or other complications related to abdominal vessel cannulation have occurred.
重复心脏手术在复杂先天性心脏病患者中很常见。在再次胸骨切开术中无意中切开心肌会增加手术时间和死亡率。在再次胸骨切开术之前建立体外循环可能会使再次先天性心脏手术的病例更安全、更迅速。在本报告中，我们描述了预先置管腹主动脉（或右髂总动脉）和下腔静脉的技术。当由于多次置管或先前的置管而导致股血管闭塞时，这种方法可能很有用。在我们的实践中，没有发生与腹部血管置管相关的再进入损伤或其他并发症。
