Tian Yunfei, Huang Erjia, Zhang Mengdi, Fan Jinzhe, Li Wei, Yang XiaoHui, Su Wei, Deng Xicheng
Heart Center, The Affiliated Children's Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.
Front Cardiovasc Med. 2025 May 27;12:1511221. doi: 10.3389/fcvm.2025.1511221. eCollection 2025.
The right axillary thoracotomy, an alternative approach for selected open-heart procedures, offers aesthetic advantages. However, intercostal vessel injury is a potential postoperative complication that can lead to major bleeding. Herein, we report a case of postoperative active bleeding from intercostal vessel injury after right axillary thoracotomy for ventricular septal defect repair. Hemorrhage was successfully halted by compressing the suspected bleeding site with a Foley catheter inserted through the chest wall. This case demonstrates a simple management method of active intercostal vascular bleeding after cardiac operation. It may be an appropriate option in selected postoperative patients with a high index of suspicion of intercostal vascular bleeding after operation via a thoracotomy approach.
右腋下开胸术是某些心脏直视手术的一种替代方法，具有美学优势。然而，肋间血管损伤是一种潜在的术后并发症，可能导致大出血。在此，我们报告一例在右腋下开胸修补室间隔缺损术后因肋间血管损伤导致的术后活动性出血病例。通过经胸壁插入Foley导管压迫可疑出血部位成功止血。该病例展示了心脏手术后活动性肋间血管出血的一种简单处理方法。对于经开胸手术途径术后高度怀疑肋间血管出血的特定患者，这可能是一个合适的选择。
