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

• Main Authors: Chirantan V Mangukia, Saket Agarwal, Subodh Satyarthy, Satish Kumar Aggarwal, Vishnu Datt, Deepak Kumar Satsangi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Annals of Pediatric Cardiology
• Subjects: Cardiopulmonary bypass; femoral cannulation; Interposition PTFE graft; pediatric cardiac surgery; resternotomy
• Online Access: http://www.annalspc.com/article.asp?issn=0974-2069;year=2015;volume=8;issue=1;spage=53;epage=55;aulast=Mangukia

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.