Vascular Reconstruction in a Neonate after Iatrogenic Injury during Cardiac Catheterization

• Main Authors: Amaro, Emilie, Pophal, Stephen, Zoldos, Jozef
• Other Authors: Univ Arizona, Arizona Ctr Hand Surg, Coll Med
• Language: en
• Published: LIPPINCOTT WILLIAMS & WILKINS 2017
• Online Access: http://hdl.handle.net/10150/627070; http://arizona.openrepository.com/arizona/handle/10150/627070

As technology and interventional techniques continue to evolve, both the volume and complexity of cardiac catheterizations will increase, leading to a rise in the number of complications. One of the most morbid complications of cardiac catheterization is vascular injury. We report the case of a 31-day-old, 3.0-kg infant with hypoplastic left heart syndrome who experienced a left common iliac artery disruption during cardiac catheterization resulting in a retroperitoneal hemorrhage. The extent of the vascular injury combined with the vessel caliber posed a technically challenging surgical scenario. Ultimately, the vascular supply to the left lower extremity was reconstructed by the plastic surgery team with a reverse autologous vein graft. To our knowledge, this multidisciplinary approach with the involvement of plastic surgery represents a unique case.