Sep 1, 1977

Life-threatening hemorrhage from inadvertent cervical arteriotomy

The Annals of Thoracic Surgery
M T McEnany, W G Austen

Abstract

Catastrophic hemorrhage followed accidental puncture of the carotid artery or its branches during attempted preoperative insertion of flow-directed balloon-tipped pulmonary artery catheters in 2 patients who underwent open cardiac procedures. Direct repair of two carotid artery lacerations was necessary in 1 patient; the second patient slowly resorbed a large extrapleural hematoma without surgical intervention. This experience suggests that patients experiencing such seemingly innocuous but potentially disastrous arterial injuries should not be heparinized, and that any procedure involving cardiopulmonary bypass should be postponed for several days to allow safe healing of the laceration.

  • References2
  • Citations21

References

  • References2
  • Citations21

Mentioned in this Paper

Pulmonary Edema
Carotid Pseudoaneurysm
Catastrophic Illness
Mitral Valve Stenosis
Common Carotid Artery
Entire Carotid Artery
Structure of Jugular Vein
Puncture Procedure
Cardiac Catheterization Procedures
Pulmonary Artery Structure

About this Paper

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