Document Detail


Near-fatal bleeding from an aberrant subclavian artery following colonic interposition for oesophageal atresia.
MedLine Citation:
PMID:  21400029     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
An unusual complication following colonic interposition for oesophageal atresia is described, where a fistula between an aberrant right subclavian artery and the colon graft caused severe haemorrhage. As in cases of aorto-oesophageal fistulae from foreign body ingestion, we experienced a 'herald'-bleed before a second near-fatal event. In such cases, the clinical assumption should be that the source of bleeding is a major artery and appropriate resuscitation including preparations for immediate thoracotomy is required. Consideration should also be given to this potential complication when using the mediastinal route for an oesophageal replacement graft.
Authors:
Martin Situma; Rainer Kubiak; Alp Numanoglu; Richard Wood; Andre Brooks; Alastair J W Millar
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-13
Journal Detail:
Title:  Pediatric surgery international     Volume:  -     ISSN:  1437-9813     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Rondebosch, Cape Town, 7700, South Africa.
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