| Preoperative balloon sealing of a false ascending aortic aneurysm for safe redo sternotomy. | |
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MedLine Citation:
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PMID: 15919342 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Sternal contact of aortic aneurysms in redo operations may require specific techniques to safely control bleeding during sternotomy and surgical dissection. This is the first report on the preoperative use of an inflatable balloon to prevent massive hemorrhage by inserting the balloon--a procedure performed in the cardiac catheterization laboratory--before rethoracotomy. A false ascending aortic aneurysm was successfully sealed by transaortic wire-guided balloon placement from the iliac artery. Gentle traction on the inflated balloon catheter, which was placed inside the false aneurysm, effectively sealed the entrance to the aneurysm. A straightforward median redo sternotomy procedure was subsequently performed without blood loss from the unavoidably opened aneurysm. My colleagues and I propose this technique for aneurysms of mycotic or anastomotic origin, which have an anatomically distinct entry channel. |
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Authors:
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Henning Warnecke; Norbert Franz; Stefan Roethemeyer; Frank Ritter; Alexander T John; Joachim Thale |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 79 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-05-27 Completed Date: 2006-08-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 2166-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiac Surgery, Schuechtermann-Klinik, Bad Rothenfelde, Germany. hwarnecke@schuechtermannklinik.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, False
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surgery* Aneurysm, Infected / surgery Aortic Aneurysm / surgery* Balloon Dilatation / methods* Hemorrhage / prevention & control* Humans Reoperation Sternum / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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