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- Title
Use of venous fistula technique for intraoperative cardiac hemorrhage.
- Authors
Nielson, David H.; Sutter, Francis P.; Goldman, Scott M.; Nielson, D H; Sutter, F P; Goldman, S M
- Abstract
We describe an innovative technique to control hemorrhage after right atrial wall reconstruction in a patient with primary angiosarcoma. At the time of surgery, the tumor was found to involve all of the free wall of the right atrium and a superficial layer of the right ventricle. A pericardial patch was used to reconstruct the right atrial wall; however, there was diffuse coagulopathy with bleeding from the anastomoses and remaining tumor. To tamponade the bleeding, a Dacron patch was sewn to the right edge of the pericardium, around the right ventricle and right coronary artery, but with little improvement in the bleeding. A type of Cabrol fistula was then formed with a tube graft from the Dacron patch to the left innominate vein. This acted as a conduit back into the venous system, with the blood taking the path of least resistance. Hemostasis was then achieved, allowing the patient to be taken to the intensive care unit.
- Publication
Journal of Cardiac Surgery, 1993, Vol 8, Issue 5, p558
- ISSN
0886-0440
- Publication type
journal article
- DOI
10.1111/j.1540-8191.1993.tb00413.x