César Benítez Pozo ,Victor Vasquez ,Pamela Pedrero ,José Salinas .Equipo Cirugia Torax y Cardiaca y S Urgencia Hospital San Juan de Dios Universidad de Chile .Santiago de Chile
Full cervicosternotomy exposure revealing hematoma in the ascending and aortic arch ,innominate trunk and left common carotid artery. Innominate vein repair done with a running prolene 5-0 suture and the aortic arch with a pledget suture.
conght1, November 14, 2011
Excellent work Did you decrease bp the when you put the stitches in the aorta sometime it works better for the stitches tearing through in my experience and pericardial pledgets has helped me. Did you use any patch material on the vein
cebepoj, Guayaquil Ecuador, December 19, 2011
I used permisive hipotension for a aorta repair ,
also used pericardial pledgets ,an the vein in these case:primary repair , in other case repair with safena path .
conght1, December 22, 2011
great to see such good work because many can not work under such pressure if you ever have a seminar let me know
cebepoj, Guayaquil Ecuador, December 22, 2011
yigitozgun, January 14, 2012
I wonder that did you make any previous examinations like CT or Anjio? or made an emergengy sternotomy?
cebepoj, Guayaquil Ecuador, January 23, 2012
Thank you, in this case we proceeded with immediate surgical exploration since the entry was presented with signs of arterial injury drives: active arterial bleeding for cutaneous wound and shock did not respond to correction of volume.Proceed with a cervico esternotomy for a full access .