Neck Cannulation for the Repair of Thoracic Artery Aneurysms in the Infant
Corresponding Author
Richard D. Mainwaring M.D.
Division of Cardiac Surgery, Children's Hospital and Health Center, San Diego, California
Address for correspondence: Richard D. Mainwaring, M.D., 3030 Children's Way, Suite 310, San Diego, CA 92123. Fax: (619) 974–8032.Search for more papers by this authorJohn J. Lamberti M.D.
Division of Cardiac Surgery, Children's Hospital and Health Center, San Diego, California
Search for more papers by this authorCharlene Rohrer B.S., C.C.P.
Division of Cardiac Surgery, Children's Hospital and Health Center, San Diego, California
Search for more papers by this authorMary Winkler R.N., C.C.P.
Division of Cardiac Surgery, Children's Hospital and Health Center, San Diego, California
Search for more papers by this authorCorresponding Author
Richard D. Mainwaring M.D.
Division of Cardiac Surgery, Children's Hospital and Health Center, San Diego, California
Address for correspondence: Richard D. Mainwaring, M.D., 3030 Children's Way, Suite 310, San Diego, CA 92123. Fax: (619) 974–8032.Search for more papers by this authorJohn J. Lamberti M.D.
Division of Cardiac Surgery, Children's Hospital and Health Center, San Diego, California
Search for more papers by this authorCharlene Rohrer B.S., C.C.P.
Division of Cardiac Surgery, Children's Hospital and Health Center, San Diego, California
Search for more papers by this authorMary Winkler R.N., C.C.P.
Division of Cardiac Surgery, Children's Hospital and Health Center, San Diego, California
Search for more papers by this authorAbstract
Abstract Thoracic aneurysms are relatively rare in infancy. We report our experience with two such patients, one with a false aneurysm of the ascending aorta and the other with a mycotic aneurysm of the main pulmonary artery. Neck cannulation prior to sternotomy, using cannulae designed for extracorporeal membrane oxygenation, allowed entry into the mediastinum under controlled circumstances and permitted the successful repair of the aneurysms.
REFERENCES
- 1 Orringer MB, Murray GF, Haller JA, et al: Median sternotomy and outflow patch infections in total repair of tetralogy of Fallot. Reports of three cases of survival and a review of the literature. J Thorac Cardiovasc Surg 1972; 63: 442–448.
- 2 Kato H, Nadada T, Ikawa D, et al: False aneurysm formation of the great arteries after arterial switch operation. Ann Thorac Surg 1991; 51: 495–496.
- 3 Barbour DJ, Roberts WC: Aneurysm of the pulmonary trunk unassociated with intracardiac or great vessel left-to-right shunting. Am J Cardiol 1987; 59: 192.
- 4 Weldon CS, Behrendt DM, Haas GS: Congenital malformations of the aortic valve and left ventricular outflow tract. In Geha Baue, Hammond, et al (eds): Glenn's Thoracic and Cardiovascular Surgery. East Norwalk , CT , Appleton and Lange Publishers, 1991, pp. 1089–1106.
- 5 Shumacker HB Jr, King H, Nahrwald DL, et al: Coarctation of the aorta. Curr Probl Surg 1968: 1–64.
- 6 Evans VL, Hallman GL, Vargo TA: False aneurysm of the ascending aorta from an expanded polytetrafluoroethylene (Gore-Tex) aortopulmonary shunt. J Thorac Cardiovasc Surg 1985; 39: 573–575.
- 7 Sethia B, Pollock JCS: False aneurysm formation: A complication following the modified Bla-lock-Taussig shunt. Ann Thorac Surg 1986; 41: 667–668.
- 8 Bloss RS, Duncan JM, Cooley DA, et al: Takayasu's arteritis: Surgical considerations. Ann Thorac Surg 1979; 27: 574.
- 9 Kouchoukos NT, Marshall WG Jr, Wedige-Stecher TA: Eleven year experience with composite graft replacement of the ascending aorta and aortic valve. J Thorac Cardiovasc Surg 1986; 92: 691–705.
- 10 Kouchoukos NT, Wareing TH: Management of complications of aortic surgery. In Orringer Waldhausen (eds): Complications in Cardiothoracic Surgery. St. Louis , MO , Mosby Year Book, 1991, pp. 224–236.
- 11 Bartlett RH, Andrews AF, Toomasian JM, et al: Extracorporeal membrane oxygenation for newborn respiratory failure: Forty-five cases. Surgery 1982; 92: 425–433.
- 12 Toomasian JM, Snedecor SM, Cornell RG, et al: National experience with extracorporeal membrane oxygenation for newborn respiratory failure: Data from 715 cases. Trans Am Soc Artif Intern Org 1988; 34: 140–147.
- 13 Hunkeler NM, Canter CE, Donze A, et al: Extracorporeal life support in cyanotic congenital heart disease before cardiovascular operation. Am J Cardiol 1992; 69: 790–793.
- 14 Kanter KR, Pennington G, Weber TR, et al: Extracorporeal membrane oxygenation for postoperative cardiac support in children. J Thorac Cardiovasc Surg 1987; 93: 27–35.
- 15 Klein MD, Shaheen KW, Whittlesey GC, et al: Extracorporeal membrane oxygenation for the circulatory support of children after repair of congenital heart disease. J Thorac Cardiovasc Surg 1990; 100: 498–505.
- 16 Spector ML, Wiznitzer M, Walsh-Sullys MC, et al: Carotid reconstruction in the neonate following ECMO. J Ped Surg 1991; 26: 357–361.
- 17 Crombleholme TM, Adzick NS, de Lorimier AA, et al: Carotid artery reconstruction following extracorporeal membrane oxygenation. AJDC 1990; 144: 872–874.
- 18 Moulton SL, Arensman RM: Vascular access for extracorporeal life support. In: Extracorporeal Life Support. Blackwell Scientific Inc., Oxford Publishers, 1991.
