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Ann Thorac Surg 1990;49:661-663
© 1990 The Society of Thoracic Surgeons

Articles

Management of major tracheal hemorrhage after repair of complex congenital heart defects

E. Snir, MD, A. Carotti, MD, J. Stark, FRCS*

The Hospital for Sick Children, London, England

Accepted for publication September 2, 1989.

* Address reprint requests to Dr Stark, The Hospital for Sick Children, Great Onnond St, London, WCIN 3JH, England.

Two patients with complex congenital heart defects (a 4-year-old with transposition of the great arteries, ventricular septal detect, and left ventricular outflow tract obstruction and a 3[equation]-year-old with double-outlet right ventricle, subpulmonary stenosis, and complete atrioventricular septal defect) suffered multiple major hemorrhages from the tracheobronchial tree (28 and 7 bleeding events, respectively). Successful management included tracheostomy, sedation and paralysis, systemic hypotension, and systemic hypothermia for a period of seven days. Both patients survived.






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