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Ann Thorac Surg 2003;75:1037-1038
© 2003 The Society of Thoracic Surgeons

How to do it

A practical tool to control bleeding during sternal reentry for pseudoaneurysm of the ascending aorta

Anil Z. Apaydin, MDa*, Hakan Posacioglu, MDa, Fatih Islamoglu, MDa, Ali Telli, MDa

a Cardiovascular Surgery, Ege University Medical School, Izmir, Turkey

Accepted for publication August 27, 2002.

* Address reprint requests to Dr Apaydin, Department of Cardiovascular Surgery, Ege University Medical School, Izmir, Turkey 35100.
e-mail: apaydina{at}efes.net.tr

Big pseudoaneurysms of the ascending aorta after a previous thoracic operation are rare and represent a surgical challenge. Because the rupture during sternal reentry occurs before the clamp-control of the distal ascending aorta, it is essential to control the bleeding until the adhesions are released in order to place the sternal retractor. We report the use of Foley catheter with a malleable guidewire to control the bleeding from the defect in the ascending aorta causing a pseudoaneurysm in case of a limited access.




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