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Ann Thorac Surg 2003;75:1311-1313
© 2003 The Society of Thoracic Surgeons

Case report

Selective mediastinal tamponade to control coagulopathic bleeding

Johan Sjögren, MDa*, Ronny Gustafsson, MDa, Bansi Koul, MD, PhDa, Richard Ingemansson, MD, PhDa

a Heart and Lung Division, Section of Cardiothoracic Surgery, University Hospital, Lund, Sweden

Accepted for publication October 3, 2002.

* Address reprint requests to Dr Sjögren, Heart and Lung Division, University Hospital, SE-221 85 Lund, Sweden
e-mail: johan.sjogren{at}thorax.lu.se

End-stage congestive heart failure in combination with major cardiac surgery may cause severe postoperative bleeding due to coagulopathy. Bleeding diathesis can be very difficult to control despite careful surgical hemostasis and aggressive medical treatment. We describe a technique that involves the use of negative pressure in the mediastinum to control severe postoperative bleeding after cardiac surgery.




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