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Total circulatory arrest: a life-saving procedure for mediastinoscopic major hemorrhage
Authors:Theodoros Karaiskos  Elias A Karfis  Ioanna Tsagaropoulou  George E Drossos
Institution:(1) Department of General Thoracic Surgery, Ohta-Nishinouchi Hospital, Koriyama, Japan;(2) Department of General Thoracic Surgery, Dokkyo Medical University, Mibu, Japan;(3) Department of Chest Surgery, Tohoku University Hospital, Sendai, Japan
Abstract:Acute hemorrhage during mediastinoscopy is a life-threatening complication. Although rare, iatrogenic damage of the thoracic great vessels is probable during mediastinoscopic biopsy. We report two cases of iatrogenic massive mediastinoscopic bleeding from the aortic arch and innominate artery managed initially by simple packing and controlled finally by cardiopulmonary bypass and repair under total circulatory arrest.
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