An Unusual Complication From Hemostatic Packing to Control Bleeding During Cervical Mediastinoscopy and an Off-Pump Approach for the Later Exploration.

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Presentation transcript:

An Unusual Complication From Hemostatic Packing to Control Bleeding During Cervical Mediastinoscopy and an Off-Pump Approach for the Later Exploration of the Superior Vena Caval Injury Nicolas Nikolaidis, MD, Apostolos Roubelakis, MD, James S. Shambrook, MD, Sunil K. Ohri, MD, Markku Kaarne, MD, David F. Weeden, MD The Annals of Thoracic Surgery Volume 92, Issue 3, Pages 1117-1118 (September 2011) DOI: 10.1016/j.athoracsur.2011.03.044 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Sagittal oblique view. Mediastinal window with contrast. Packing (arrow) in the retrocaval space superior to left upper lobar artery with defect in the posterior wall of the superior vena cava (SVC) extending to the right atrium. (B) Axial view, at the level of the right pulmonary artery there is a filling defect (arrow) in the SVC. (C) Axial view of the pulmonary artery opacification. Segmental left lower lobe artery filling defect consistent with pulmonary embolus (arrow). (D) A tear on the back wall of the SVC next to the tip of the suction probe (arrow). The Annals of Thoracic Surgery 2011 92, 1117-1118DOI: (10.1016/j.athoracsur.2011.03.044) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions