Management of retroperitoneal arterial injury after heart catheterization in children Frank A Pigula, MD, Percival Buenaventura, MD, Jose A Ettedgui,

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Presentation transcript:

Management of retroperitoneal arterial injury after heart catheterization in children Frank A Pigula, MD, Percival Buenaventura, MD, Jose A Ettedgui, MD, Ralph D Siewers, MD The Annals of Thoracic Surgery Volume 69, Issue 5, Pages 1582-1584 (May 2000) DOI: 10.1016/S0003-4975(00)01174-7

Fig 1 (Top) The child is positioned with a hip roll under the involved side and elevated 20 to 30 degrees. In this way access to the retroperitoneal vascular structures is optimized. (Bottom) A generous incision above the inguinal ligament and paralleling the iliac crest is made. With division of the oblique and transversalis muscles, finger dissection will reflect the peritoneal sac and ureter anteriorly, away from the injury. The retroperitoneal vasculature is now well exposed for control and repair of the injury. If necessary, further dissection will also expose the distal aorta. The Annals of Thoracic Surgery 2000 69, 1582-1584DOI: (10.1016/S0003-4975(00)01174-7)