Near-fatal bleeding from an aberrant subclavian artery following colonic interposition for oesophageal atresia.
Pediatr Surg Int
; 27(10): 1131-3, 2011 Oct.
Article
en En
| MEDLINE
| ID: mdl-21400029
ABSTRACT
An unusual complication following colonic interposition for oesophageal atresia is described, where a fistula between an aberrant right subclavian artery and the colon graft caused severe haemorrhage. As in cases of aorto-oesophageal fistulae from foreign body ingestion, we experienced a 'herald'-bleed before a second near-fatal event. In such cases, the clinical assumption should be that the source of bleeding is a major artery and appropriate resuscitation including preparations for immediate thoracotomy is required. Consideration should also be given to this potential complication when using the mediastinal route for an oesophageal replacement graft.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Arteria Subclavia
/
Fístula Vascular
/
Fístula Intestinal
/
Colon
/
Hemorragia Posoperatoria
/
Atresia Esofágica
Límite:
Female
/
Humans
/
Infant
Idioma:
En
Revista:
Pediatr Surg Int
Asunto de la revista:
PEDIATRIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
Sudáfrica