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Iatrogenic dissection in paediatric cardiac surgery.

Ishan Gohil¹, Kartik Patel¹, Deepti Kakkar¹

¹Department of Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre (affiliated to BJ Medical College, Ahmedabad), Civil Hospital Campus, Asarwa, Ahmedabad, 380016 Gujarat India.

Indian Journal of Thoracic and Cardiovascular Surgery

|June 22, 2023

Summary

Iatrogenic aortic dissection is a rare complication of cardiac surgery. This case highlights an 11-month-old infant experiencing this adverse event during repair of supracardiac total anomalous pulmonary venous connection (TAPVC).

Keywords:

Aortic cannulation Iatrogenic dissection Total anomalous pulmonary venous connection

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Area of Science:

Cardiovascular Surgery
Pediatric Cardiology
Medical Complications

Background:

Iatrogenic aortic dissection is an exceptionally uncommon complication during cardiac procedures.
Repair of supracardiac total anomalous pulmonary venous connection (TAPVC) involves complex aortic manipulation.

Observation:

An 11-month-old infant underwent surgical repair for supracardiac TAPVC.
The patient developed an iatrogenic aortic dissection following aortic cannulation.

Findings:

The case demonstrates a rare instance of aortic dissection occurring as a direct result of aortic cannulation in a pediatric patient.
This complication arose during a complex congenital heart defect repair.

Implications:

Highlights the critical need for meticulous surgical technique during aortic cannulation in pediatric cardiac surgery.
Emphasizes vigilance for rare but severe complications like iatrogenic aortic dissection in infants.
Suggests potential areas for improved cannulation strategies or monitoring in high-risk pediatric cases.