International Perfusion Association

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Category: Case Report

Heart 2024-2

Intraoperative Acute Cardiac Tamponade as a Result of Intracardiac Perforation Requiring Emergency Continuous Pericardiocentesis and Open Sternotomy: A Case Report and Literature Review of a Rare but Fatal Complication

This report details a case of intraoperative acute cardiac tamponade caused by left atrial perforation during a percutaneous intervention for anomalous pulmonary venous return, a rare but life-threatening complication. Despite emergency measures including continuous pericardiocentesis and an open sternotomy for repair, the patient, an 86-year-old female with history of right-ventricular failure and atrial fibrillation, succumbed to her condition hours post-operation. The case emphasizes the critical need for swift, multidisciplinary intervention in managing such complications and outlines the potential risks associated with percutaneous cardiac procedures.

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Infant Cannula

Bedside Repositioning of a Migrated Avalon ECMO Cannula in an Infant: Novel Technique

This article presents a novel bedside method for repositioning a migrated Avalon ECMO cannula in an infant. The Avalon Elite bi-caval dual lumen catheter, essential for veno-venous extracorporeal membranous oxygenation, requires precise placement. The new technique, involving direct access of the ECMO inflow tube with a catheter and guide wire, proved successful in two instances of catheter migration without the need for additional venous access, highlighting an advancement in pediatric critical care.

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Saudi Aortic Dissection

Retrograde Type A Acute Aortic Dissection With Cerebral Malperfusion Six Years After Thoracic Endovascular Aortic Repair

A 59-year-old male, previously treated with thoracic endovascular aortic repair (TEVAR), developed retrograde type A aortic dissection, leading to cerebral infarction and carotid artery occlusion. He underwent successful total arch replacement and carotid artery bypass, followed by rehabilitation, highlighting the complex challenges and critical interventions needed for TEVAR complications.

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