Right subclavian to brachial artery dissection after neck cannulation for extracorporeal life support in a newborn
We present a patient with a distal arterial dissection after extracorporeal life support (ECLS) cannula placement. A preterm boy with severe pulmonary hypertension, secondary to probable premature closure of the ductus arteriosus, was placed on venoarterial extracorporeal life support utilizing his...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-06-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576618300538 |
| _version_ | 1818508361881092096 |
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| author | J. Emolo U. Dyamenahalli E.R. Barthel |
| author_facet | J. Emolo U. Dyamenahalli E.R. Barthel |
| author_sort | J. Emolo |
| collection | DOAJ |
| description | We present a patient with a distal arterial dissection after extracorporeal life support (ECLS) cannula placement. A preterm boy with severe pulmonary hypertension, secondary to probable premature closure of the ductus arteriosus, was placed on venoarterial extracorporeal life support utilizing his right internal jugular vein and his right carotid artery. Post-procedure echocardiogram (ECHO) confirmed correct placement, however after the child was routinely repositioned, the arterial cannula was noted to have advanced into his right subclavian artery. The cannula was repositioned back to the innominate artery, but a bilateral duplex revealed an arterial dissection extending from the right distal subclavian artery to the mid brachial artery. Serial duplex exams during ECLS revealed no propagation of the dissection. At decannulation no repair was performed and subsequent duplex exams show stable flow with no distal obstruction. |
| first_indexed | 2024-12-10T22:30:49Z |
| format | Article |
| id | doaj.art-fd6f7a6fbd77498e8b42dac96d76bd7b |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-10T22:30:49Z |
| publishDate | 2018-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-fd6f7a6fbd77498e8b42dac96d76bd7b2022-12-22T01:31:04ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662018-06-01334648Right subclavian to brachial artery dissection after neck cannulation for extracorporeal life support in a newbornJ. Emolo0U. Dyamenahalli1E.R. Barthel2University of Chicago Medicine, Biological Sciences Division, Department of Surgery, Section of Pediatric Surgery, 5841 S. Maryland Ave, MC 4062, Chicago, IL, 60637, USA; Corresponding author.University of Chicago Medicine, Department of Pediatrics, Section of Pediatric Cardiology, 5839 S. Maryland Ave, MC 4051, Chicago, IL, 60637, USAUniversity of Chicago Medicine, Biological Sciences Division, Department of Surgery, Section of Pediatric Surgery, 5841 S. Maryland Ave, MC 4062, Chicago, IL, 60637, USAWe present a patient with a distal arterial dissection after extracorporeal life support (ECLS) cannula placement. A preterm boy with severe pulmonary hypertension, secondary to probable premature closure of the ductus arteriosus, was placed on venoarterial extracorporeal life support utilizing his right internal jugular vein and his right carotid artery. Post-procedure echocardiogram (ECHO) confirmed correct placement, however after the child was routinely repositioned, the arterial cannula was noted to have advanced into his right subclavian artery. The cannula was repositioned back to the innominate artery, but a bilateral duplex revealed an arterial dissection extending from the right distal subclavian artery to the mid brachial artery. Serial duplex exams during ECLS revealed no propagation of the dissection. At decannulation no repair was performed and subsequent duplex exams show stable flow with no distal obstruction.http://www.sciencedirect.com/science/article/pii/S2213576618300538 |
| spellingShingle | J. Emolo U. Dyamenahalli E.R. Barthel Right subclavian to brachial artery dissection after neck cannulation for extracorporeal life support in a newborn Journal of Pediatric Surgery Case Reports |
| title | Right subclavian to brachial artery dissection after neck cannulation for extracorporeal life support in a newborn |
| title_full | Right subclavian to brachial artery dissection after neck cannulation for extracorporeal life support in a newborn |
| title_fullStr | Right subclavian to brachial artery dissection after neck cannulation for extracorporeal life support in a newborn |
| title_full_unstemmed | Right subclavian to brachial artery dissection after neck cannulation for extracorporeal life support in a newborn |
| title_short | Right subclavian to brachial artery dissection after neck cannulation for extracorporeal life support in a newborn |
| title_sort | right subclavian to brachial artery dissection after neck cannulation for extracorporeal life support in a newborn |
| url | http://www.sciencedirect.com/science/article/pii/S2213576618300538 |
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