Issue |
J Extra Corpor Technol
Volume 42, Number 3, September 2010
|
|
---|---|---|
Page(s) | 235 - 237 | |
DOI | https://doi.org/10.1051/ject/201042235 | |
Published online | 15 September 2010 |
Case Reports
Diagnosis of Inadvertent Cannulation of the Azygos Vein During Cardiopulmonary Bypass
Address correspondence to: Michael Cordisco, CCP, Staff Perfusionist, Montefiore-Einstein Heart Center, 111 East 210th Street, Bronx, NY 10467. E-mail: mikeccp@yahoo.com
Received:
27
April
2010
Accepted:
23
August
2010
Cardiac surgery with cardiopulmonary bypass demands diligence and attention to detail to prevent neurologic injury. Arterial and venous cannulae are used to facilitate cardiopulmonary bypass. The assessment of adequate decompression of the venous circulation is an essential duty of the cardiac surgical team. Modalities for the assessment of adequate regional venous drainage are limited, however communication between the team and increased awareness of certain pathologic states can be useful. These modalities include cerebral oximetry and superior vena caval pressure monitoring, which were employed during a case with bicaval venous cannulation. Malposition of the superior vena cava cannula was detected after a series of events alerted the team that superior vena cava drainage may be compromised.
Key words: azygos vein / superior vena cava / cardiopulmonary bypass / cerebral oximetry
© 2010 AMSECT
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