Emmert, Maximilian Y.

Falk, Volkmar

Suendermann, Simon

Wilhelm, Markus J.

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Images in cardio-thoracic surgeryPort implantation into the aortic arch: an unusual complicationrequiring urgent cardiac surgeryMaximilian Y. Emmert *, Simon Suendermann, Volkmar Falk, Markus J. WilhelmClinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, SwitzerlandReceived 30 June 2010; received in revised form 26 July 2010; accepted 29 July 2010; Available online 17 September 2010Keywords: Port implantation; Aortic arch; Complicationwww.elsevier.com/locate/ejctsEuropean Journal of Cardio-thoracic Surgery 39 (2011) 611A port-a-cath was accidentally inserted into an arterialvessel of a 78-year-old woman. Chest X-ray was suggestivefor aortic placement (Fig. 1A) being confirmed by computedtomography (Fig. 1B). The patient was immediately[(Fig._1)TD$FIG]Fig. 1. (A) Port-a-cath as shown in the preoperative X-ray. Arrows indicate course ofview) displays the port-a-cath (1) penetrating the aortic arch between the origin of thethe Port-a-cath before (C) and after removal (D) from the aortic arch. After sternotomyplaced on the aortic arch around the device which allowed port removal without bleeartery; LSA: left subclavian artery.* Corresponding author. Address: Department of Cardiovascular Surgery, UniversitTel.: +41 442553298; fax: +41 442554446.E-mail address: maximilian.emmert@usz.ch (M.Y. Emmert).1010-7940/$ — see front matter # 2010 European Association for Cardio-Thoracicdoi:10.1016/j.ejcts.2010.07.042scheduled for surgery, which could be performed withoutcardiopulmonary bypass (Fig. 1C and D). The patient made aswift recovery.catheter. (B) 3D-reconstruction of computed tomography scan (left-posteriorleft carotid (2) and left subclavian artery (3). (C and D) Intra-operative view ofand extrapericardial exposure of the aortic arch, two purse string sutures wereding. AA: aortic arch; BCT: brachio-cephalic trunk; LCCA: left common carotidy Hospital Zurich, Raemi Street 100, 8091 Zurich, Switzerland.Surgery. Published by Elsevier B.V. All rights reserved.

Port implantation into the aortic arch: an unusual complication requiring urgent cardiac surgery

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