Case Report: Minimally invasive management of suspected active bleeding from intercostal vessel after axillary thoracotomy ventricular septal defect repair: an application of Foley catheter

The right axillary thoracotomy, an alternative approach for selected open-heart procedures, offers aesthetic advantages. However, intercostal vessel injury is a potential postoperative complication that can lead to major bleeding. Herein, we report a case of postoperative active bleeding from interc...

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Main Authors: Yunfei Tian, Erjia Huang, Mengdi Zhang, Jinzhe Fan, Wei Li, XiaoHui Yang, Wei Su, Xicheng Deng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2025.1511221/full
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Summary:The right axillary thoracotomy, an alternative approach for selected open-heart procedures, offers aesthetic advantages. However, intercostal vessel injury is a potential postoperative complication that can lead to major bleeding. Herein, we report a case of postoperative active bleeding from intercostal vessel injury after right axillary thoracotomy for ventricular septal defect repair. Hemorrhage was successfully halted by compressing the suspected bleeding site with a Foley catheter inserted through the chest wall. This case demonstrates a simple management method of active intercostal vascular bleeding after cardiac operation. It may be an appropriate option in selected postoperative patients with a high index of suspicion of intercostal vascular bleeding after operation via a thoracotomy approach.
ISSN:2297-055X