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Cardiac surgery in a child with sacral and intrasacral haemangioma
Author(s) -
Sarkar Molly,
Odegard Kirsten,
Laussen Peter
Publication year - 2002
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2002.00904.x
Subject(s) - medicine , surgery , spinal cord , weakness , angiography , cord , venous return curve , cardiopulmonary bypass , anesthesia , hemodynamics , psychiatry
Summary A 23‐month‐old female with giant sacral (S1–S5) and intrasacral (L4–S5) haemangioma, lipomyeloschisis and a tethered cord presented for correction of a sinus venosus atrial septal defect. Angiography revealed a large perisacral hypervascular mass with large veins and an intraspinal extension. The patient had a neurogenic bladder and left extremity weakness due to spinal cord compression. The potential for additional neurological injury secondary to bleeding, venous congestion, ischaemia and steal phenomenon during cardiopulmonary bypass is discussed.