Cases

Surgical sites

Procedures

Site of bleeding

Perioperative period

Cause of bleeding

Response and treatment

Support by caridiovascular surgeon

Circulation auxiliary equipment

Short-term outcome

1

L

LL → CP

Left main PA

Intraoperative

Median sternotomy, open heart sac, left main PA injury during left CP

With CPB, the proximal site of the injured left main PA was cut in the heart sac

CPB

Survival

2

L

UL

1) A1+2c branch

Postoperative

1) On the postoperative 6th day after the lobectomy, hemorrhage from the cut-off part of A1+2c branch

1) Redo thoracotomy, A1+2c branch was stitched to stop the bleeding

Survival

LL (CP)

2) A3 branch

Postoperative

2) On the postoperative 3rd day after redo thoracotomy, re-bleeding of the A3 branch due to the rupture of infected vessel

2) Median sternotomy, emergency artificial CPB, the left proximal main PA was cut in the heart sac to save the life by CP

CPB

Survival

3

L

UL

A3 branch root

intraoperative

Massive bleeding of A3 root lacerations during upper lobe traction

A3 pull-out injury part was pinched with fingers, left main PA was taping with tourniquet tightening, biting with forceps, A3 pull-out site was sutured

Survival

4

L

UL

Staple cut-off edge of A1+2a branch

Intraoperative

Gauze-getting caught injury at the staple cut-off end of A1+2a branch

The bleeding site was cut with staple suture

Survival