An alternative technique for arterial pressure monitorization in pediatric cardiac surgery: internal mammary artery cannulation

Hüsnü Fırat Altın,

doi:10.5606/tgkdc.dergisi.2014.9320

Hüsnü Fırat Altın¹, Okan Yıldız¹, Öykü Tosun², Müzeyyen İyigün³, Ersin Erek¹

¹Departments of Pediatric Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
²Departments of Pediatric Cardiology and 3Anesthesiology and Reanimation, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2014.9320

Peripheral artery cannulation which allows continuous blood pressure monitoring is an easy way for blood sampling. Rarely, peripheral arteries can not be cannulated percutaneously or by cutdown technique. In this article, we describe a six-month-old female infant with a weight of six kilograms whom the left internal mammary artery was cannulated for monitoring arterial blood pressure due to unsuccessful catheterizations of other peripheral arteries. This line continued to function for 10 days postoperatively without any difficulty or complication. The internal mammary artery provides reliable access for blood pressure monitoring and arterial blood sampling in intra- and postoperative period in pediatric patients.

Keywords : Artery; internal mammary artery; blood pressure monitoring; catheterization; peripheral arterial; cut down

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