An intermittent ascending aorta clamping strategy to rescue an emergency management of unexpected massive hemorrhage in mediastinal tumor surgery: a case report.

Source: PubMed, NCBI / U.S. National Library of Medicine

Mediastinal tumors pose significant surgical and anesthetic challenges. In this paper, we discuss the management of a large mediastinal tumor complicated by sudden aortic injury. With the strategic application of an intermittent ascending aorta clamping technique combined with timely extracorporeal support, the aortic injury could be successfully managed. Additionally, complete tumor resection was possible without any deterioration of vital organ functions, which resulted in a successful outcome. Our experience with this case offers valuable insights for managing similar challenging surgical scenarios.