Vascular Reconstruction in a Neonate after Iatrogenic Injury during Cardiac Catheterization

1 Cardiac catheterization has transformed the management of pediatric cardiac disease, as the indications for pediatric catheterization are broad and far-reaching.1–3 Cardiac catheterization, however, is not without risk. In pediatric patients, the rate of complications ranges from 7.8% to 16.2%.1,5–9 The most common complication is vascular injury, which accounts for nearly one third of all complications.1,7 We report the surgical treatment of a 31-day-old infant with an injury to the left common iliac artery (CIA) leading to significant retroperitoneal hemorrhage (RPH) that occurred during a diagnostic cardiac catheterization.