inforMED
OtherFCP

ST JUDE MEDICAL

Received Apr 10, 2002 · Event occurred Feb 27, 2002

Report 390877 · MDR key 390877

Device

Generic name

Symmetry Bypass System (nitinol Aortic Connector)

Manufacturer

St Jude Medical

Model number

ACN 4550

Catalog number

GRAY COLOR CODE

Lot number

*

Product problems

  • Other (for use when an appropriate device code cannot be identified)

Patient

75 YR

  • Bleeding
  • Cardiopulmonary Arrest
  • Death

Narrative

Description of Event or Problem

PT RETURNED TO OR WITH COPIOUS BLEEDING INTO MEDIASTINUM POST-OP DAY #2 STATUS POST CAB6X4. BLEED NOTED AT RIGHT-SIDED (PDA) GRAFT PROXIMAL SITE AND SYMMETRY CONNECTOR (ACN 4550) APPEARED TO BE INTACT. IT WAS UNCLEAR WHETHER THE BLEEDING WAS DUE TO FRIABLE AORTA AT THIS SITE OR A DEFECT IN THE SAPHENOUS VEIN GRAFT ITSELF. REPAIR SUCCESSFUL. PT RECEIVED MULTI UNITS PACKED CELLS. POST-OP DAY #4 (2) WHILE ELEVATED BUN AND CREATINE AND POSSIBLE SEPTIC PICTURE, PT ARRESTED. AUTOPSY SHOWED AORTIC PATCH INTACT, POSSIBLE THROMBUS TO ALOM AND PDA GRAFTS, AND COMPLETE DEHISCENCE OF PROXIMAL ANASTOMOSIS OF PLOM GRAFT LIKELY DUE TO RESUSCITATION EFFORTS.