Cannulation of Innominate Artery During Proximal Aortic Aneurysm Repair

Year 2018, Volume: 45 Issue: 4, 14 - 17, 13.12.2018

Ahmet Dolapoglu , Eyup Avcı Onursal Bugra

https://doi.org/10.5798/dicletip.474696

Abstract

Objective:
There are many debates for cannulation sites during aortic surgeries. The
cannulation technique which is providing antegrade flow is associated with
better survival and neurological outcomes than retrograde flow. For this
purpose, innominate and axillary artery cannulation have been increasingly used
for cardiopulmonary bypass recently. We aimed to present our experience with
innominate artery cannulation for cardiopulmonary bypass and antegrade
selective cerebral perfusion during proximal aortic aneurysm repair.

Methods: A
total of eighteen patients with proximal aortic aneurysm underwent surgical
repair were included into the study. Pre-operative patient’s charecteristis,
surgical details and postoperative outcomes were investigated.

Results:
The mean age was 58.8±10.2 and majority of the patients were male (72%). Bicuspit
leafletes was found in 9 patients (50%). Two patients died in postoperative
period. No stroke or new neurological deficit was seen after procedure.

Conclusions:
This study is emphasize that cannulation of innominate artery can be used in
safe and effective during aortic surgery.

Keywords

Innominate artery, aortic surgery, cardiopulmonary bypass

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