Ascending aortic cannulation in acute type A aortic dissection: a frightening but lifesaving procedure
Abstract
Different cannulation sites (e.g., femoral artery, axillary artery, left ventricular apex, and ascending aorta) and perfusion techniques (anterograde or retrograde) have been used for treating acute type A aortic dissection. The patient’s pathology and status determine the cannulation site. We present our experience with ascending aortic cannulation for acute type A aortic dissection.
Keywords
References
- Geirsson A, Szeto WY, Pochettino A, McGarvey ML, Keane MG, Woo YJ, et al. Significance of malperfusion syndromes prior to contemporary surgical repair for acute type A dissection: outcomes and need for additional revascularizations. Eur J Cardiothorac Surg. 2007 Aug;32(2):25-62.
- Bavaria JE, Brinster DR, Gorman RC, Woo YJ, Gleason T, Pochettino A. Advances in the treatment of acute type A dissection: an integrated approach. Ann Thorac Surg. 2002 Nov;74(5):S1848-52; discussion S1857-63.
- Fusco DS, Shaw RK, Tranquilli MT, Kopf GS, Elefteriades JA. Femoral cannulation is safe for type A dissection repair. Ann Thorac Surg. 2004 Oct;78(4):1285-9; discussion 1285-9.
- Jakob H, Tsagakis K, Szabo A, Wiese I, Thielmann M, Herold U. Rapid and safe direct cannulation of the true lumen of the ascending aorta in acute type A aortic dissection. J Thorac Cardiovasc Surg. 2007 Jul;134(1):244-5.
- Khaladj N, Shrestha M, Peterss S, Strueber M, Karck M, Pichlmaier M, et al. Ascending aortic cannulation in acute aortic dissection type A: the Hannover experience. Eur J Cardiothorac Surg. 2008 Oct;34(4):792-6; discussion 796.
- Conzelmann LO, Kayhan N, Mehlhorn U, Weigang E, Dahm M, Vahl CF. Reevaluation of direct true lumen cannulation in surgery for acute type A aortic dissection. Ann Thorac Surg. 2009 Apr;87(4):1182-6.
- Yavuz S, Goncu MT, Turk T. Axillary artery cannulation for arterial inflow in patients with acute dissection of the ascending aorta. Eur J Cardiothorac Surg. 2002 Aug;22(2):313-5.
- Schachner T, Nagiller J, Zimmer A, Laufer G, Bonatti J. Technical problems and complications of axillary artery cannulation. Eur J Cardiothorac Surg. 2005 Apr;27(4):634-7.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Case Report
Authors
Mihriban Yalcin
Department of Cardiovascular Surgery, Ordu State Hospital, Ordu
Türkiye
Eda Godekmerdan
This is me
Department of Cardiovascular Surgery, Ordu State Hospital, Ordu
Türkiye
Kaptan Derya Tayfur
Department of Cardiovascular Surgery, Ordu State Hospital, Ordu
Türkiye
Melih Urkmez
This is me
Department of Cardiovascular Surgery, Ordu State Hospital, Ordu
Türkiye
Serkan Yazman
This is me
Department of Cardiovascular Surgery, Ordu State Hospital, Ordu
Türkiye
Publication Date
March 4, 2016
Submission Date
November 16, 2015
Acceptance Date
January 12, 2016
Published in Issue
Year 2016 Volume: 2 Number: 1