Ascending aortic cannulation in acute type A aortic dissection: a frightening but lifesaving procedure

Yıl 2016, Cilt: 2 Sayı: 1, 74 - 76, 04.03.2016

Mihriban Yalcin Eda Godekmerdan Kaptan Derya Tayfur Melih Urkmez Serkan Yazman

https://doi.org/10.18621/eurj.2016.2.1.74

Öz

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. 

Anahtar Kelimeler

Aortic dissection, acute type A dissection; ascending aortic cannulation

Kaynakça

• 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.
• Moizumi Y, Motoyoshi N, Sakuma K, Yoshida S. Axillary artery cannulation improves operative results for acute type A aortic dissection. Ann Thorac Surg. 2005 Jul;80(1):77-83.
• Borst HG, Heinemann MK, Stone CD. Surgical Treatment of Aortic Dissection. New York: Churchill Livingston Inc., 1996.
• Reece TB, Tribble CG, Smith RL, Singh RR, Stiles BM, Peeler BB, et al. Central cannulation is safe in acute aortic dissection repair. J Thorac Cardiovasc Surg. 2007 Feb;133(2):428-34.
• Kamiya H, Kallenbach K, Halmer D, Ozsoz M, Ilg K, Lichtenberg A, et al. Comparison of ascending aorta versus femoral artery cannulation for acute aortic dissection type A. Circulation. 2009 Sep;120(11 Suppl):S282-6.
• Suzuki T, Asai T, Matsubayashi K, Kambara A, Kinoshita T, Hiramatsu N, et al. Safety and efficacy of central cannulation through ascending aorta for type A aortic dissection. Interact Cardiovasc Thorac Surg. 2010 Jul;11(1):34-7.
• Minatoya K, Karck M, Szpakowski E, Harringer W, Haverich A. Ascending aortic cannulation for Stanford type A acute aortic dissection: another option. J Thorac Cardiovasc Surg. 2003 Apr;125(4):952-3.
• Osumi M, Wada H, Morita Y, Shimizu M, Sukehiro Y, Amako M, et al. Safety and efficacy of ascending aorta cannulation during repair of acute type A aortic dissection (PA29-04): "Presented at the 65th Annual Scientific Meeting of the Japanese Association for Thoracic Surgery’’. Gen Thorac Cardiovasc Surg. 2014 May;62(5):296-300.
• Wada H, Matsumura H, Minematsu N, Amako M, Nishimi M, Tashiro T. Direct and transapical central cannulation for acute type A aortic dissection. Ann Vasc Dis. 2014;7(3):286-91.
• Inoue Y, Ueda T, Taguchi S, Kashima I, Koizumi K, Takahashi R, et al. Ascending aorta cannulation in acute type A aortic dissection. Eur J Cardiothorac Surg. 2007 Jun;31(6):976-9; discussion 979-81.