Transapical aortic cannulation for acute aortic dissection with diffuse atherosclerosis.
نویسندگان
چکیده
The Journal of Thoracic and Cardiovascular Surgery • Volume 123, Number 2 369 I n surgery for acute aortic dissection, the choice of appropriate arterial access for cardiopulmonary bypass is sometimes difficult because of dissection in large branches of the aorta. We report the efficacy of transapical aortic cannulation in acute type A aortic dissection in a patient with diffuse atherosclerotic disease.
منابع مشابه
How I do it: transapical cannulation for acute type-A aortic dissection
Aortic dissection is the most frequently diagnosed lethal disease of the aorta. Half of all patients with acute type-A aortic dissection die within 48 hours of presentation. There is still debate as to the optimal site of arterial cannulation for establishing cardiopulmonary bypass in patients with type-A aortic dissection. Femoral artery cannulation with retrograde perfusion is the most common...
متن کاملComparison of the left ventricular apex versus other arterial cannulation sites for the operative management of acute type A aortic dissection
Method Between January 2010 and January 2015, emergent surgical aortic repair was performed in 158 consecutive patient with acute type A aortic dissection. In all patients open distal anastomosis was performed using deep hypothermic circulatory arrest. Patients were divided into two groups: transapical cannulation group and other cannulation sites group (including femoral and axillary artery ca...
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BACKGROUND Avoiding various complications is a challenge during re-do thoracoabdominal aneurysm surgery. CASE PRESENTATION A 56-year-old man had undergone surgery for type I aortic dissection four times. The residual thoracoabdominal aortic aneurysm that had severe adhesions to lung parenchyma was resected. Since the proximal anastomotic site was buried in lung parenchyma, deep hypothermia wa...
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BACKGROUND We combined transapical cannulation and right axillary artery cannulation in the repair of acute type A aortic dissection in order to reduce mortality and morbidity in the presence of risk of malperfusion. Early and midterm outcomes were evaluated. METHODS Between October 2009 and March 2012, 23 aortic dissection patients (age, 54.3 ± 13.5 years) received graft replacement using a ...
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Aortic coarctation is a rare but dangerous condition. Presence of aortic dissection in addition to coarctation is significantly rarer and more life-threatening. Here, we present a case of acute inferior MI due to aortic dissection complicating a native aortic coarctation. A 17-year-old boy was admitted to our emergency department due to severe chest pain and loss of consciousness. His ele...
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ورودعنوان ژورنال:
- The Journal of thoracic and cardiovascular surgery
دوره 125 3 شماره
صفحات -
تاریخ انتشار 2002