Partial left ventricular support implanted through minimal access surgery as a bridge to cardiac transplant.

the bilateral axillary arteries had been routinely prepared for selective cerebral perfusion at the Hiroshima University Hospital. The addition of FA-P might be another strategy in other institutions. Because there are unpredictable factors in acute aortic dissection, decisions need to be made stepwise and be based on real-time information at each step. Although our initial assessment was incorrect, TEE and orbital Doppler findings steered the subsequent management toward a good outcome. Compression of IA can be a mechanism of malperfusion after right AX-P. In acute aortic dissection with many unpredictable factors, real-time, on-site information is essential for intraoperative navigation.