BACKGROUND For aortic arch surgery, the potential risks of deep hypothermic circulatory arrest with or without antegrade cerebral perfusion have been widely documented. We hereby describe our early experience with a "branch-first continuous perfusion" technique that, by avoiding deep hypothermia and circulatory arrest, has the potential to reduce morbidity and mortality. METHODS Arterial perf...

Axillary artery is a continuation of subclavian artery, extending from the outer border of first rib to the lower border of teres major muscle. During routine dissection for the undergraduate medical students, a rare variations was seen in an approximately 55-year-old male cadaver. This case showed a variation in branching pattern of right axillary and subscapular arteries. The subscapular arte...

OBJECTIVES To determine indications and results of axillary artery cannulation for cardiopulmonary bypass. METHODS From January 2005 through December 2008, axillary artery cannulation was used in 48 patients. Mean age was 62 +/- 11 years and 33 (69%) patients were males. Axillary artery was approached by infraclavicular incision and the cannula introduced in a 8 millimeter Dacron side graft. ...

Introduction Usually the ulnar artery arises as one of the two terminal branches of brachial artery in the cubital fossa, which in turn gives rise to common interosseous artery in the upper forearm. Ulnar artery continues as superficial palmar arch in the hand by joining with superficial palmar branch of radial artery [1]. The term superficial ulnar artery is given when it arises from axillary ...

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 ...

During routine dissection, we found a rare case of an aberrant muscular slip originating from the pectoralis major called as the "chondroepitrochlearis / thoracoepicondylaris / costohumeralis" and an anomalous slip from the latissimus dorsi called as "axillary arch of Langer / musculus dorsoepitrochlearis" in the same axilla. Interestingly, these two slips found to have a common insertion after...

compared to transfemoral access, but detection and management of these complications are not well defined. We presented two unusual cases of pectoral muscle hematoma after transradial coronary angioplasty. The first case was a male patient who had undergone angiography through the left radial artery. Advancing to the aortic arch through the axillary artery was challenging and was performed by c...

AIM Brief case report of the treatment of a large axillary artery pseudoaneurysm after a pacemaker using a left brachial cutdown and a retrograde delivery of a covered stent using ultrasound and fluoroscopic guidance. The patient's renal function precluded the use of contrast materials. CASE REPORT A 77 years old man presenting with acute renal failure and haemoglobin decrease arrived with an...