Which Arterial Cannulation is Better for Acute Type A Aortic Dissection Repair?
Keywords:
acute type A aortic dissection, arterial cannulation
Abstract
It is strongly believed that surgical results of management of acute type A dissection of the ascending aorta (AAD) are influenced by perfusion technique and cannulation site for cardiopulmonary bypass. From January 2010 to March 2016, 120 patients underwent emergency surgical repair of the AAD (mean age 52±25 years, 78 male, 42 female). Medical records of 120 patients who received femoral (70), aortic arch (21), direct ascending aorta (18), carotid (10) or innominate artery (1) cannulation were reviewed. The hospital mortality rate was 12,5% (15 of 120); and not related to cannulation sites. The optimal site for aortic input for the repair of AAD should be chosen according to patient’s status.
References
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2. Femoral cannulation is safe for type A dissection repair / Fusco D. S., Shaw R. K., Tranquilli M., et al. // Ann Thorac Surg. – 2004. – Vol. 78. – No. 4. – P. 1285–9.
3. Gulbins H., Pritisanac A., Ennker J. Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation? / Gulbins H., Pritisanac A., Ennker J. // Ann Thorac Surg. – 2007. – Vol. 83. – P. 1219–24.
4. Ascending aortic cannulation for Stanford type A acute aortic dissection: another option / Minatoya K., Karck M., Szpakowski E., et al. // J Thorac Cardiovasc Surg. – 2003. – Vol. 125. – P. 952–953.
5. Axillary artery cannulation improves operative results for acute type a aortic dissection / Moizumi Y., Motoyoshi N., Sakuma K., et al. // Ann Thorac Surg. – 2005. – Vol. 80. – P. 77–83.
6. Urbanski, P. P. Carotid artery cannulation in acute aortic dissection with malperfusion / Urbanski, P. P. // J Thorac Cardiovasc Surg. – 2006. – Vol. 131. – P. 1398–1399.
7. Transapical aortic cannulation for cardiopulmonary bypass in type A aortic dissection operations / Wada S., Yamamoto S., Honda J., et al. // J Thorac Cardiovasc Surg. – 2006. – Vol. 132. – P. 369–372.
Published
2016-05-16
How to Cite
1.
Kulyk LV, Beszlej DM, Averchuk VG, Protsyk IS, Orel YG, Fedorenko VP, Sterniuk AM, Pavlov VT. Which Arterial Cannulation is Better for Acute Type A Aortic Dissection Repair?. ujcvs [Internet]. 2016May16 [cited 2024Dec.22];(1 (24):106-8. Available from: https://cvs.org.ua/index.php/ujcvs/article/view/283
Section
PATHOLOGY OF AORTA
