Cannulation of the Ascending Aorta in Left Thoracotomy for Thoracic Aortic Aneurysms
DOI:
https://doi.org/10.1532/HSF98.20041167Abstract
In patients with aneurysms of the thoracic aorta, the risks of cerebral embolism and malperfusion are increased if retrograde aortic perfusion via the femoral artery is used during repair. We describe a surgical technique used for 6 aneurysms of the thoracic descending aorta that were operated on via thoracotomy with cannulation of the ascending aorta and deep hypothermic circulatory arrest.References
Brown RP, Esmore DS, Lawson C. 1996. Improved sternal fixation in the transsternal bilateral thoracotomy incision. J Thorac Cardiovasc Surg 112:137-41.nKatoh T, Gohra H, Hamano K, Takenaka H, Zempo N, Esato K. 2000. Right axillary cannulation in the left thoracotomy for thoracic aortic aneurysm. Ann Thorac Surg 70:311-3.nKouchoukos NT, Masetti P, Rokkas CK, Murphy SF, Blackstone EH. 2001. Safety and efficacy of hypothermic cardiopulmonary bypass and circulatory arrest for operations on the descending thoracic and thoracoabdominal aorta. Ann Thorac Surg 72:699-708.nMoriyama Y, Iguro Y, Hisatomi K, Yotsumoto G, Yamamoto H, Toda R. 2001. Thoracic and thoracoabdominal aneurysm repair under deep hypothermia using subclavian arterial perfusion. Ann Thorac Surg 71:29-32.nNeri E, Massetti M, Barabesi L, et al. 2002. Extrathoracic cannulation of the left common carotid artery in thoracic aorta operations through a left thoracotomy: preliminary experience in 26 patients. J Thorac Cardiovasc Surg 123:901-10.nShiiya N, Yasuda K, Murashita T, et al. 1997. Transapical aortic cannulation for hypothermic aortic operation through a left thoracotomy: an alternative to avoid retrograde arterial perfusion. J Thorac Cardiovasc Surg 113:1113-4.nWestaby S, Katsumata T. 1998. Proximal aortic perfusion for complex arch and descending aortic disease. J Thorac Cardiovasc Surg 115:162-7.nWestaby S, Katsumata T, Vaccari G. 1999. Arch and descending aortic aneurysms: influence of perfusion technique on neurological outcome. Eur J Cardiothorac Surg 15:180-5.n
