Ascending aortic cannulation in acute type A aortic dissection: a frightening but lifesaving procedure

Different cannulation sites (e.g., femoral artery, axillary artery, left ventricular apex, and ascending aorta) and perfusion techniques (anterograde or retrograde) have been used for treating acute type A aortic dissection. The patient’s pathology and status determine the cannulation site. We present our experience with ascending aortic cannulation for acute type A aortic dissection. 

___

  • Geirsson A, Szeto WY, Pochettino A, McGarvey ML, Keane MG, Woo YJ, et al. Significance of malperfusion syndromes prior to contemporary surgical repair for acute type A dissection: outcomes and need for additional revascularizations. Eur J Cardiothorac Surg. 2007 Aug;32(2):25-62.
  • Bavaria JE, Brinster DR, Gorman RC, Woo YJ, Gleason T, Pochettino A. Advances in the treatment of acute type A dissection: an integrated approach. Ann Thorac Surg. 2002 Nov;74(5):S1848-52; discussion S1857-63.
  • Fusco DS, Shaw RK, Tranquilli MT, Kopf GS, Elefteriades JA. Femoral cannulation is safe for type A dissection repair. Ann Thorac Surg. 2004 Oct;78(4):1285-9; discussion 1285-9.
  • Jakob H, Tsagakis K, Szabo A, Wiese I, Thielmann M, Herold U. Rapid and safe direct cannulation of the true lumen of the ascending aorta in acute type A aortic dissection. J Thorac Cardiovasc Surg. 2007 Jul;134(1):244-5.
  • Khaladj N, Shrestha M, Peterss S, Strueber M, Karck M, Pichlmaier M, et al. Ascending aortic cannulation in acute aortic dissection type A: the Hannover experience. Eur J Cardiothorac Surg. 2008 Oct;34(4):792-6; discussion 796.
  • Conzelmann LO, Kayhan N, Mehlhorn U, Weigang E, Dahm M, Vahl CF. Reevaluation of direct true lumen cannulation in surgery for acute type A aortic dissection. Ann Thorac Surg. 2009 Apr;87(4):1182-6.
  • Yavuz S, Goncu MT, Turk T. Axillary artery cannulation for arterial inflow in patients with acute dissection of the ascending aorta. Eur J Cardiothorac Surg. 2002 Aug;22(2):313-5.
  • Schachner T, Nagiller J, Zimmer A, Laufer G, Bonatti J. Technical problems and complications of axillary artery cannulation. Eur J Cardiothorac Surg. 2005 Apr;27(4):634-7.
  • Moizumi Y, Motoyoshi N, Sakuma K, Yoshida S. Axillary artery cannulation improves operative results for acute type A aortic dissection. Ann Thorac Surg. 2005 Jul;80(1):77-83.
  • Borst HG, Heinemann MK, Stone CD. Surgical Treatment of Aortic Dissection. New York: Churchill Livingston Inc., 1996.
  • Reece TB, Tribble CG, Smith RL, Singh RR, Stiles BM, Peeler BB, et al. Central cannulation is safe in acute aortic dissection repair. J Thorac Cardiovasc Surg. 2007 Feb;133(2):428-34.
  • Kamiya H, Kallenbach K, Halmer D, Ozsoz M, Ilg K, Lichtenberg A, et al. Comparison of ascending aorta versus femoral artery cannulation for acute aortic dissection type A. Circulation. 2009 Sep;120(11 Suppl):S282-6.
  • Suzuki T, Asai T, Matsubayashi K, Kambara A, Kinoshita T, Hiramatsu N, et al. Safety and efficacy of central cannulation through ascending aorta for type A aortic dissection. Interact Cardiovasc Thorac Surg. 2010 Jul;11(1):34-7.
  • Minatoya K, Karck M, Szpakowski E, Harringer W, Haverich A. Ascending aortic cannulation for Stanford type A acute aortic dissection: another option. J Thorac Cardiovasc Surg. 2003 Apr;125(4):952-3.
  • Osumi M, Wada H, Morita Y, Shimizu M, Sukehiro Y, Amako M, et al. Safety and efficacy of ascending aorta cannulation during repair of acute type A aortic dissection (PA29-04): "Presented at the 65th Annual Scientific Meeting of the Japanese Association for Thoracic Surgery’’. Gen Thorac Cardiovasc Surg. 2014 May;62(5):296-300.
  • Wada H, Matsumura H, Minematsu N, Amako M, Nishimi M, Tashiro T. Direct and transapical central cannulation for acute type A aortic dissection. Ann Vasc Dis. 2014;7(3):286-91.
  • Inoue Y, Ueda T, Taguchi S, Kashima I, Koizumi K, Takahashi R, et al. Ascending aorta cannulation in acute type A aortic dissection. Eur J Cardiothorac Surg. 2007 Jun;31(6):976-9; discussion 979-81.
The European Research Journal-Cover
  • ISSN: 2149-3189
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 2015
  • Yayıncı: Prusa Medikal Yayıncılık Limited Şirketi
Sayıdaki Diğer Makaleler

The effect of surgery on functional outcomes of the elbow in adults with isolated capitellar fractures

Alpaslan OZTURK, Yuksel OZKAN, Nazan CEVİK, Ahmet Murat AKSAKAL, Yavuz AKALİN, Ali OTUZBİR

Evaluation of Tp-e interval and Tp-e/ QTc ratio in patients with mild to moderate psoriasis

Tezcan PEKER, Selcuk KANAT, Fahriye VATANSEVER, Erhan TENEKECİOGLU, Kemal KARAAGAC, Ozlem Arican OZLUK, Dursun TOPAL, Bedrettin BOYRAZ, Mustafa YİLMAZ

Clinical and pathological evaluation of histopathological subtypes in patients with non-Hodgkin's lymphoma

Feray TABAKAN, Erdinç NAYIR, Ali ARICAN

Ascending aortic cannulation in acute type A aortic dissection: a frightening but lifesaving procedure

Serkan YAZMAN, Mihriban YALCİN, Melih URKMEZ, Eda GODEKMERDAN, Kaptan Derya TAYFUR

Efficacy of antibody levels in different post-exposure rabies vaccination programs

Cigdem Ataman HATİPOGLU, Sami KİNİKLİ, Ali Pekcan DEMİROZ, Meliha Cagla SONMEZER, Esra Kaya KİLİC, Cemal BULUT

Yavuz AKALIN, ALPASLAN ÖZTÜRK, Yüksel ÖZKAN, Nazan ÇEVİK, Ahmet Murat AKSAKAL, Ali OTUZBİR

Concurrent cases of bilateral anterior shoulder dislocation: our observations in three cases

Alpaslan OZTÜRK, Orhan AKİNCİ, Yavuz AKALİN, Ali OTUZBİR

Esra Kaya KİLİC, Cemal BULUT, Meliha Çağla SÖNMEZER, Çiğdem Ataman HATİPOĞLU, Sami KINIKLI, Ali Pekcan DEMİRÖZ

Ender ŞAHİN, İlhan ÜNLÜ, ELİF NİSA ÜNLÜ, Zeynep KAPTAN, Hakkı UZUNKULAOĞLU, Ethem Erdal SAMİM, Kamil Gokce TULACİ, Yunus KARADAVUT

Can QT dispersion predict multi-vessel coronary artery disease in patients with acute coronary syndrome?

Fahriye VATANSEVER, Erhan TENEKECİOGLU, Omur AYDİN, Kemal KARAAGAC, Tezcan PEKER, Alkame AKGUMUS, Ozlem Arican OZLUK, Bedrettin BOYRAZ, Mustafa YİLMAZ