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Axillary artery cannulation in acute ascending aortic dissections
J D Whitlark1, S M Goldman, F P Sutter
1Main Line Cardiothoracic Surgeons, Lankenau Hospital, Jefferson Health System, Wynnewood, Pennsylvania 19096, USA. mlcts2220@aol.com
The Annals of Thoracic Surgery
|May 9, 2000
Summary
Right axillary artery perfusion is a safe and effective alternative to femoral artery cannulation for ascending aortic dissection repair. This method reliably perfuses the true lumen, potentially improving outcomes for DeBakey type I and II dissections.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Femoral artery cannulation for ascending aortic dissection repair poses a high risk of malperfusion.
- Ascending aortic dissections require precise surgical intervention to prevent complications.
Purpose of the Study:
- To evaluate the safety and efficacy of right axillary artery perfusion in patients undergoing repair of acute ascending aortic dissections.
- To determine if axillary artery perfusion offers advantages over traditional femoral artery cannulation.
Main Methods:
- Retrospective analysis of 13 patients undergoing acute ascending aortic dissection repair.
- All patients received perfusion via the right axillary artery under deep hypothermic circulatory arrest.
Main Results:
- No intraoperative or postoperative complications related to axillary artery perfusion were observed.
- One patient experienced a mild intraoperative cerebrovascular accident with full recovery; one operative death occurred due to low cardiac output.
Conclusions:
- Right axillary artery perfusion is a safe and effective technique for ascending aortic dissection repair.
- This method reliably perfuses the true lumen, potentially offering superior outcomes compared to femoral artery perfusion.
- Axillary artery perfusion may be advantageous for DeBakey type I and II aortic dissections.