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Right axillary cannulation in the left thoracotomy for thoracic aortic aneurysm
1First Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan. t-katoh@po.cc.yamaguchi-u.ac.jp
The Annals of Thoracic Surgery
|August 2, 2000
Abstract:
Perfusion from the femoral artery is commonly used in the open proximal method of performing distal aortic arch aneurysm repair or Stanford type B aortic dissection repair under circulatory arrest through left thoracotomy. However, it is associated with a significant risk of retrograde emboli or malperfusion, and with other problems including a restricted time of circulatory arrest to the brain and difficulties in de-airing from the arch branches and proximal ascending aorta. To overcome these problems, we developed a method of performing right axillary perfusion through left thoracotomy.