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Transapical aortic cannulation using a deep hypothermic procedure through a left thoracotomy for acute traumatic
Takahiro Takemura1, Yoshiei Shimamura, Masayuki Sakaguchi
1Department of Cardiovascular Surgery, National Nagano Hospital, Ueda, Nagano, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|December 3, 2003
Summary
Transapical aortic cannulation via left thoracotomy offers a viable solution for acute traumatic aortic rupture. This technique aids in preventing brain and upper body malperfusion during emergency aortic repair.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Thoracic Surgery
Background:
- Acute traumatic aortic rupture is a life-threatening injury often requiring immediate surgical intervention.
- Standard surgical approaches may present challenges in achieving adequate perfusion during complex aortic repairs.
Observation:
- A 26-year-old male with traumatic aortic rupture presented in hypovolemic shock.
- Computed tomography revealed proximal descending aortic rupture with extensive mediastinal hematoma.
- Emergency aortic graft replacement was performed via left thoracotomy under hypothermic circulatory arrest.
Findings:
- Transapical aortic cannulation was successfully employed alongside femoral cannulation.
- This combined approach aimed to prevent malperfusion of the brain and upper body during retrograde perfusion.
- The patient experienced a favorable postoperative outcome.
Implications:
- Transapical aortic cannulation represents a valuable alternative technique for aortic operations performed through a left thoracotomy.
- This method enhances safety and efficacy in managing acute traumatic aortic injuries.
- It provides a crucial option for complex thoracic aortic surgeries requiring circulatory arrest.