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Aortic reoperations: experience with 23 patients using axillary artery cannulation
Ali Gurbuz1, Bilgin Emrecan, Levent Yilik
1Department of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir, Turkey.
International Heart Journal
|January 6, 2006
Summary
Axillary artery cannulation offers a safe approach for aortic reoperations, ensuring good cerebral protection. This method is effective for complex aortic pathologies requiring repeat cardiac surgery.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Cardiac operations have increased, leading to a rise in aortic pathologies necessitating reoperation.
- Reoperative aortic surgery presents unique challenges, particularly regarding safe access and cerebral protection.
Purpose of the Study:
- To evaluate the safety and efficacy of axillary artery cannulation in patients undergoing aortic reoperations.
- To assess the outcomes of using axillary artery cannulation for cerebral protection during complex aortic surgeries.
Main Methods:
- A cohort of 23 patients with various aortic pathologies (acute/chronic type A aortic dissection, pseudoaneurysm, arcus aorta aneurysm) underwent reoperation.
- The right axillary artery was cannulated directly or via a side graft.
- Antegrade cerebral perfusion with moderate hypothermia was employed for brain protection.
Main Results:
- Four patients (17.4%) were lost post-operatively.
- No cerebral complications were observed in any of the patients.
- Axillary artery cannulation facilitated safe re-entry into the chest.
Conclusions:
- Axillary artery cannulation is a safe and effective technique for reoperative aortic surgery.
- This approach provides reliable cerebral protection, minimizing the risk of neurological complications.