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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Left axillary cannulation for acute type A aortic dissection.

Yang-Xue Sun¹, Mao-Long Meng², Gang Li²

¹Department of Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, 167# Beilishi Road, Beijing, 100037, China.

Journal of Cardiothoracic Surgery

|August 20, 2022

Summary

This summary is machine-generated.

Left axillary cannulation offers a safe alternative for type A aortic dissection surgery when standard arterial access sites are compromised. This approach facilitated successful aortic arch repair and frozen elephant trunk implantation in a complex case.

Keywords:

Axillary artery Cannulation Cardiopulmonary bypass Femoral artery Type A aortic dissection

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Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Aortic Surgery

Background:

Type A aortic dissection commonly involves the right axillary or femoral arteries for arterial cannulation.
Alternative cannulation strategies are essential when these standard sites are compromised by dissection.

Observation:

A 39-year-old male presented with acute type A aortic dissection affecting the right axillary and both femoral arteries.
Left axillary artery cannulation was successfully employed for cardiopulmonary bypass.

Findings:

Selective cerebral perfusion was achieved via direct left common carotid artery cannulation during circulatory arrest.
The patient underwent successful ascending aorta and total aortic arch replacement with frozen elephant trunk implantation.
The patient experienced an uneventful recovery.

Implications:

Left axillary artery cannulation is a viable and safe option for complex type A aortic dissections when conventional sites are unsuitable.
This technique enables complex aortic arch reconstruction, including frozen elephant trunk procedures, in challenging anatomical scenarios.