Aortic cannulation for type A dissection: guidance by transesophageal echocardiography
N Noiseux, P Couture, P Sheridan… - … and Thoracic Surgery, 2003 - academic.oup.com
N Noiseux, P Couture, P Sheridan, R Cartier
Interactive Cardiovascular and Thoracic Surgery, 2003•academic.oup.comWe describe an alternative technique for aortic arch cannulation that can be used during the
repair of Stanford type A aortic dissection. In order to minimize the risk of complications and
malperfusion associated with retrograde flow during cardiopulmonary bypass, we avoided
femoral artery cannulation and used antegrade flow via a direct cannulation of the aortic
arch in an area free of dissection. Transesophageal echocardiography is used peri-
operatively to guide the cannulation of the true lumen in the distal aortic arch.
repair of Stanford type A aortic dissection. In order to minimize the risk of complications and
malperfusion associated with retrograde flow during cardiopulmonary bypass, we avoided
femoral artery cannulation and used antegrade flow via a direct cannulation of the aortic
arch in an area free of dissection. Transesophageal echocardiography is used peri-
operatively to guide the cannulation of the true lumen in the distal aortic arch.
Abstract
We describe an alternative technique for aortic arch cannulation that can be used during the repair of Stanford type A aortic dissection. In order to minimize the risk of complications and malperfusion associated with retrograde flow during cardiopulmonary bypass, we avoided femoral artery cannulation and used antegrade flow via a direct cannulation of the aortic arch in an area free of dissection. Transesophageal echocardiography is used peri-operatively to guide the cannulation of the true lumen in the distal aortic arch.
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