TECHNICAL NOTES  CARDIAC SECTION 

The Journal of Cardiovascular Surgery 2002 December;43(6):853-5

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Ascending aortic cannulation via left thoracotomy for distal aortic arch aneurysm operation

Kanda K., Satoh S., Okano T., Shimada Y., Yaku H., Kitamura N.

Department of Cardiovascular Surgery Kyoto Prefectural University of Medicine, Kyoto, Japan

We ­have can­nu­lat­ed ­the ascend­ing aor­ta ­for car­di­o­pul­mo­nary ­bypass ­via ­left thor­a­cot­o­my in ­order to ­avoid con­ven­tion­al ret­ro­grade per­fu­sion ­from ­the femo­ral arter­ies, ­which is asso­ciat­ed ­with an ­increased ­risk of cere­bral embo­lism. We ­use ­silk ­sutures to ­retract ­the ante­ri­or mar­gin of ­the ­opened per­i­car­di­um ­from ­the ­chest ­wall, ­which pro­vides ­good expo­sure ­and ­easy con­trol of ­the ascend­ing aor­ta. Between July 1997 ­and November 2000, can­nu­la­tion ­proved ­easy to do ­and reli­able in 24 seri­al ­patients.