Axillary Artery Cannulation for Surgery on the Hostile Aorta

Authors

  • Wichaya Withurawanit Cardiothoracic Surgical Unit, Department of Surgery, Faculty of Medicine, Ramathibodl Hospital, Mahidol University, Bangkok, Thailand
  • Omchai Rattananon Cardiothoracic Surgical Unit, Department of Surgery, Faculty of Medicine, Ramathibodl Hospital, Mahidol University, Bangkok, Thailand

Keywords:

Aortic surgery, Axillary artery cannulation, Cerebral perfusion

Abstract

Operative repair of the aortic arch or operation on the unfavorable condition of the ascending aorta is a challenging surgery. A series of axillary artery cannulation on the difficult aortic surgery at Ramathibodi Hospital was reported. Overall results as well as cannulation related complications were analyzed. Axillary artery cannulation makes difficult aortic surgery safer with acceptable complication rates.

References

1. Chronic thoracic and thoracoabdominal aortic disease. In: Nicholas T. Kouchoukos, Eugene H. Blackstone, Donald B. Doty Frank L. Hanley, Robert B. Karp, editors. Kirklin/Barratt-Boyes Cardiac Surgery 3rd ed. Churchill Livingston 2003:1863.

2. Reich DL, Uysal S, Sliwinski M, Ergin MA, Kahn RA, Konstandt SN, et al. Neuropsychiatric outcome after deep hypothermic circulatory arrest in adults. J Thorac Cardiovasc surg 1999; 117:156.

3. Treasure T, Naftel DC, Conger KA, Garcia JH, Kirklin JW, Blackstone EH. The effect of hypothermic circulatory arrest time on cerebral function, morphology and biochemistry. J Thorac Cardiovasc Surg 1983; 86:761.

4. Wozniak G, Dapper F, Zickmann B, Gehron J, Hehrlein FW. Selective cerebral perfusion via innominate artery in aortic arch replacement without deep hypothermic circulatory arrest. Int J Angiol 1999; 8:50-6.

5. Pacini D, Leone A, Di Marco L, Marsilli D, Sobiah F, Turci S, et al. Antegrade Selective Cerebral Perfusion in Thoracic Aorta Surgery: safety of moderate hypothermia. Eur J Cardiothorac Surg 2007; 31:618-22.

6. Hagl C, Ergin MA, Gala JD, Lansman SL, McNullough JN, Spielvogel D, et al. Neurological Outcome After Ascending-Aortic Arch Operations: Effect of Brain Protection Technique in High-Risk Patients. J Thorac Cardiovasc Surg 2001; 121:6:1107-21.

7. Sehr KJ, Orsuliak TA, Mullany CJ, Matloobi A, Daly RC, Dearani JA, et al. Surgery for aneurysms of the aortic root: a 30-year experience. Circulation 2004; 1 10:1364-71.

8. Kouchoukos NT, Wareing TH, Murphy SF, Perrillo JB. Sixteen-year experience with aortic root replacement; results of 172 operations. Ann Surg 1991; 214:3:308-18.

9. Kokotsakis J, Lazopoulos G, Milonakis M, Athanasiadis G, Skouteli E, Bastounis E. Right axillary artery cannulation for surgical management of the hostile aorta. Texas Heart Inst J 2005; 32:2:189-93.

10. Shetty R, Voisine P, Mathieu P, Dagenais F. Recannulation of the right axillary artery for complex aortic surgeries. Texas Heart Inst J 2005; 32:2:194-7.

11. Yilik L, Emrecan B, Ozsoyler I, Lafci B, Yakut N, Ozbek C. Direct versus side-graft cannulation of the right axillary artery for antegrade cerebral perfusion, Texas Heart Inst J 2006; 33:310-5.

12. Shimazaki Y, Watanabe T, Takahashi T. Minowa T, Inui K, Uchida T, et al. Minimized mortality and neurological complications in surgery for chronic arch aneurysm: axillary artery cannulation, selective cerebral perfusion and replacement of the ascending and total arch aorta. J Cardio Surg 2004; 19:338-42.

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Published

2011-03-31

How to Cite

1.
Withurawanit W, Rattananon O. Axillary Artery Cannulation for Surgery on the Hostile Aorta. Thai J Surg [Internet]. 2011 Mar. 31 [cited 2024 Nov. 23];32(1):9-12. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/249029

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Section

Original Articles