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Interactive Cardiovascular and Thoracic Surgery 2:178-180(2003)
© 2003 European Association of Cardio-Thoracic Surgery

Work in progress report - Vascular thoracic

Aortic cannulation for type A dissection: guidance by transesophageal echocardiography

Nicolas Noiseuxa, Pierre Coutureb, Peter Sheridanb and Raymond Cartiera,*

a Department of Surgery, Montreal Heart Institute, Montreal, Quebec, H1T 1C8 Canada
b Department of Anesthesiology, Montreal Heart Institute, Montreal, Quebec, Canada

* Corresponding author. Tel.: +1-514-376-3330; fax: +1-514-376-4766
rc2910{at}aol.com

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.

Key Words: Aortic dissection; Aortic cannulation; Transesophageal echocardiography




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S. Yavuz
What is the best arterial cannulation site in a complicated patient with acute type A aortic dissection?
Interactive CardioVascular and Thoracic Surgery, February 1, 2008; 7(1): 134 - 135.
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