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Aortic cannulation for type A dissection: guidance by transesophageal echocardiography

^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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