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Acute intraoperative aortic dissection following axillary artery cannulation

Department of Cardiothoracic Surgery, University of Athens School of Medicine, Attikon Hospital, 1 Rimini St., Haidari 12462, Athens, Greece

*Corresponding author. Fax: +30-2105326416.

E-mail address: ckrokkas{at}yahoo.com (C.K. Rokkas).

We describe a 75-year-old woman who underwent right axillary artery cannulation in preparation for reconstruction of the aortic arch and the proximal descending aorta for athesosclerotic aortic aneurysm via a ‘clamshell’ incision. As soon as cardiopulmonary bypass was established, the ascending aorta and the aortic arch was dissected. The innominate artery was dissected including one-third of its circumferance anteriorly. Arterial perfusion was stopped immediately and the left femoral artery was cannulated to resume CPB. We proceeded with replacement of the ascending aorta, the aortic arch and the proximal descending thoracic aorta with a Dacron branched aortic graft. The patient recovered uneventfully. Arterial blood pressure was equal bilaterally.

Key Words: Aorta/aortic; Aortic arch; Aortic dissection; Aortic operation

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eComment: TEE- and guidewire-guided axillary artery cannulation. An option?

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				S. Demertzis eComment: TEE- and guidewire-guided axillary artery cannulation. An option? Interactive CardioVascular and Thoracic Surgery, April 1, 2008; 7(2): 289 - 289. [Full Text] [PDF]