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Interact CardioVasc Thorac Surg 2008;7:1107-1109. doi:10.1510/icvts.2008.189878
© 2008 European Association of Cardio-Thoracic Surgery
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Proposal for bail-out procedures - Vascular thoracic

Surgical management for Stanford type A aortic dissection: direct cannulation of real lumen at the level of the Botallo's ligament by Seldinger technique

Laszlo Göbölös*, Alois Philipp, Maik Foltan and Karsten Wiebe

Department of Cardiothoracic Surgery, University Hospital of Regensburg, Germany

Corresponding author. Heart Institute, University of Pecs, Ifjusag u. 13, 7624 Pecs, Hungary. Tel.: +36-20-9889-949; fax: +36-72-536-001/5658.

E-mail address: isartor{at}hotmail.com (L. Göbölös).

A 50-year-old man was diagnosed with Stanford type A acute aortic dissection with cerebral malperfusion and unconsciousness. This clinical presentation was investigated by computed tomography which revealed a severe type A dissection involving all limb arteries. Successful operative treatment based on the direct arterial cannulation of the real lumen of dissected aorta at the level of Botallo's ligament by Seldinger technique achieves an appropriate perfusion and rapid cooling of the instable patient. To our knowledge this is the first reported case in the literature.

Key Words: Aortic dissection; Type A; Direct cannulation; Seldinger; Botallo's ligament


Related Article

eComment: Perfusion of the true lumen during surgery for aortic dissection
Salvatore Lentini, Marcello Savasta, Francesco Monaco, and Roberto Gaeta
Interactive CardioVascular and Thoracic Surgery 2008 7: 1109. [Full Text] [PDF]



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S. Lentini, M. Savasta, F. Monaco, and R. Gaeta
eComment: Perfusion of the true lumen during surgery for aortic dissection
Interactive CardioVascular and Thoracic Surgery, December 1, 2008; 7(6): 1109 - 1109.
[Full Text] [PDF]


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