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Interact CardioVasc Thorac Surg 2007;6:51. doi:10.1510/icvts.2006.136606A
© 2007 European Association of Cardio-Thoracic Surgery
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Institutional report - Aortic and aneurysmal

ICVTS on-line discussion A

Mehmet Ates

Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul 34732, Turkey

Long-term outcomes after repaired acute type A aortic dissections

The authors [1] said that cardiopulmonary bypass was established by median sternotomy after retrograde femoral cannulation in the first sentence of the surgical procedure, but in the same section they used antegrade cerebral perfusion in some cases. I do not understand exactly how they performed antegrade cerebral perfusion: via the subclavian artery or the innominate artery. Also, they should explain what they used for antegrade cerebral perfusion.

Recently, so many aortic surgeons have been using open distal repair. If aortic regurgitation is less than 2+, we can use open distal anastomosis easily without cardiac venting problems. If aortic regurgitation is more than 2+, we have to use aortic cross-clamp and we can repair proximal anastomosis first.


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  1. Gariboldi V, Grisoli D, Kerbaul F, Giorgi R, Riberi A, Metras D, Mesana TG, Collart F. Long-term outcomes after repaired acute type A aortic dissections. Interact CardioVasc Thorac Surg doi:10.1510/icvts.2006.136606 [UPDATE!].[Abstract/Free Full Text]

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Long-term outcomes after repaired acute type A aortic dissections
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Interactive CardioVascular and Thoracic Surgery 6: 47-51. [Full Text]




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