Transapical aortic cannulation for acute aortic dissection to prevent malperfusion and cerebral complications.
We describe a technique for transapical cannulation in cases of acute aortic dissection. This method entails aortic cannulation via the apex of the left ventricle and the aortic valve. When this technique is used, retrograde perfusion prevents such fatal complications as malperfusion or cerebral embolism that can occur with femoral cannulation. Having found no disadvantage in this method, we recommend transapical cannulation as the best cannulation technique for acute aortic dissection.
Yamamoto
S
S
Department of Cardiothoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Hosoda
Y
Y
Yamasaki
M
M
Ishikawa
N
N
Fuchimoto
K
K
Fukuda
T
T
D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002545:Brain Ischemia / Q000517:prevention & control*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D002315:Cardiopulmonary Bypass; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D020766:Intracranial Embolism / Q000517:prevention & control*; D007431:Intraoperative Complications / Q000517:prevention & control*; D012307:Risk Factors