title: Transapical aortic cannulation using a deep hypothermic procedure through a left thoracotomy for acute traumatic aortic rupture.
abstract: We describe a transapical aortic cannulation procedure through a left thoracotomy for a case of acute traumatic aortic rupture. A 26-year-old man was involved in a motor vehicle accident and admitted in a state of hypovolemic shock. Chest computed tomography findings revealed a rupture of the proximal portion of the descending aorta and a massive hematoma around the aorta extending into the thoracic cavity. Under hypothermic circulatory arrest, he underwent an emergency graft replacement through a left thoracotomy. We used transapical aortic cannulation together with femoral cannulation, in order to avoid malperfusion of the brain and upper body that can occur as a result of retrograde perfusion. The postoperative outcome was favorable. Transapical cannulation is a useful alternative for hypothermic aortic operations through a left thoracotomy.
authors.affiliation: Department of Cardiovascular Surgery, National Nagano Hospital, Ueda, Nagano, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Takemura
authors.forename: Yoshiei
authors.initials: Y
authors.lastname: Shimamura
authors.forename: Masayuki
authors.initials: M
authors.lastname: Sakaguchi
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Tsuda
authors.forename: Shizuko
authors.initials: S
authors.lastname: Iwasa
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D006801:Humans; D007036:Hypothermia, Induced; D013908:Thoracotomy / Q000379:methods*