[The advantages of axillary artery cannulation in surgical treatment of type A acute aortic dissection].
There are more alternative cannulation techniques during surgery of type A aortic dissection. The most frequently used femoro-atrial cannulation method provides limited possibility for brain protection during surgery. This theory is confirmed by relatively high frequency of major brain complications in patients operated on while using this cannulation technique. During the last years cannulationis used more often, as it may provide more protection for the brain than other methods. In 2003 seven patients underwent aortic reconstruction because of type A acute aortic dissection using axillary cannulation. All patients except one were discharged after uneventful recovery. There were no postoperative neurological complications following surgery. We lost one patient due to distal progression of the dissection. He was the only patient with clinical evidence of transient postoperative brain damage. We are strongly convinced that the spectacular improvement in our results for the surgery of type A acute aortic dissection is due to the axillary cannulation, the anterograde flow and the isolated cerebral perfusion. We recommend the axillary cannulation technique as the first choice in type A acute aortic dissection.
Semmelweis Egyetem, Altalános Orvostudományi Kar, Er- es Szívsebészeti Klinika, Budapest.
Zoltán
Z
Szabolcs
Elek
E
Bodor
Tivadar
T
Hüttl
László
L
Entz
Mária
M
Windisch
Csaba
C
Minorics
György
G
Acsády
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000473:pathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000473:pathology / Q000601:surgery*; D001158:Arteries / Q000601:surgery; D001365:Axilla / Q000098:blood supply*; D002404:Catheterization; D002560:Cerebrovascular Circulation; D010478:Chemotherapy, Cancer, Regional Perfusion; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies