title: Use of saphenous vein graft in axillary artery cannulation.
abstract: Axillary artery cannulation for cardiopulmonary bypass is becoming increasingly used for surgery of aortic dissections for reoperations and extensively diseased ascending aortas. This can be achieved either directly or with a graft. We describe a case with a repair of chronic type A dissection in which axillary cannulation was achieved by placing the arterial cannula into a saphenous vein graft that had been anastomosed end-to-side to the axillary artery. This provides a natural, inexpensive, readily available, and more hemostatic alternative to the use of prosthetic grafts.
authors.affiliation: Department of Cardiothoracic Surgery, University Hospital of North Staffordshire NHS Trust, Staffordshire, United Kingdom. mahmoud.loubani@ntlworld.com
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Loubani
authors.forename: Jitendra M
authors.initials: JM
authors.lastname: Parmar
authors.forename: Nick W
authors.initials: NW
authors.lastname: Clowes
authors.forename: Qamar
authors.initials: Q
authors.lastname: Abid
mesh_terms: D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery; D001011:Aorta; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery; D001161:Arteriosclerosis / Q000150:complications; D001366:Axillary Artery / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass / Q000379:methods*; D002404:Catheterization / Q000379:methods*; D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*