Use of saphenous vein graft in axillary artery cannulation.
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.
Loubani
Mahmoud
M
Department of Cardiothoracic Surgery, University Hospital of North Staffordshire NHS Trust, Staffordshire, United Kingdom. mahmoud.loubani@ntlworld.com
Parmar
Jitendra M
JM
Clowes
Nick W
NW
Abid
Qamar
Q
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*