title: Aortic reoperations: experience with 23 patients using axillary artery cannulation.
abstract: The increase in the number of cardiac operations has brought about an increase in aortic pathology that requires reoperation. The aim of the present study was to evaluate axillary artery cannulation in aortic reoperations. We operated on 23 patients diagnosed with acute type A aortic dissection (13 patients), chronic type A aortic dissection (7 patients), aortic pseudoaneursym (2 patients), and arcus aorta aneurysm (1 patient). The right axillary artery was cannulated directly or through a side graft which was anastomosed to the artery. Antegrade cerebral perfusion with moderate degree hypothermia was used for cerebral protection. Four patients were lost after the operation (17.4%) and no cerebral complications were encountered. Axillary artery cannulation provides safe reentry to the chest and provides good cerebral protection in aortic reoperations.
authors.affiliation: Department of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Gurbuz
authors.forename: Bilgin
authors.initials: B
authors.lastname: Emrecan
authors.forename: Levent
authors.initials: L
authors.lastname: Yilik
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Ozsoyler
authors.forename: Banu
authors.initials: B
authors.lastname: Lafci
authors.forename: Mert
authors.initials: M
authors.lastname: Kestelli
authors.forename: Nagihan
authors.initials: N
authors.lastname: Karahan
authors.forename: Cengiz
authors.initials: C
authors.lastname: Ozbek
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D017541:Aneurysm, False / Q000601:surgery*; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001366:Axillary Artery; D006348:Cardiac Surgical Procedures / Q000379:methods; D002404:Catheterization; D001026:Coronary Artery Bypass; D047549:Coronary Artery Bypass, Off-Pump; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome