Bilateral axillary artery inflow in the treatment of a rare case of pseudocoarctation of the aortic arch.
The axillary artery is the preferred site for arterial cannulation in operations for ascending aorta and aortic arch replacement in order to reduce perfusion-related morbidity in acute dissection and to prevent cerebral embolism in atherosclerotic aneurysm. We present the case of a patient with a chronic dissection presenting as pseudocoarctation of the aortic arch in which bilateral axillary artery inflow was necessary to perfuse both ascending and descending aorta.
Mazzola
Alessandro
A
Cardiac Surgery Department, Ospedale Giuseppe Mazzini, Piazzale San Padre Pio, 64100 Teramo, Italy. sandromaz@tin.it
Gregorini
Renato
R
DeCurtis
Guglielmo
G
Ciocca
Marco
M
D000784:Aortic Dissection / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001017:Aortic Coarctation / Q000175:diagnosis*; D001366:Axillary Artery / Q000503:physiopathology*; D019917:Blood Vessel Prosthesis Implantation; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005112:Extracorporeal Circulation; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow; D016896:Treatment Outcome