title: Surgical management for Stanford type A aortic dissection: direct cannulation of real lumen at the level of the Botallo's ligament by Seldinger technique.
abstract: A 50-year-old man was diagnosed with Stanford type A acute aortic dissection with cerebral malperfusion and unconsciousness. This clinical presentation was investigated by computed tomography which revealed a severe type A dissection involving all limb arteries. Successful operative treatment based on the direct arterial cannulation of the real lumen of dissected aorta at the level of Botallo's ligament by Seldinger technique achieves an appropriate perfusion and rapid cooling of the instable patient. To our knowledge this is the first reported case in the literature.
authors.affiliation: Department of Cardiothoracic Surgery, University Hospital of Regensburg, Germany. isartor@hotmail.com
authors.forename: Laszlo
authors.initials: L
authors.lastname: Göbölös
authors.forename: Alois
authors.initials: A
authors.lastname: Philipp
authors.forename: Maik
authors.initials: M
authors.lastname: Foltan
authors.forename: Karsten
authors.initials: K
authors.lastname: Wiebe
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D002406:Catheterization, Peripheral / Q000379:methods*; D002560:Cerebrovascular Circulation; D002561:Cerebrovascular Disorders / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006324:Heart Arrest, Induced; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014474:Unconsciousness / Q000209:etiology / Q000503:physiopathology / Q000601:surgery