title: Cannulating a dissecting aorta using ultrasound-epiaortic and transesophageal guidance.
abstract: Management of acute Stanford type A aortic dissection remains a major surgical challenge. Directly cannulating the ascending aorta provides a rapid establishment of cardiopulmonary bypass but consists of risks such as complete rupture of the aorta, false lumen cannulation, subsequent malperfusion and propagation of the dissection.We describe a technique of cannulating the ascending aorta in patients with acute aortic dissection that can be performed rapidly in hemodynamically unstable patients under ultrasound-epiaortic and transesophageal (TEE) guidance.
authors.affiliation: Cardiothoracic Division, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK. saina.attaran@klc.ac.uk
authors.forename: Saina
authors.initials: S
authors.lastname: Attaran
authors.forename: Maria
authors.initials: M
authors.lastname: Safar
authors.forename: Hesham Zayed
authors.initials: HZ
authors.lastname: Saleh
authors.forename: Mark
authors.initials: M
authors.lastname: Field
authors.forename: Manoj
authors.initials: M
authors.lastname: Kuduvalli
authors.forename: Aung
authors.initials: A
authors.lastname: Oo
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D017548:Echocardiography, Transesophageal; D006801:Humans; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional