Transatrial left-ventricular cannulation in acute aortic dissection type A: a novel cannulation technique.
Despite improvements in surgical and perfusion techniques, surgery for acute aortic dissection type A (AADA) remains associated with high mortality rates. All cannulation techniques currently used to establish arterial flow are associated with a varying but considerable risk of organ malperfusion, neurological complications or additional access site trauma. We introduce Rahimi's transatrial cannulation of the left ventricle via the right upper pulmonary vein as an innovative alternative for antegrade, arterial return in AADA.
Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, Germany.
Felix
F
Schoeneich
Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, Germany.
Azizolah
A
Rahimi-Barfeh
Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, Germany.
Christina
C
Grothusen
Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, Germany jochen.cremer@uksh.de.
Jochen
J
Cremer
D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods*; D002315:Cardiopulmonary Bypass / Q000379:methods; D006325:Heart Atria / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans
Aortic dissection; Cardiopulmonary bypass; Neurologic injury; Perfusion