Transapical aortic cannulation using a deep hypothermic procedure through a left thoracotomy for acute traumatic aortic rupture

Takemura, T; Shimamura, Yoshiei; Sakaguchi, Masayuki; Tsuda, Yujiro; Iwasa, Shizuko

doi:10.1007/bf02736704

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Shiiya et al 4 reported a case of thoracoabdominal aortic repair with apical cannulation and stated that apical cannulation was advantageous in terms of preventing retrograde thrombotic events. Takemura et al 5 reported the usefulness of transapical cannulation to prevent malperfusion in the treatment of an acute traumatic descending aortic rupture. The advantages of transapical cannulation include antegrade perfusion, true lumen perfusion, and quick establishment of CPB.…”

Section: Discussionmentioning

confidence: 99%

Transapical cannulation for surgical repair of chronic type B aortic dissection

Kotani¹,

Tabata²

2021

Preprint

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Open surgery for chronic type B aortic dissection has been shown to have considerable risks of cerebrovascular complications. Because retrograde perfusion is a potential cause of intraoperative cerebrovascular events, we report our transapical cannulation strategy for descending aorta replacement in chronic type B aortic dissection repair with circulatory arrest. This technique provides an easy and quick establishment of cardiopulmonary bypass by way of a left thoracotomy, and prevention of cerebrovascular event. Transapical cannula can be also used as a vent to ensure a bloodless field during proximal anastomosis and to prevent extension of left ventricle during rewarming. Transapical cannulation is a useful option in open repair of the descending aorta for chronic type B aortic dissection by way of left thoracotomy.

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Section: Discussionmentioning

confidence: 99%

Transapical cannulation for surgical repair of chronic type B aortic dissection

Kotani¹,

Tabata²

2021

Preprint

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“…The ascending aorta and thoracic descending aorta are frequently selected as the cannulation route for perfusing the upper body, but this route is not appropriate in patients with profound atherosclerotic changes, such as a shaggy and calcified aorta [9]. Shiiya et al reported using antegrade perfusion by transapical aortic cannulation to prevent debris scattering due to retrograde perfusion from the femoral artery in a patient undergoing thoracoabdominal aortic repair by left thoracotomy [7], and Takemura et al reported the usefulness of transapical cannulation in preventing malperfusion during a deep hypothermic procedure to repair an acute traumatic descending aortic rupture [10]. Although antegrade perfusion via the axillary artery is safe and possible [11], it is difficult to ensure the visual field during a left thoracotomy procedure.…”

Section: Discussionmentioning

confidence: 99%

Transapical aortic perfusion using a deep hypothermic procedure to prevent dissecting lung injury during re-do thoracoabdominal aortic aneurysm surgery

Kise

Kuniyoshi

Ando

et al. 2017

J Cardiothorac Surg

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BackgroundAvoiding various complications is a challenge during re-do thoracoabdominal aneurysm surgery.Case presentationA 56-year-old man had undergone surgery for type I aortic dissection four times. The residual thoracoabdominal aortic aneurysm that had severe adhesions to lung parenchyma was resected. Since the proximal anastomotic site was buried in lung parenchyma, deep hypothermia was essential to avoid lung dissection and to protect the spinal cord during the proximal anastomosis. The deep hypothermia was induced with bilateral infusion of cardiopulmonary bypass by femoral artery cannulation for the lower body and by transapical cannulation for the upper body because of easy access. There was no hemorrhagic tendency after deep hypothermic bypass. The patient was discharged uneventfully.ConclusionsFor upper body perfusion, transapical aortic cannulation was a simple and effective procedure during left thoracotomy.

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“…Shiiya et al4 reported a case of thoracoabdominal aortic repair with apical cannulation and stated that apical cannulation was advantageous in terms of preventing retrograde thrombotic events. Takemura et al5 reported the usefulness of transapical cannulation to prevent malperfusion in the treatment of an acute traumatic descending aortic rupture. The advantages of transapical cannulation include antegrade perfusion, true lumen perfusion, and quick establishment of CPB 6.…”

mentioning

confidence: 99%