Acute intraoperative aortic dissection following axillary artery cannulation

Interactive Cardiovascular and Thoracic Surgery
Chris K RokkasConstantine E Anagnostopoulos

Abstract

We describe a 75-year-old woman who underwent right axillary artery cannulation in preparation for reconstruction of the aortic arch and the proximal descending aorta for athesosclerotic aortic aneurysm via a 'clamshell' incision. As soon as cardiopulmonary bypass was established, the ascending aorta and the aortic arch was dissected. The innominate artery was dissected including one-third of its circumferance anteriorly. Arterial perfusion was stopped immediately and the left femoral artery was cannulated to resume CPB. We proceeded with replacement of the ascending aorta, the aortic arch and the proximal descending thoracic aorta with a Dacron branched aortic graft. The patient recovered uneventfully. Arterial blood pressure was equal bilaterally.

Citations

May 16, 2013·Interactive Cardiovascular and Thoracic Surgery·Senol YavuzTamer Turk
Oct 4, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Harish RamEugene A Hessel

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