Midterm results of axilloaxillary cardiopulmonary bypass

The Heart Surgery Forum
Altug TuncerMehmet Balkanay

Abstract

Total axilloaxillary cardiopulmonary bypass (CPB) is an alternative peripheral cannulation technique that has the advantages of antegrade flow during CPB, monohemispherical brain perfusion in case of circulatory arrest, and achieving excellent decompression of the heart during sternotomy. The results of this strategy, particularly beyond the immediately postoperative period, are not well known. Eleven patients with huge aortic aneurysms (>80 mm) and/or acute-subacute ascending aorta dissections underwent surgery with totally axilloaxillary CPB. Short- and midterm outcomes, including survival and complications relating to axilloaxillary cannulation, were reported. All attempts at axillary artery cannulation were successful. Ten of the 11 axillary vein cannulation attempts were successful, and the target pump flow was achieved via the axillary vein alone. Postoperatively, clinical examinations revealed no cases of arm ischemia or compartment syndrome. Three patients (27.3%) experienced ipsilateral brachial plexus neuropathy that produced right hand weakness. The neuropathy was transient in 2 patients, and the symptoms resolved completely. Hospital death occurred in 1 (9.1%) of the 11 patients. The mean (±SD) follow-up time was 95...Continue Reading

References

Aug 1, 1989·The Annals of Thoracic Surgery·H E Garrett, J Matthews
Feb 1, 1996·The Annals of Thoracic Surgery·J D GatesM C Donaldson
Oct 6, 1997·The Annals of Thoracic Surgery·D P BichellL H Cohn
Jun 30, 2004·The Annals of Thoracic Surgery·Justus T StrauchRandall B Griepp
Jul 19, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ludwig K von SegesserPiergorgio Tozzi
Mar 26, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Giuseppe ZatteraMario Vigano
Feb 16, 2010·Interactive Cardiovascular and Thoracic Surgery·Kaushal K TiwariMattia Glauber
Aug 25, 2010·The Annals of Thoracic Surgery·Daniel R WongScott A LeMaire

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

© 2022 Meta ULC. All rights reserved