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

Journal of Cardiothoracic Surgery
Yuya KiseSatoshi Yamashiro

Abstract

Avoiding various complications is a challenge during re-do thoracoabdominal aneurysm surgery. A 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. For upper body perfusion, transapical aortic cannulation was a simple and effective procedure during left thoracotomy.

References

Dec 3, 2003·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Takahiro TakemuraShizuko Iwasa
Jul 14, 2010·The Journal of Thoracic and Cardiovascular Surgery·Alexander KulikNicholas T Kouchoukos
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·John W FehrenbacherJoel S Corvera
Sep 27, 2012·The Journal of Thoracic and Cardiovascular Surgery·Sarah GeisbüschGabriele Di Luozzo
Dec 25, 2012·The Journal of Thoracic and Cardiovascular Surgery·Nicholas T KouchoukosCatherine F Castner
Feb 14, 2013·General Thoracic and Cardiovascular Surgery·Ikuo FukudaWakako Fukuda
Mar 1, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jae Suk YooJae Won Lee

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