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J Thorac Cardiovasc Surg 2003;125:407-409
© 2003 The American Association for Thoracic Surgery

Brief Communications

Brachial artery cannulation in type A aortic dissection operations

Zoltán Galajda, MD, István Szentkirályi, MD, Árpád Péterffy, MD, PhD Debrecen, Hungary

From the Medical University, Department of Cardiac Surgery, Debrecen, Hungary.

Received for publication May 3, 2002. Accepted for publication June 13, 2002. Address for reprints: Zoltán Galajda MD, University of Debrecen, Department of Cardiac Surgery, Medical and Health Science Center, Moricz Zs. Krt 22, Debrecen H-4004, Hungary.

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  		Galajda, Péterffy, and Szentkirályi (left to right)

 
Axillary artery cannulation has proved to be advantageous for heart operations executed with cardiopulmonary bypass in the presence of severe peripheral occlusive disease, atherosclerosis of the femoral vessels, or distal extension of the aortic dissection.Go Go 1,2 Arterial perfusion through the right axillary artery is more likely to perfuse the true lumen and should be advantageous in acute dissections involving the ascending aorta.Go Go 3,4

At the same time, axillary artery cannulation can also be dangerous and, because of the proximity of the aortic arch and carotid arteries, could be the source of iatrogenic aortic dissection.Go 5 We describe 2 cases of aortic dissection operations for which brachial artery cannulation was successfully applied.

Clinical summary

A 67-year-old man (body surface, 1.92 m2) was admitted on November 17, 2001, to our institute as an acute case, with a diagnosis of type A aortic dissection. Neurologic symptoms of amaurosis and confusion were present. In addition, acute lower-limb . . . [Full Text of this Article]




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