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Taijiro Sueda
Kenji Okada
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J Thorac Cardiovasc Surg 2009;137:242-243
© 2009 The American Association for Thoracic Surgery

Brief Communication

Compressed true lumen in the innominate artery: A pitfall of right axillary arterial perfusion in acute aortic dissection

Kazumasa Orihashi, MD*, Taijiro Sueda, MD, Kenji Okada, MD, Shinya Takahashi, MD

Hiroshima University Hospital, Hiroshima, Japan

Received for publication January 3, 2008; accepted for publication February 7, 2008.

* Address for reprints: Kazumasa Orihashi, MD, Cardiovascular Surgery, Hiroshima University Hospital, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551 Japan. (Email: orichan@hiroshima-u.ac.jp).

The first 20% of the full text of this article appears below.

Although axillary arterial perfusion (AX-P) is often preferred to femoral arterial perfusion (FA-P) in acute aortic dissection because it is associated with a lower incidence of malperfusion, it is unlikely to be perfect.1Go We used near-infrared spectroscopy and orbital Doppler to detect cerebral malperfusion and transesophageal echocardiography (TEE) to clarify the malperfusion mechanism2,3Go and observed a case of malperfusion after bilateral AX-P, which was relieved after interruption of the right AX-P.3Go We report another case of malperfusion after right AX-P resulting from the narrowing of the innominate artery (IA) lumen.

Clinical Summary

A 46-year-old man had an episode of chest pain 3 days before being transferred to the Hiroshima University Hospital. The patient was in shock and underwent a Bentall operation. . . . [Full Text of this Article]




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