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J Thorac Cardiovasc Surg 2009;137:1297-1298
© 2009 The American Association for Thoracic Surgery

Letter to the Editor

Distal axillary artery cannulation can be useful to achieve arterial inflow in descending aortic surgery

Department of Cardiac Surgery, University of Milan, IRCCS Multimedica, Sesto S. Giovanni, Milan, Italy

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

To the Editor:

I read with great interest the recent article by Ogino and colleagues.¹ These authors advocate the approach on the distal portion of the axillary artery for cardiopulmonary bypass and selective cerebral perfusion in arch surgery. We routinely use the proximal axillary artery (approached via an infraclavicular incision) for arterial inflow in ascending aortic surgery, especially when the aortic arch is involved. In one case, the direct cannulation of this fragile artery caused a complete aortic dissection that required a successful replacement of the ascending aorta and aortic arch. This taught . . . [Full Text of this Article]