Document Detail

Acute intraoperative aortic dissection following axillary artery cannulation.
MedLine Citation:
PMID:  18198234     Owner:  NLM     Status:  MEDLINE    
We describe a 75-year-old woman who underwent right axillary artery cannulation in preparation for reconstruction of the aortic arch and the proximal descending aorta for athesosclerotic aortic aneurysm via a 'clamshell' incision. As soon as cardiopulmonary bypass was established, the ascending aorta and the aortic arch was dissected. The innominate artery was dissected including one-third of its circumferance anteriorly. Arterial perfusion was stopped immediately and the left femoral artery was cannulated to resume CPB. We proceeded with replacement of the ascending aorta, the aortic arch and the proximal descending thoracic aorta with a Dacron branched aortic graft. The patient recovered uneventfully. Arterial blood pressure was equal bilaterally.
Chris K Rokkas; Dimitrios Angouras; Themistokles Chamogeorgakis; Constantine E Anagnostopoulos
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-01-15
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  7     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-02     Completed Date:  2008-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  288-9     Citation Subset:  IM    
Department of Cardiothoracic Surgery, University of Athens School of Medicine, Attikon Hospital, 1 Rimini St., Haidari 12462, Athens, Greece.
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MeSH Terms
Aneurysm, Dissecting / etiology*,  radiography
Aortic Aneurysm, Thoracic / etiology,  radiography,  surgery*
Atherosclerosis / complications*,  radiography,  surgery
Axillary Artery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Cardiopulmonary Bypass
Catheterization, Peripheral / adverse effects*
Femoral Artery
Polyethylene Terephthalates
Prosthesis Design
Sternum / surgery
Tomography, X-Ray Computed
Treatment Outcome
Reg. No./Substance:
0/Polyethylene Terephthalates
Comment In:
Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):289   [PMID:  18381367 ]

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