| Acute intraoperative aortic dissection following axillary artery cannulation. | |
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MedLine Citation:
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PMID: 18198234 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Chris K Rokkas; Dimitrios Angouras; Themistokles Chamogeorgakis; Constantine E Anagnostopoulos |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-01-15 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 7 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-02 Completed Date: 2008-05-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 288-9 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, University of Athens School of Medicine, Attikon Hospital, 1 Rimini St., Haidari 12462, Athens, Greece. ckrokkas@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, Dissecting / etiology*, radiography Aortic Aneurysm, Thoracic / etiology, radiography, surgery* Aortography Atherosclerosis / complications*, radiography, surgery Axillary Artery* Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation* / instrumentation Cardiopulmonary Bypass Catheterization, Peripheral / adverse effects* Female Femoral Artery Humans Polyethylene Terephthalates Prosthesis Design Sternum / surgery Thoracotomy Tomography, X-Ray Computed Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Polyethylene Terephthalates |
| Comments/Corrections | |
Comment In:
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Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):289
[PMID:
18381367
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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