Document Detail

Innominate artery cannulation for congenital heart disease.
MedLine Citation:
PMID:  19917551     Owner:  NLM     Status:  MEDLINE    
Arterial cannulation of the ascending aorta is the standard for congenital heart surgery. However, in some situations ascending aortic cannulation can be difficult, and cannulation of the innominate artery may be preferable. These situations may include: operations on the ascending aorta, a small ascending aorta which may be obstructed by the arterial perfusion cannula, redo operations where vascular structures including the ascending aorta are adherent to the back of the sternum, and neoaortic calcification in a patient who has undergone a previous Norwood operation. Innominate artery cannulation also permits the use of low flow cerebral perfusion, with avoidance of total circulatory arrest. In neonates and infants, the femoral and axillary arteries are generally too small to permit adequate flows on cardiopulmonary bypass. We describe four cases as examples of operations in which we have found innominate artery cannulation to be advantageous.
Akhlaque N Bhat; Scott M Bradley
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-16
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  10     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-03-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  331-3     Citation Subset:  IM    
CCS Department, Section of Pediatric Cardiac Surgery, Hamad Hospital, Doha, Qatar.
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MeSH Terms
Brachiocephalic Trunk*
Cardiopulmonary Bypass*
Catheterization, Peripheral*
Cerebrovascular Circulation
Heart Defects, Congenital / physiopathology,  surgery,  therapy*
Infant, Newborn
Treatment Outcome
Young Adult
Comment In:
Interact Cardiovasc Thorac Surg. 2010 Feb;10(2):333   [PMID:  20089690 ]

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