HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Kenji Minatoya Matthias Karck Wolfgang Harringer Axel Haverich Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Minatoya, K. Articles by Haverich, A. Search for Related Content PubMed PubMed Citation Articles by Minatoya, K. Articles by Haverich, A. Related Collections Great vessels

J Thorac Cardiovasc Surg 2003;125:952-953
© 2003 The American Association for Thoracic Surgery

Brief Communications

Ascending aortic cannulation for Stanford type A acute aortic dissection: Another option

From the Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany.

Received for publication Dec 18, 2001. Accepted for publication Aug 16, 2002. Address for reprints: Matthias Karck, MD, Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, D-30623 Hannover, Germany.

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

Stanford type A acute aortic dissection (AADA) is still a surgical challenge. Femoral cannulation remains the standard option for surgical repairs of AADA. However, retrograde perfusion has a potential risk of embolization of atheromatous debris, extension of dissection, and malperfusion. We hereby present our experiences with direct cannulation of the dissected ascending aorta in patients with AADA (Figure 1).

View larger version (127K): [in this window] [in a new window]   Fig. 1.

Between January 1998 and September 2000, 41 patients had a surgical repair of AADA with median sternotomy in our hospital. Among this population, 14 patients had ascending aortic or proximal arch cannulation to initiate cardiopulmonary bypass (CPB). Nine patients had DeBakey type I and 5 had DeBakey type II aortic dissection. CPB was initiated with aortic cannulation at the dissected site in all but 4 of the patients with DeBakey type II aortic dissection. There were 4 female and 6 male patients aged 59 ± 11 years (range, 41-77 years). . . . [Full Text of this Article]

This article has been cited by other articles:

				K. Minatoya, H. Ogino, H. Matsuda, and H. Sasaki Rapid and safe establishment of cardiopulmonary bypass in repair of acute aortic dissection: improved results with double cannulation Interactive CardioVascular and Thoracic Surgery, December 1, 2008; 7(6): 951 - 953. [Abstract] [Full Text] [PDF]

				N. Khaladj, M. Shrestha, S. Peterss, M. Strueber, M. Karck, M. Pichlmaier, A. Haverich, and C. Hagl Ascending aortic cannulation in acute aortic dissection type A: the Hannover experience Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 792 - 796. [Abstract] [Full Text] [PDF]

				N. Khaladj, M. Shrestha, S. Meck, S. Peterss, H. Kamiya, K. Kallenbach, M. Winterhalter, L. Hoy, A. Haverich, and C. Hagl Hypothermic circulatory arrest with selective antegrade cerebral perfusion in ascending aortic and aortic arch surgery: A risk factor analysis for adverse outcome in 501 patients. J. Thorac. Cardiovasc. Surg., April 1, 2008; 135(4): 908 - 914. [Abstract] [Full Text] [PDF]

				T. B. Reece, G. R. Green, and I. L. Kron Aortic Dissection Card. Surg. Adult, January 1, 2008; 3(2008): 1195 - 1222. [Full Text]

				F. Farhat, T. Sassard, and O. Jegaden Central cannulation in acute aortic dissection repair: What else? J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 547 - 548. [Full Text] [PDF]

				H. Jakob, K. Tsagakis, A. Szabo, I. Wiese, M. Thielmann, and U. Herold Rapid and safe direct cannulation of the true lumen of the ascending aorta in acute type A aortic dissection J. Thorac. Cardiovasc. Surg., July 1, 2007; 134(1): 244 - 245. [Full Text] [PDF]

				Y. Inoue, T. Ueda, S. Taguchi, I. Kashima, K. Koizumi, R. Takahashi, and I. Kiso Ascending aorta cannulation in acute type A aortic dissection Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 976 - 979. [Abstract] [Full Text] [PDF]

				J. Bachet Editorial comment: Ascending aorta cannulation in acute type A aortic dissection Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 979 - 981. [Full Text] [PDF]

				T. B. Reece, C. G. Tribble, R. L. Smith, R. R. Singh, B. M. Stiles, B. B. Peeler, J. A. Kern, and I. L. Kron Central cannulation is safe in acute aortic dissection repair J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 428 - 434. [Abstract] [Full Text] [PDF]

				H. Kamiya, C. Hagl, I. Kropivnitskaya, D. Bothig, K. Kallenbach, N. Khaladj, A. Martens, A. Haverich, and M. Karck The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: A propensity score analysis J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 501 - 509. [Abstract] [Full Text] [PDF]

				F. Farhat, M. Durand, L. Boussel, I. Sanchez, J. Villard, and O. Jegaden Should a reimplantation valve sparing procedure be done systematically in type A aortic dissection? Eur. J. Cardiothorac. Surg., January 1, 2007; 31(1): 36 - 41. [Abstract] [Full Text] [PDF]

				A. Zapolanski Ascending aorta cannulation in type A dissection J. Thorac. Cardiovasc. Surg., January 1, 2004; 127(1): 305 - 305. [Full Text] [PDF]