Right axillary cannulation in the left thoracotomy for thoracic aortic aneurysm.

First Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan.
The Annals of Thoracic Surgery (Impact Factor: 3.45). 08/2000; 70(1):311-3. DOI: 10.1016/S0003-4975(00)01382-5
Source: PubMed

ABSTRACT Perfusion from the femoral artery is commonly used in the open proximal method of performing distal aortic arch aneurysm repair or Stanford type B aortic dissection repair under circulatory arrest through left thoracotomy. However, it is associated with a significant risk of retrograde emboli or malperfusion, and with other problems including a restricted time of circulatory arrest to the brain and difficulties in de-airing from the arch branches and proximal ascending aorta. To overcome these problems, we developed a method of performing right axillary perfusion through left thoracotomy.

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