Transesophageal Echocardiography-guided Left Ventricular Transapical Cannulation of Aorta in Acute Stanford Type: An Aortic Dissection: A Case Report

REPORTand, the right internal jugular vein were cannulated under local analgesia before the induction of anesthesia.Regional cerebral oxygen saturation was monitored throughout surgery.TEE showed a dissection flap localized to the junction of the sinus of Valsalva IntroductIonAcute aortic dissection is the most commonly diagnosed potentially lethal disease of the aorta where prompt diagnosis and surgical treatment are necessary.The mortality increases by 1-2% every hour without surgery.The optimal site of arterial cannulation for initiation of cardiopulmonary bypass (CPB) is a matter of debate.Femoral artery cannulation with a retrograde perfusion is routinely followed but this may be associated with the risk of atheroembolism and malperfusion of the vital organs.Herein, we present the simple approach to this complex problem where the body may be perfused with single left ventricular (LV) transapical cannulation which is transesophageal echocardiography (TEE) guided.