Describes a central cannulation technique via left thoracotomy for descending thoracic aorta surgery to provide antegrade flow and limit cerebral ischemic time.
May facilitate antegrade perfusion in thoracotomy-based descending aortic repair; leaves open safety and efficacy validation in larger series.
Surgery on the descending thoracic aorta is often performed with hypothermic cardiopulmonary bypass established via the femoral vessels. This, however, produces retrograde flow, which may potentially dislodge atheromatous debris from a diseased descending aorta or results in malperfusion due to cannulation of the false lumen in patients with descending aortic dissection. In view of this, we have described a technique of central cannulation of the ascending aorta and main pulmonary artery, established via a standard left thoracotomy, providing antegrade flow and limiting the cerebral ischemic time.
No takes yet. Share an insight, caveat, or question.
Kuo et al. (2006) studied this question.
Synapse has enriched one closely related paper. Consider it for comparative context: