Key result
Cross-clamping at the distal ascending aorta is considered safe in modern cardiac surgery when there is no atheroma, calcification, or aortic dissection.
Argues that cross-clamping at the distal ascending aorta is safe in modern cardiac surgery when there is no atheroma, calcification, or dissection.
Ascending aortic replacement is usually performed with a cross-clamp at the distal ascending aorta. This cross-clamping is one of the routine procedures in cardiac surgery, and the risk of the cross-clamping has been lowered to minimum in regular practice. Theoretically, the cross-clamp itself is a risk to apply and might lead to aortic dissection (1) or create a source of embolization in the aortic wall. However, when there is no atheroma, calcification, or other abnormal situations including aortic dissection in the aorta, the cross-clamp is applied very safely in modern cardiac surgery.
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Kenji Minatoya (2018) conducted an editorial in Ascending aortic replacement. Cross-clamping at the distal ascending aorta was evaluated. Cross-clamping at the distal ascending aorta is considered safe in modern cardiac surgery when there is no atheroma, calcification, or aortic dissection.
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