Axillary Artery Cannulation in Acute Aortic Dissection: A Word of Caution
Arterial cannulation into the right axillary artery is a commonly adopted perfusion strategy in the treatment of acute aortic dissection. Here we describe our experience of accidentally cannulating the axillary artery in a case of acute aortic dissection with an aberrant right subclavian artery, whi...
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Veröffentlicht in: | The Annals of thoracic surgery 2016-04, Vol.101 (4), p.1573-1574 |
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creator | Baek, Wan Ki, MD, PhD Kim, Young Sam, MD Lee, Mina, MD Yoon, Yong Han, MD Kim, Joung Taek, MD, PhD Lim, Hyun Kyung, MD |
description | Arterial cannulation into the right axillary artery is a commonly adopted perfusion strategy in the treatment of acute aortic dissection. Here we describe our experience of accidentally cannulating the axillary artery in a case of acute aortic dissection with an aberrant right subclavian artery, which was missed preoperatively because its proximal segment was malperfused by the dissection and thereby not enhanced. The rapid hemodynamics collapse at the start of the bypass was reversed by prompt switching to femoral perfusion. Postoperative follow-up computed tomographic angiography revealed a well-perfused right aberrant subclavian artery. Surgeons should be aware of an aortic arch anomaly whenever performing an axillary artery cannulation. |
doi_str_mv | 10.1016/j.athoracsur.2015.06.054 |
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Here we describe our experience of accidentally cannulating the axillary artery in a case of acute aortic dissection with an aberrant right subclavian artery, which was missed preoperatively because its proximal segment was malperfused by the dissection and thereby not enhanced. The rapid hemodynamics collapse at the start of the bypass was reversed by prompt switching to femoral perfusion. Postoperative follow-up computed tomographic angiography revealed a well-perfused right aberrant subclavian artery. Surgeons should be aware of an aortic arch anomaly whenever performing an axillary artery cannulation.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2015.06.054</identifier><identifier>PMID: 27000577</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; Aneurysm, Dissecting - diagnostic imaging ; Aneurysm, Dissecting - surgery ; Aortic Aneurysm, Thoracic - diagnostic imaging ; Aortic Aneurysm, Thoracic - surgery ; Arterial Occlusive Diseases - diagnostic imaging ; Arterial Occlusive Diseases - surgery ; Axillary Artery ; Cardiopulmonary Bypass - methods ; Cardiothoracic Surgery ; Catheterization, Peripheral - adverse effects ; Catheterization, Peripheral - methods ; Chest Pain - diagnosis ; Chest Pain - etiology ; Emergency Service, Hospital ; Follow-Up Studies ; Humans ; Male ; Risk Assessment ; Surgery ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>The Annals of thoracic surgery, 2016-04, Vol.101 (4), p.1573-1574</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2016 The Society of Thoracic Surgeons</rights><rights>Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-af8ebf4c4e1c9d50b8c2d3075aeb62896ca36dca8b57005ebe45874afb938b2e3</citedby><cites>FETCH-LOGICAL-c495t-af8ebf4c4e1c9d50b8c2d3075aeb62896ca36dca8b57005ebe45874afb938b2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.athoracsur.2015.06.054$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27000577$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baek, Wan Ki, MD, PhD</creatorcontrib><creatorcontrib>Kim, Young Sam, MD</creatorcontrib><creatorcontrib>Lee, Mina, MD</creatorcontrib><creatorcontrib>Yoon, Yong Han, MD</creatorcontrib><creatorcontrib>Kim, Joung Taek, MD, PhD</creatorcontrib><creatorcontrib>Lim, Hyun Kyung, MD</creatorcontrib><title>Axillary Artery Cannulation in Acute Aortic Dissection: A Word of Caution</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Arterial cannulation into the right axillary artery is a commonly adopted perfusion strategy in the treatment of acute aortic dissection. Here we describe our experience of accidentally cannulating the axillary artery in a case of acute aortic dissection with an aberrant right subclavian artery, which was missed preoperatively because its proximal segment was malperfused by the dissection and thereby not enhanced. The rapid hemodynamics collapse at the start of the bypass was reversed by prompt switching to femoral perfusion. Postoperative follow-up computed tomographic angiography revealed a well-perfused right aberrant subclavian artery. Surgeons should be aware of an aortic arch anomaly whenever performing an axillary artery cannulation.</description><subject>Adult</subject><subject>Aneurysm, Dissecting - diagnostic imaging</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Aortic Aneurysm, Thoracic - diagnostic imaging</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Arterial Occlusive Diseases - diagnostic imaging</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Axillary Artery</subject><subject>Cardiopulmonary Bypass - methods</subject><subject>Cardiothoracic Surgery</subject><subject>Catheterization, Peripheral - adverse effects</subject><subject>Catheterization, Peripheral - methods</subject><subject>Chest Pain - diagnosis</subject><subject>Chest Pain - etiology</subject><subject>Emergency Service, Hospital</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Risk Assessment</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFO3DAQhq2Kqiy0r1D52EuC7dixwwEpLFBWQuIAVY-W40xUp9l4ayeIfXscLS0Sp57G9vwz4_8bhDAlOSW0POtzM_3ywdg4h5wRKnJS5kTwD2hFhWBZyUR1hFaEkCLjlRTH6CTGPl1ZSn9Cx0yms5ByhTb1sxsGE_a4DhOksDbjOA9mcn7EbsS1nSfAtQ-Ts_jKxQh2SZ3jGv_0ocW-SxXz8vQZfezMEOHLazxFP26uH9e32d399826vsssr8SUmU5B03HLgdqqFaRRlrUFkcJAUzJVldYUZWuNakT6pIAGuFCSm66pCtUwKE7Rt0PfXfB_ZoiT3rpoIZkYwc9RUylFoRiXPEnVQWqDjzFAp3fBbZNZTYleQOpev4HUC0hNSp1AptKvr1PmZgvtv8K_5JLg8iCA5PXJQdDROhgttC4kRrr17n-mXLxrYgc3OmuG37CH2Ps5jImlpjoyTfTDstBln1QQSlRVFS8odZ6W</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Baek, Wan Ki, MD, PhD</creator><creator>Kim, Young Sam, MD</creator><creator>Lee, Mina, MD</creator><creator>Yoon, Yong Han, MD</creator><creator>Kim, Joung Taek, MD, PhD</creator><creator>Lim, Hyun Kyung, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160401</creationdate><title>Axillary Artery Cannulation in Acute Aortic Dissection: A Word of Caution</title><author>Baek, Wan Ki, MD, PhD ; 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Here we describe our experience of accidentally cannulating the axillary artery in a case of acute aortic dissection with an aberrant right subclavian artery, which was missed preoperatively because its proximal segment was malperfused by the dissection and thereby not enhanced. The rapid hemodynamics collapse at the start of the bypass was reversed by prompt switching to femoral perfusion. Postoperative follow-up computed tomographic angiography revealed a well-perfused right aberrant subclavian artery. Surgeons should be aware of an aortic arch anomaly whenever performing an axillary artery cannulation.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>27000577</pmid><doi>10.1016/j.athoracsur.2015.06.054</doi><tpages>2</tpages></addata></record> |
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subjects | Adult Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - surgery Arterial Occlusive Diseases - diagnostic imaging Arterial Occlusive Diseases - surgery Axillary Artery Cardiopulmonary Bypass - methods Cardiothoracic Surgery Catheterization, Peripheral - adverse effects Catheterization, Peripheral - methods Chest Pain - diagnosis Chest Pain - etiology Emergency Service, Hospital Follow-Up Studies Humans Male Risk Assessment Surgery Tomography, X-Ray Computed - methods Treatment Outcome |
title | Axillary Artery Cannulation in Acute Aortic Dissection: A Word of Caution |
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