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
Hauptverfasser: 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
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container_end_page 1574
container_issue 4
container_start_page 1573
container_title The Annals of thoracic surgery
container_volume 101
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.</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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source MEDLINE; Elsevier ScienceDirect Journals Complete; Alma/SFX Local Collection; EZB Electronic Journals Library
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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