TY - JOUR
T1 - Surgical strategy for repair of large pseudoaneurysms of the aortic isthmus
AU - Ricci, Marco
AU - Rosenkranz, Eliot R.
AU - Salerno, Tomas A.
N1 - Copyright:
Copyright 2007 Elsevier B.V., All rights reserved.
PY - 2001
Y1 - 2001
N2 - Resection of unusually large pseudoaneurysms of the aortic isthmus is complex, and involves various strategies of cardiopulmonary bypass (CPB), cerebral and spinal cord protection. We report on a patient with a giant pseudoaneurysm of the distal arch and proximal descending aorta, in whom cannulation of the femoral artery was unfeasible. Instead, the right axillary artery and the left femoral vein were cannulated. This technique allowed to perform a left anterolateral thoracotomy with the patient already on CPB and hypothermic, and to shorten the duration of hypothermic circulatory arrest.
AB - Resection of unusually large pseudoaneurysms of the aortic isthmus is complex, and involves various strategies of cardiopulmonary bypass (CPB), cerebral and spinal cord protection. We report on a patient with a giant pseudoaneurysm of the distal arch and proximal descending aorta, in whom cannulation of the femoral artery was unfeasible. Instead, the right axillary artery and the left femoral vein were cannulated. This technique allowed to perform a left anterolateral thoracotomy with the patient already on CPB and hypothermic, and to shorten the duration of hypothermic circulatory arrest.
KW - Descending thoracic aortic aneurysm, aortic isthmus, hypothermic circulatory arrest, cerebral protection, axillary artery
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U2 - 10.1016/S1010-7940(01)01001-6
DO - 10.1016/S1010-7940(01)01001-6
M3 - Article
C2 - 11717038
AN - SCOPUS:0035170047
VL - 20
SP - 1240
EP - 1242
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
SN - 1010-7940
IS - 6
ER -