| Axillary Artery Perfusion in
Arteriosclerotic Thoracic Aortic Aneurysm |
| Tetsuro Uchida |
Takashi Minowa |
Jun Hosaka |
| Masataka Koshika |
Kiyoshige Inui |
Takao Watanabe |
| Yasuhisa Shimazaki |
|
|
(Second Department of Surgery, Yamagata University
School of Medicine, Yamagata, Japan)
|
Between 1996 to 2000, 12 patients
with arteriosclerotic thoracic aortic aneurysm underwent surgery
with cardiopulmonary bypass using the right axillary artery as
an arterial inflow. All patients received total arch replacement
with selective cerebral perfusion and deep hypothermic circulatory
arrest. One patient with occlusion of the left carotid artery
died of postoperative stroke. There were no postoperative complications
or deaths related to axillary artery perfusion except for cerebrovascular
accidents. Perfusion through the axillary artery, providing antegrade
aortic flow, is a safe and effective procedure to avoid stroke
owing to retrograde arterial perfusion. We believe that the axillary
artery could be an alternative to conventional femoral artery
cannulation in the setting of aortic arch operations.
Jpn. J. Cardiovasc. Surg. 31：266-268(2002) |
|
