Left common carotid artery cannulation for type a aortic dissections

Yoshihiko Mochizuki, Hiroshi Iida, Hideaki Mori, Yasuyuki Yamada, Shinichiro Miyoshi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We used left common carotid artery cannulation for repair of type A aortic dissection in 2 patients for whom both femoral artery and axillary artery cannulation were thought to be more dangerous, due to dissection of the brachiocephalic trunk and left subclavian artery in association with abdominal stenosis. Before performing end-to-side anastomosis, we attached a small partial clamp to the left common carotid artery, thereby maintaining adequate cerebral blood flow during perfusion. To date, neither of our patients has experienced neurologic complications related to this procedure. We believe that left common carotid artery cannulation for type A dissections is useful when dissection of the brachiocephalic trunk and left subclavian artery is found in association with abdominal or femoral artery stenosis. To the best of our knowledge, these 2 cases are the 1st described in the medical literature.

Original languageEnglish
Pages (from-to)128-129
Number of pages2
JournalTexas Heart Institute Journal
Volume30
Issue number2
Publication statusPublished - Jun 16 2003

Keywords

  • Aneurysm
  • Axillary artery
  • Brain ischemia/prevention & control
  • Cardiopulmonary bypass/methods
  • Carotid artery, common
  • Dissecting/surgery
  • Echocardiography
  • Type A aortic dissection
  • Vascular surgical procedures

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Mochizuki, Y., Iida, H., Mori, H., Yamada, Y., & Miyoshi, S. (2003). Left common carotid artery cannulation for type a aortic dissections. Texas Heart Institute Journal, 30(2), 128-129.