Aortic and arch branch vessel cannulation in acute type A aortic dissection repair
Elizabeth L. Norton, Karen M. Kim, Shinichi Fukuhara, Aroma Naeem, Xiaoting Wu, Himanshu J. Patel, G. Michael Deeb, Bo Yang
Abstract
Objective: To evaluate central aortic cannulation and arch branch vessel (ABV) cannulation in acute type A aortic dissection repair. Methods: From 2015 to April 2020, 298 patients underwent open repair of an acute type A aortic dissection. Patients undergoing femoral cannulation for cardiopulmonary bypass (n = 34) were excluded. Patients were then divided based on initial cannulation for cardiopulmonary bypass into central aortic cannulation (n = 72) and ABV cannulation (n = 192) groups. ABV sites included cannulation of the axillary, innominate, right/left common carotid, and intrathoracic right subclavian arteries. Results: = .64). Short-term survival was similar between central and ABV cannulation groups. Conclusions: Both aortic and ABV cannulation were safe and effective cannulation strategies in acute type A aortic dissection repair.