Transapical aortic cannulation using a deep hypothermic procedure through a left thoracotomy for acute traumatic aortic rupture |
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Authors: | Takahiro Takemura Yoshiei Shimamura Masayuki Sakaguchi Yasutoshi Tsuda Shizuko Iwasa |
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Affiliation: | (1) Department of Cardiovascular Surgery, National Nagano Hospital, 1-27-21 Midorigaoka, Ueda, 386-8610 Nagano, Japan |
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Abstract: | We describe a transapical aortic cannulation procedure through a left thoracotomy for a case of acute traumatic aortic rupture. A 26-year-old man was involved in a motor vehicle accident and admitted in a state of hypovolemic shock. Chest computed tomography findings revealed a rupture of the proximal portion of the descending aorta and a massive hematoma around the aorta extending into the thoracic cavity. Under hypothermic circulatory arrest, he underwent an emergency graft replacement through a left thoracotomy. We used transapical aortic cannulation together with femoral cannulation, in order to avoid malperfusion of the brain and upper body that can occur as a result of retrograde perfusion. The postoperative outcome was favorable. Transapical cannulation is a useful alternative for hypothermic aortic operations through a left thoracotomy. |
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Keywords: | transapical aortic cannulation left thoracotomy traumatic aortic rupture |
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