loading page

Transapical cannulation for surgical repair of chronic type B aortic dissection
  • Shinsuke Kotani,
  • Minoru Tabata
Shinsuke Kotani
Tokyo Bay Urayasu Ichikawa Iryo Center
Author Profile
Minoru Tabata
Tokyo Bay Urayasu Ichikawa Iryo Center
Author Profile

Abstract

Open surgery for chronic type B aortic dissection has been shown to have considerable risks of cerebrovascular complications. Because retrograde perfusion is a potential cause of intraoperative cerebrovascular events, we report our transapical cannulation strategy for descending aorta replacement in chronic type B aortic dissection repair with circulatory arrest. This technique provides an easy and quick establishment of cardiopulmonary bypass by way of a left thoracotomy, and prevention of cerebrovascular event. Transapical cannula can be also used as a vent to ensure a bloodless field during proximal anastomosis and to prevent extension of left ventricle during rewarming. Transapical cannulation is a useful option in open repair of the descending aorta for chronic type B aortic dissection by way of left thoracotomy.
04 Dec 2021Submitted to Journal of Cardiac Surgery
04 Dec 2021Submission Checks Completed
04 Dec 2021Assigned to Editor
07 Dec 2021Reviewer(s) Assigned
20 Dec 2021Review(s) Completed, Editorial Evaluation Pending
21 Dec 2021Editorial Decision: Revise Major
30 Dec 20211st Revision Received
30 Dec 2021Submission Checks Completed
30 Dec 2021Assigned to Editor
30 Dec 2021Reviewer(s) Assigned
15 Jan 2022Review(s) Completed, Editorial Evaluation Pending
16 Jan 2022Editorial Decision: Accept
Feb 2022Published in Journal of Cardiac Surgery. 10.1111/jocs.16287