ISSN: 1859 - 2872
The cannulation strategy in surgery for Stanford type A acute aortic dissection
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Abstract
Objective: The cannulation strategy in surgery for Stanford type A acute aortic dissection. Subject and method: this study retrospectively evaluated patients underwent total aortic arch replacement surgery for Stanford type A acute aortic dissection between January 2020 and January 2023 at Cho Ray hospital. Result: A total of 102 patients were included in this study. Patients were predominantly men (2.5 males/female) with mean age of 56.45 ± 11.79 years. Cannulation strategies: Central aortic cannulation: 46 (45.2%) cases, axillary artery cannulation: 22 (19.6%) cases, femoral artery cannulation: 36 (35.2%) cases. Post-operative complications included: Renal failure required dialysis in 18 (17.8%) cases, cerebral infarction in 11 (10.8%) cases, mortality rate was 9.8% (10 cases). Conclusion: Femoral artery cannulation, axillary artery cannulation, and central aortic cannulation are likely the three major cannulation strategies in surgery for acute type A aortic dissection. Each of the different cannulation strategies has its advantages and disadvantages.
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References
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