Inflow cannula direct insertion into the true lumen of the ascending aorta for an acute aortic dissection patient with intraoperative malperfusion after aortic clamping

Yosuke Nishimura, Yoshito Kawachi, Takemi Kawara, Yasuhisa Oishi, Michitaka Kohno, Shigeki Morita

Research output: Contribution to journalArticle

Abstract

A 47-year old woman, who was diagnosed as Stanford type A acute aortic dissection, underwent an emergent operation. Because of obesity and bleeding, it was impossible to find the right axillary artery. Only we could have for inflow line was the femoral line. After starting cardiopulmonary bypass (CPB) and crossclamping the ascending aorta, mean blood pressure of the right radial artery dropped to 15 mmHg, suggesting the occurrence of malperfusion. The ascending aorta was immediately transected, and the CPB was ceased. Inflow cannula was directly inserted into the true rumen of the ascending aorta, and resumed the CPB. The mean blood pressure rose up to 80 mmHg. Such procedure took about 10 minutes. Abnormal neurological findings were not apparent except for the transient postoperative delirium. The patient was discharged on the 48th day after operation. It is suggested that this method was useful and safe to have the new inflow line when emergently necessary.

Original languageEnglish
Pages (from-to)813-816
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume59
Issue number9
Publication statusPublished - Jan 1 2006
Externally publishedYes

Fingerprint

Cardiopulmonary Bypass
Constriction
Aorta
Dissection
Axillary Artery
Blood Pressure
Radial Artery
Delirium
Rumen
Thigh
Obesity
Hemorrhage
Cannula

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Inflow cannula direct insertion into the true lumen of the ascending aorta for an acute aortic dissection patient with intraoperative malperfusion after aortic clamping. / Nishimura, Yosuke; Kawachi, Yoshito; Kawara, Takemi; Oishi, Yasuhisa; Kohno, Michitaka; Morita, Shigeki.

In: Kyobu geka. The Japanese journal of thoracic surgery, Vol. 59, No. 9, 01.01.2006, p. 813-816.

Research output: Contribution to journalArticle

@article{4ae3fedd490b472bba984f74abc931a5,
title = "Inflow cannula direct insertion into the true lumen of the ascending aorta for an acute aortic dissection patient with intraoperative malperfusion after aortic clamping",
abstract = "A 47-year old woman, who was diagnosed as Stanford type A acute aortic dissection, underwent an emergent operation. Because of obesity and bleeding, it was impossible to find the right axillary artery. Only we could have for inflow line was the femoral line. After starting cardiopulmonary bypass (CPB) and crossclamping the ascending aorta, mean blood pressure of the right radial artery dropped to 15 mmHg, suggesting the occurrence of malperfusion. The ascending aorta was immediately transected, and the CPB was ceased. Inflow cannula was directly inserted into the true rumen of the ascending aorta, and resumed the CPB. The mean blood pressure rose up to 80 mmHg. Such procedure took about 10 minutes. Abnormal neurological findings were not apparent except for the transient postoperative delirium. The patient was discharged on the 48th day after operation. It is suggested that this method was useful and safe to have the new inflow line when emergently necessary.",
author = "Yosuke Nishimura and Yoshito Kawachi and Takemi Kawara and Yasuhisa Oishi and Michitaka Kohno and Shigeki Morita",
year = "2006",
month = "1",
day = "1",
language = "English",
volume = "59",
pages = "813--816",
journal = "Japanese Journal of Thoracic Surgery",
issn = "0021-5252",
publisher = "Nankodo Co., Ltd.",
number = "9",

}

TY - JOUR

T1 - Inflow cannula direct insertion into the true lumen of the ascending aorta for an acute aortic dissection patient with intraoperative malperfusion after aortic clamping

AU - Nishimura, Yosuke

AU - Kawachi, Yoshito

AU - Kawara, Takemi

AU - Oishi, Yasuhisa

AU - Kohno, Michitaka

AU - Morita, Shigeki

PY - 2006/1/1

Y1 - 2006/1/1

N2 - A 47-year old woman, who was diagnosed as Stanford type A acute aortic dissection, underwent an emergent operation. Because of obesity and bleeding, it was impossible to find the right axillary artery. Only we could have for inflow line was the femoral line. After starting cardiopulmonary bypass (CPB) and crossclamping the ascending aorta, mean blood pressure of the right radial artery dropped to 15 mmHg, suggesting the occurrence of malperfusion. The ascending aorta was immediately transected, and the CPB was ceased. Inflow cannula was directly inserted into the true rumen of the ascending aorta, and resumed the CPB. The mean blood pressure rose up to 80 mmHg. Such procedure took about 10 minutes. Abnormal neurological findings were not apparent except for the transient postoperative delirium. The patient was discharged on the 48th day after operation. It is suggested that this method was useful and safe to have the new inflow line when emergently necessary.

AB - A 47-year old woman, who was diagnosed as Stanford type A acute aortic dissection, underwent an emergent operation. Because of obesity and bleeding, it was impossible to find the right axillary artery. Only we could have for inflow line was the femoral line. After starting cardiopulmonary bypass (CPB) and crossclamping the ascending aorta, mean blood pressure of the right radial artery dropped to 15 mmHg, suggesting the occurrence of malperfusion. The ascending aorta was immediately transected, and the CPB was ceased. Inflow cannula was directly inserted into the true rumen of the ascending aorta, and resumed the CPB. The mean blood pressure rose up to 80 mmHg. Such procedure took about 10 minutes. Abnormal neurological findings were not apparent except for the transient postoperative delirium. The patient was discharged on the 48th day after operation. It is suggested that this method was useful and safe to have the new inflow line when emergently necessary.

UR - http://www.scopus.com/inward/record.url?scp=33749161383&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33749161383&partnerID=8YFLogxK

M3 - Article

VL - 59

SP - 813

EP - 816

JO - Japanese Journal of Thoracic Surgery

JF - Japanese Journal of Thoracic Surgery

SN - 0021-5252

IS - 9

ER -