Asian Cardiovasc Thorac Ann 2006;14:35-37
© 2006 Asia Publishing EXchange Ltd
Femoral Artery Cannulation in Stanford Type A Aortic Dissection Operations
Xiao-Tong Hou, MD,
Yan-Qing Sun, MD,
Hong-Jia Zhang, MD,
Si-Hong Zheng, MD,
Yu-Yong Liu, MD,
Jian-Gang Wang, MD
Department of Cardiac Surgery, Beijing An Zhen Hospital, Capital University of Medical Science, Beijing, China
For reprint information contact: Xiao-Tong Hou, MD Tel: 86 10 6445 6384 Fax: 86 10 6838 9856 Email:houxiaotong{at}yahoo.com.cn, Department of Cardiac Surgery, Beijing An Zhen Hospital, Capital University of Medical Science, Beijing 100029, China.
The aim of this study was to evaluate femoral artery cannulation in Stanford type A aortic dissection operations. Between March 1994 and December 2001, 88 patients with Stanford type A aortic dissection underwent surgery with cardiopulmonary bypass and perfusion through the femoral artery; 31 of them had deep-hypothermic circulatory arrest. False lumen perfusion was detected in 8 patients (9.1%). There were 4 (4.5%) cerebral events: 2 patients had diffuse cerebral injury, with one death; and 2 patients had hemiplegia, with one death. Six patients (8.0%) had delayed incision healing, with local infection in one. There was no lower extremity ischemia associated with femoral artery cannulation. It was concluded that retrograde perfusion through the femoral artery was effective for repair of aortic dissection, with a low risk of those cerebral events associated with a high mortality rate.
Copyright © 2006 by the Asia Publishing EXchange Ltd.
