| English |
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| Title | Anesthetic Management in Two Patients Who Underwent Surgery for Stanford Type A Acute Aortic Dissection Using Transapical Aortic Cannulation |
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| Subtitle | |
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| Authors | Masayuki Oshima*, Yoichi Shimada*, Atsuhiro Sakamoto*, Ryo Ogawa*, Takashi Watanabe** |
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| Authors(kana) | |
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| Organization | *Department of Anesthesiology, Nippon Medical School, **Department of Cardiovascular Surgery, Cardiovascular Center, Sekishinkai Kawasaki Saiwai Hospital |
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| Journal | Circulation Control |
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| Volume | 23 |
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| Number | 3 |
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| Page | 289-292 |
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| Year/Month | 2002/ |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Introduction In the surgery for the Stanford type A acute aortic dissection, the femoral artery is commonly used , for the cannulation site for cardiopulmonary bypass. However, in the case of the femoral cannulation, there is a risk of malperfusion and cerebral infarction caused by arterosclerotic atheroma in the aorta dislodged with retrograde perfusion. When an axillary artery is chosen as antegrade perfusion site, the surgery may be more difficult due to the small artery diameter and it may require a longer time. Aortic cannulation via the apex of the left ventricle and the aortic valve can prevent the complications that sometimes occur as a result of retrograde perfusion and is much simpler than axillar cannulation, since it is performed together with transesophageal echocardiography （TEE）. In this study, we report the cases of two patients who underwent surgery for the Stanford type A acute aortic dissection using the transapical aortic cannulation, and discuss anesthetic management with reference to reports in the literature. |
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| Practice | Basic medicine |
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| Keywords | Stanford type A acute aortic dissection, transapical aortic cannulation, anesthetic management |
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