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European Journal of Cardio-Thoracic Surgery, Vol 11, 657-660, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Retrograde cerebral perfusion through antero-axillary thoracotomy in the aortic arch surgery

S Sasaguri, S Yamamoto, T Fukuda and Y Hosoda
Department of Thoracic and Cardiovascular Surgery, Juntendo University, Tokyo, Japan.

OBJECTIVE: We have recently found that left antero-axillary thoracotomy provides an ideal view of aortic arch and makes the direct cannulation to superior vena cava possible for retrograde cerebral perfusion during circulatory arrest. METHOD: Twelve patients with distal aortic arch aneurysm or aortic dissection underwent the repair of aortic arch through this approach. Mean duration of retrograde cerebral perfusion was 41 min. RESULTS: Two hospital deaths occurred due to respiratory failure and stroke. The remaining patients survived without any neurological deficits. CONCLUSION: Antero-axillary thoracotomy may be an ideal approach which combines the advantages of median sternotomy and postero-lateral thoracotomy.

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