HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Jean Bachet Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bachet, J. Search for Related Content PubMed Articles by Bachet, J.

Eur J Cardiothorac Surg 2007;31:979-981. doi:10.1016/j.ejcts.2007.01.031
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Editorial comment

Ascending aorta cannulation in acute type A aortic dissection

Institut Mutualiste Montsouris, Department Cardiovasculaire, F-75674 Paris, France

^_* Tel.: +33 1 56616508; fax: +33 1 56616511. (Email: jean.bachet@imm.fr).

The first 20% of the full text of this article appears below.

In an original article published in the present issue of the journal, Inoue and co-workers [1] describe and advocate the use of a rather sophisticated and complex method of arterial return of the cardiopulmonary bypass (CPB), associating several modes of cannulation and, in particular, direct cannulation of the ascending aorta, during surgery of acute type A dissection. Their experience is a variation of the experience obtained with a similar technique by the group from Hannover (Germany) and published a few years ago [2].

According to the authors, the rationale for developing and using such a technique is based on two straightforward goals: simplicity and safety.

Although the experience reported herein is limited, one may observe that the results obtained have been excellent as the hospital mortality was reduced to 3% and the rate of neurological complications did not exceed 6.5%. No case of malperfusion or thrombo-embolism induced by the technique of cannulation and perfusion was observed. One could admit, thus, that the authors have achieved their goals.

However, before being adopted on a large scale, the proposed method of cannulation may require a few words of caution as, looking twice, the reality may appear somewhat different.

It is indeed paradoxical that a technique which requires to dissect free and cannulate one femoral artery, then open the chest, . . . [Full Text of this Article]

This article has been cited by other articles:

				N. Khaladj, M. Shrestha, S. Peterss, M. Strueber, M. Karck, M. Pichlmaier, A. Haverich, and C. Hagl Ascending aortic cannulation in acute aortic dissection type A: the Hannover experience Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 792 - 796. [Abstract] [Full Text] [PDF]