Axillary Artery Cannulation in Acute Aortic Dissection: A Word of Caution

作者：Baek Wan Ki^*; Kim Young Sam; Lee Mina; Yoon Yong Han; Kim Joung Taek; Lim Hyun Kyung

来源：Annals of Thoracic Surgery, 2016, 101(4): 1573-1574.

DOI：10.1016/j.athoracsur.2015.06.054

Arterial cannulation into the right axillary artery is a commonly adopted perfusion strategy in the treatment of acute aortic dissection. Here we describe our experience of accidentally cannulating the axillary artery in a case of acute aortic dissection with an aberrant right subclavian artery, which was missed preoperatively because its proximal segment was malperfused by the dissection and thereby not enhanced. The rapid hemodynamics collapse at the start of the bypass was reversed by prompt switching to femoral perfusion. Postoperative follow-up computed tomographic angiography revealed a well-perfused right aberrant subclavian artery. Surgeons should be aware of an aortic arch anomaly whenever performing an axillary artery cannulation.

• 出版日期2016-4