Transapical aortic cannulation using a deep hypothermic procedure through a left thoracotomy for acute traumatic aortic rupture.

Abstract

We describe a transapical aortic cannulation procedure through a left thoracotomy for a case of acute traumatic aortic rupture. A 26-year-old man was involved in a motor vehicle accident and admitted in a state of hypovolemic shock. Chest computed tomography findings revealed a rupture of the proximal portion of the descending aorta and a massive hematoma around the aorta extending into the thoracic cavity. Under hypothermic circulatory arrest, he underwent an emergency graft replacement through a left thoracotomy. We used transapical aortic cannulation together with femoral cannulation, in order to avoid malperfusion of the brain and upper body that can occur as a result of retrograde perfusion. The postoperative outcome was favorable. Transapical cannulation is a useful alternative for hypothermic aortic operations through a left thoracotomy.

• Authors: Takahiro Takemura, Yoshiei Shimamura, Masayuki Sakaguchi, Yasutoshi Tsuda, Shizuko Iwasa
• Journal: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi (Jpn J Thorac Cardiovasc Surg) Vol. 51 Issue 11 Pg. 619-21 (Nov 2003) ISSN: 1344-4964 [Print] Japan
• PMID: 14650594 (Publication Type: Case Reports, Journal Article)

Topics

• Accidents, Traffic
• Adult
• Aorta, Thoracic (injuries, surgery)
• Aortic Rupture (surgery)
• Humans
• Hypothermia, Induced
• Thoracotomy (methods)