Cannulation of Innominate Artery during Proximal Aortic Aneurysm Repair

• Main Authors: Ahmet Dolaoglu, Eyup Avci, Onursal Bugra
• Format: Article
• Language: English
• Published: Dicle University Medical School 2018-12-01
• Series: Dicle Medical Journal
• Subjects: Innominate artery; aortic surgery; cardiopulmonary bypass; aortic aneurysm
• Online Access: http://diclemedj.org/upload/sayi/71/Dicle%20Med%20J-03624.pdf
• ISSN: 1300-2945; 1308-9889

Objective: There are many debates for cannulation sites during aortic surgeries. The cannulation technique which is providing antegrade flow is associated with better survival and neurological outcomes than retrograde flow. For this purpose, innominate and axillary artery cannulation have been increasingly used for cardiopulmonary bypass recently. We aimed to present our experience with innominate artery cannulation for cardiopulmonary bypass and antegrade selective cerebral perfusion during proximal aortic aneurysm repair. Methods: A total of eighteen patients with proximal aortic aneurysm underwent surgical repair were included into the study. Pre-operative patient’s charecteristis, surgical details and postoperative outcomes were investigated. Results: The mean age was 58.8±10.2 and majority of the patients were male (72%). Bicuspit leafletes was found in 9 patients (50%). Two patients died in postoperative period. No stroke or new neurological deficit was seen after procedures. Conclusions: This study is emphasize that cannulation of innominate artery can be used in safe and effective during aortic surgery.