naa a22 4500 510727700 CHVBK 20180411082941.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s11748-013-0222-8 doi (NATIONALLICENCE)springer-10.1007/s11748-013-0222-8 A safe and rapid direct true lumen cannulation for acute type A aortic dissection [Elektronische Daten] [Taro Kanamori, Tetsuya Ichihara, Hidehito Sakaguchi, Takehiko Inoue] Objective: For the repair of acute type A aortic dissection (AADA), the optimal site of arterial cannulation remains controversial. We herein describe and investigate a technique for direct true lumen cannulation in patients with AADA. Methods: Between January 2011 and April 2012, 176 consecutive patients underwent emergency surgery for repair of AADA using the direct true lumen cannulation. Using this method, following temporary circulatory arrest, the dissected ascending aortic wall is incised transversely and the true lumen is identified. An aortic cannula is inserted into the true lumen directly, and the ascending aorta is snared tightly. Results: The manipulation was performed within 30s in all patients. There were no technical problems with this method. The mean operative time, cardiopulmonary bypass time, cross-clamp time, and the circulatory arrest time were 241±79, 158±85, 123±97 and 58±39min, respectively. There were no permanent neurological disorders following surgery. Seven patients (4.0%) experienced temporary neurological disorders. Twenty-four patients (14%) died in the hospital from several complications unrelated to technical problems of direct true lumen cannulation. Conclusions: Antegrade perfusion can be established safely and easily using the direct true lumen cannulation, which may be a promising standard arterial cannulation technique for the repair of AADA. The Japanese Association for Thoracic Surgery, 2013 Aorta/aortic nationallicence Aortic dissection nationallicence Surgery nationallicence Kanamori Taro Department of Cardiovascular Surgery, Chibanishi General Hospital, 107-1 Kanegasaku, 270-2251, Matsudo, Japan aut Ichihara Tetsuya Department of Cardiovascular Surgery, Chibanishi General Hospital, 107-1 Kanegasaku, 270-2251, Matsudo, Japan aut Sakaguchi Hidehito Department of Cardiovascular Surgery, Chibanishi General Hospital, 107-1 Kanegasaku, 270-2251, Matsudo, Japan aut Inoue Takehiko Department of Cardiovascular Surgery, Chibanishi General Hospital, 107-1 Kanegasaku, 270-2251, Matsudo, Japan aut General Thoracic and Cardiovascular Surgery Springer Japan 61/6(2013-06-01), 336-339 1863-6705 61:6<336 2013 61 11748 https://doi.org/10.1007/s11748-013-0222-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-013-0222-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kanamori Taro Department of Cardiovascular Surgery, Chibanishi General Hospital, 107-1 Kanegasaku, 270-2251, Matsudo, Japan aut NATIONALLICENCE 700 1- Ichihara Tetsuya Department of Cardiovascular Surgery, Chibanishi General Hospital, 107-1 Kanegasaku, 270-2251, Matsudo, Japan aut NATIONALLICENCE 700 1- Sakaguchi Hidehito Department of Cardiovascular Surgery, Chibanishi General Hospital, 107-1 Kanegasaku, 270-2251, Matsudo, Japan aut NATIONALLICENCE 700 1- Inoue Takehiko Department of Cardiovascular Surgery, Chibanishi General Hospital, 107-1 Kanegasaku, 270-2251, Matsudo, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/6(2013-06-01), 336-339 1863-6705 61:6<336 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer