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Recannulation of the axillary artery in aortic and complex cardiac surgery
Author(s) -
Bowers Philippa Jane Temple,
Mathur Manu Narain
Publication year - 2017
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.13163
Subject(s) - medicine , axillary artery , surgery , cardiopulmonary bypass , ascending aorta , aortic dissection , aortic arch , axillary lines , anastomosis , aorta , cardiac surgery , cardiology
Objectives Axillary artery cannulation has been used as an alternative site for cardiopulmonary bypass during surgery for aortic dissections and aneurysmal disease of the ascending aorta and arch. This study reports our experience with reusing the axillary artery for cardiopulmonary bypass during complex aortic and cardiac surgical procedures. Methods This was a retrospective review of a single surgeon's experience of recannulating the axillary artery for redo operations in complex aortic surgery. Seven patients over a 7‐year period have undergone recannulation of their axillary arteries. The old Dacron graft stump was either excised and a new graft was anastamosed to the axillary artery or a new end‐to‐side anastamosis was performed either proximal or distal to the original graft stump. Results There were no deaths, strokes, or postoperative complications. In one patient, axillary cannulation was aborted intraoperatively due to high‐line pressures, suggesting a local dissection. The other patients all had adequate perfusion via the recannulated axillary artery and there were no complications associated with its reuse. Conclusions Recannulation of the axillary artery is easily achievable and should be considered in redo aortic and complex cardiac surgery.