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. 1970 Sep;25(5):604–607. doi: 10.1136/thx.25.5.604

Complications of cannulation of the ascending aorta for open heart surgery

Fayek D Salama 1,1, Ary Blesovsky 1
PMCID: PMC472196  PMID: 5489185

Abstract

In a series of 420 ascending aortic cannulations for cardiopulmonary bypass, major complications occurred in three patients. Aortic dissection occurred in one patient believed to be due to aortic cross-clamping. Avoidance of this manœuvre is suggested when the aorta is grossly atheromatous. Two patients developing false aneurysms due to mediastinal infection are described. Prevention of mediastinal infection and its treatment are discussed. The method of treatment of false aneurysms by deep hypothermia is described.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bryant L. R., Spencer F. C., Trinkle J. K. Treatment of median sternotomy infection by mediastinal irrigation with an antibiotic solution. Ann Surg. 1969 Jun;169(6):914–920. doi: 10.1097/00000658-196906000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. DERBYSHIRE A. J., DODRILL F. D., HUGHES C. H., MARSHALL N., NYBOER J., STEARNS A. B. The use of the heart-lung apparatus in human cardiac surgery. J Thorac Surg. 1957 Jan;33(1):60–74. [PubMed] [Google Scholar]
  3. DEWALL R. A., LEVY M. J. Direct cannulation of the ascending aorta for open-heart surgery. J Thorac Cardiovasc Surg. 1963 Apr;45:496–499. [PubMed] [Google Scholar]
  4. Gerbode F., Kerth W. J., Kovacs G., Sanchez P. A., Hill J. D. Cannulation of the ascending aorta for perfusion during cardiopulmonary bypass. A new technique and analysis of results. J Cardiovasc Surg (Torino) 1968 Jul-Aug;9(4):293–296. [PubMed] [Google Scholar]
  5. Kulkarni M. G. A complication of aortic cannulation. J Cardiovasc Surg (Torino) 1968 Mar-Apr;9(2):207–208. [PubMed] [Google Scholar]
  6. Lillehei C. W., Todd D. B., Jr, Levy M. J., Ellis R. J. Partial cardiopulmonary bypass, hypothermia, and total circulatory arrest. A lifesaving technique for ruptured mycotic aortic aneurysms, ruptured left ventricle, and other complicated cardiac pathology. J Thorac Cardiovasc Surg. 1969 Oct;58(4):530–544. [PubMed] [Google Scholar]
  7. McAlpine W. A., Selman M. W., Kawakami T. Routine use of aortic cannulation in open heart operations. Experience with an improved technic. Am J Surg. 1967 Dec;114(6):831–834. doi: 10.1016/0002-9610(67)90401-1. [DOI] [PubMed] [Google Scholar]
  8. NUNEZ L. E., BAILEY C. P. New method for systemic arterial perfusion in extracorporeal circulation. J Thorac Surg. 1959 Jun;37(6):707–710. [PubMed] [Google Scholar]
  9. Trimble A. S., Bigelow W. G. Proximal aortic cannulation for extracorporeal circulation. J Thorac Cardiovasc Surg. 1966 May;51(5):674–675. [PubMed] [Google Scholar]

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