|تاریخ چاپ: 1399/05/18|
|Innominate vein cannulation: easy but neglected technique|
|Author(s):||Mustafa Akbulut*، Ozgur Arslan ، Adnan Ak ، Serpil Tas ، Davut Cekmecelioglu ، Mesut Sismanoglu ، Altug Tuncer|
IntroductionOur experience in minimally invasive procedures and improvement of graft technology enables easy and successful operation carried out even with complex thoracic aortic diseases from limited surgical area. However, it should be more than one incision or cannulation site for such intervention. We aimed to present our experience and results of 23 patients who has ascending aorta and aortic arch pathologies of which we operated with J-shaped partial sternotomy and innominate vein cannulation.
MethodsFrom January 2014 to January 2016, 23 patients with aorta and aortic valve pathologies who underwent aortic surgery with J-shaped partial sternotomy and innominate vein cannulation included. Operation findings, cardiopulmonary bypass (CPB) values, postoperative results, surgical mortality and morbidity rates, late conversion to full sternotomy rates, ICU and hospital length of stay were evaluated.
ResultsThe mean age of the patients was 53.7±12 (range 19-68) and 18 (78.2%) were males. Arcus aorta debranching applied to 4 patients (17.3%) and one of these procedures was frozen elephant trunk procedure (%4.3). Neither mortality nor cerebrovascular accident occurred. Mean CPB peak flow was 4.6±0.4 L/min, mean flow index calculated as 2.01±0.38 L/min/m2 and there was no CPB problem intraoperatively. Innominate vein ligation was carried out in 5 patients but no complication was seen except one who had left arm swelling treated with elevation.
ConclusionInnominate vein cannulation with J-shaped partial sternotomy is a reliable and easily applicable method providing effective utilization of limited operative field not only in ascending aorta and aortic arch operations but also with the advancements of hybrid systems used in descending aorta pathologies.
|Keywords:||Innominate Vein، Cannulation Technique، Minimally Invasive|
|Article Type:||Research/Original Article|
|Published:||Journal of Cardio Vascular and Thoracic Research, Volume:10 Issue: 4, 2018|
|Full text:||PDF is available on the website.|