Robert Saeid Farivar1, Joss D Fernandez. 1. Department of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Carver College of Medicine, Iowa City, IA 52242, USA. robert-farivar@uiowa.edu
Abstract
OBJECTIVE: We aimed to develop an antegrade arterial perfusion method that would allow a single suture line on the heart. METHODS: Using an 8-mm Dacron graft sewn to the right axillary artery, we performed antegrade arterial flow and simultaneous endo-occlusion, as well as the delivery of antegrade cardioplegia. RESULTS: Five patients underwent right axillary antegrade flow, with intention to use axillary endo-occlusion. There were no deaths, axillary artery injuries, or conversions to sternotomy. One patient who had a small (6 mm) axillary artery required femoral arterial balloon placement with axillary arterial flow. When using a 100-mm endoballoon, transesophageal echo alone is suitable for placement of the endoballoon. All patients are alive and doing well at least 1 year after surgery. CONCLUSIONS: The right axillary artery is a suitable conduit for simultaneous endo-occlusion, antegrade flow, and antegrade cardioplegia delivery during mitral valve surgery.
OBJECTIVE: We aimed to develop an antegrade arterial perfusion method that would allow a single suture line on the heart. METHODS: Using an 8-mm Dacron graft sewn to the right axillary artery, we performed antegrade arterial flow and simultaneous endo-occlusion, as well as the delivery of antegrade cardioplegia. RESULTS: Five patients underwent right axillary antegrade flow, with intention to use axillary endo-occlusion. There were no deaths, axillary artery injuries, or conversions to sternotomy. One patient who had a small (6 mm) axillary artery required femoral arterial balloon placement with axillary arterial flow. When using a 100-mm endoballoon, transesophageal echo alone is suitable for placement of the endoballoon. All patients are alive and doing well at least 1 year after surgery. CONCLUSIONS: The right axillary artery is a suitable conduit for simultaneous endo-occlusion, antegrade flow, and antegrade cardioplegia delivery during mitral valve surgery.
Authors: Johannes Petersen; Shiho Naito; Benjamin Kloth; Simon Pecha; Svante Zipfel; Yousuf Alassar; Christian Detter; Lenard Conradi; Hermann Reichenspurner; Evaldas Girdauskas Journal: Front Cardiovasc Med Date: 2022-09-30