右腋窩動脈送血開始後に左総頸動脈血流が消失し大腿動脈送血に切り替え手術を完遂し得たStanford A型急性大動脈解離の1例
症例は40歳代の男性。Stanford A型急性大動脈解離の手術時に右腋窩動脈からの送血を開始したところ左総頸動脈血流の消失を認めた。腋窩動脈送血を中止し左大腿動脈からの送血のみとすることにより左総頸動脈血流の改善をみた。神経学的後遺症なく回復し退院となった。急性大動脈解離手術時に灌流障害が発生した際のトラブルシューティングの1例としてここに報告する。...
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| Published in | 脈管学 Vol. 61; no. 7; pp. 57 - 61 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脈管学会
10.07.2021
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-1126 1880-8840 |
| DOI | 10.7133/jca.21-00007 |
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| Abstract | 症例は40歳代の男性。Stanford A型急性大動脈解離の手術時に右腋窩動脈からの送血を開始したところ左総頸動脈血流の消失を認めた。腋窩動脈送血を中止し左大腿動脈からの送血のみとすることにより左総頸動脈血流の改善をみた。神経学的後遺症なく回復し退院となった。急性大動脈解離手術時に灌流障害が発生した際のトラブルシューティングの1例としてここに報告する。 |
|---|---|
| AbstractList | 症例は40歳代の男性。Stanford A型急性大動脈解離の手術時に右腋窩動脈からの送血を開始したところ左総頸動脈血流の消失を認めた。腋窩動脈送血を中止し左大腿動脈からの送血のみとすることにより左総頸動脈血流の改善をみた。神経学的後遺症なく回復し退院となった。急性大動脈解離手術時に灌流障害が発生した際のトラブルシューティングの1例としてここに報告する。 |
| Author | 角, 康平 大西, 遼 塩屋, 雅人 月岡, 祐介 立石, 烈 中原, 嘉則 金村, 賦之 |
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| References | 8) Robicsek F, Guarino RL: Compression of the true lumen by retrograde perfusion during repair of aortic dissection. J Cardiovasc Surg (Torino) 1985; 26: 36–40 10) Parr GV, Manley NJ, Williams DR, et al: Obstruction of the true lumen during retrograde perfusion of type I aortic dissections: a simplified solution. Ann Thorac Surg 1980; 30: 495–498 19) Sabik JF, Nemeh H, Lytle BW, et al: Cannulation of the axillary artery with a side graft reduces morbidity. Ann Thorac Surg 2004; 77: 1315–1320 25) Preventza O, Bakaeen FG, Stephens EH, et al: Innominate arterycannulation: an alternative to femoral or axillary cannulation for arterial inflow in proximal aortic surgery. J Thorac Cardiovasc Surg 2013; 145: S191–S196 17) Baribeau YR, Westbrook BM, Charlesworth DC, et al: Arterial inflow via an axillary artery graft for the severely atheromatous aorta. Ann Thorac Surg 1998; 66: 33–37 12) Kurisu K, Ochiai Y, Hisahara M, et al: Bilateral axillary arterial perfusion in surgery on thoracic aorta. Asian Cardiovasc Thorac Ann 2006; 14: 145–149 6) 長沼宏邦：逆行性脳灌流法を用いた弓部大動脈全置換術の検討—術式の変遷と治療成績—．慈恵医大誌2007; 122: 195–200 16) Sabik JF, Lytle BW, McCarthy PM, et al: Axillary artery: an alternative site of arterial cannulation for patients with extensive aortic and peripheral vascular disease. J Thorac Cardiovasc Surg 1995; 109: 885–890; discussion, 890–891 1) Schachner T, Nagiller J, Zimmer A, et al: Technical problems and complications of axillary artery cannulation. Eur J Cardiothorac Surg 2005; 27: 634–637 5) Gulbins H, Pritisanac A, Ennker J: Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation? Ann Thorac Surg 2007; 83: 1219–1224 22) Orihashi K, Sueda T, Okada K, et al: Detection and monitoring of complications associated with femoral or axillary arterial cannulation for surgical repair of aortic dissection. J Cardiothorac Vasc Anesth 2006; 20: 20–25 15) Strauch JT, Spielvogel D, Lauten A, et al: Axillary artery cannulation: routine use in ascending aorta and aortic arch replacement. Ann Thorac Surg 2004; 78: 103–108; discussion, 103–108 13) Kokotsakit J, Lazopoulos G, Milonakis M, et al: Right axillary artery cannulation for surgical management of the hostile ascending aorta. Tex Heart Inst J 2005; 32: 189–193; discussion, 185 7) Pappas G, Starzl TE: Retrograde false channel perfusion: a complication of cardiopulmonary bypass during repair of dissecting aneurysms. Ann Thorac Surg 1970; 9: 263–266 20) Tiwari KK, Murzi M, Bevilacqua S, et al: Which cannulation (ascending aortic cannulation or peripheral arterial cannulation) is better for acute type A aortic dissection surgery? Interact Cardiovasc Thorac Surg 2010; 10: 797–802 11) Fusco DS, Shaw RK, Tranquilli M, et al: Femoral cannulation is safe for type A dissection repair. Ann Thorac Surg 2004; 78: 1285–1289; discussion, 1285–1289 4) Shimokawa T, Takanashi S, Ozawa N, et al: Management of intraoperative malperfusion syndrome using femoral artery cannulation for repair of acute type A aortic dissection. Ann Thorac Surg 2008; 85: 1619–1624 18) Imanaka K, Kyo S, Tanabe H, et al: Fatal intraoperative dissection of the innominate artery due to perfusion through the right axillary artery. J Thorac Cardiovasc Surg 2000; 120: 405–406 3) Yavuz S, GoncuGoncu MT, TurkTurk T: Axillary artery cannulation for arterial inflow in patients with acute dissection of the ascending aorta. Eur J Cardiothorac Surg 2002; 22: 313–315 2) Schachner T, Vertacnik K, Laufer G, et al: Axillary artery cannulation in surgery of the ascending aorta and the aortic arch. Eur J Cardiothorac Surg 2002; 22: 445–447 9) Eugene J, Aronow WS, Stemmer EA: Retrograde aortic dissection during cardiopulmonary bypass. Clin Cardiol 1981; 4: 356–359 14) Neri E, Massetti M, Capannini G, et al: Axillary artery cannulation in type a aortic dissection operations. J Thorac Cardiovasc Surg 1999; 118: 324–329 24) Reece TB, Tribble CG, Smith RL, et al: Central cannulation is safe in acute aortic dissection repair. J Thorac Cardiovasc Surg 2007; 133: 428–434 23) Minatoya K, Ogino H, Matsuda H, et al: Rapid and safe establishment of cardiopulmonary bypass in repair of acute aortic dissection: improved results with double cannulation. Interact Cardiovasc Thorac Surg 2008; 7: 951–953 21) Lentini S, Savasta M, Ciuffreda F, et al: Treatment of malperfusion during surgery for type A aortic dissection. J Extra Corpor Technol 2009; 41: 114–118 |
| References_xml | – reference: 23) Minatoya K, Ogino H, Matsuda H, et al: Rapid and safe establishment of cardiopulmonary bypass in repair of acute aortic dissection: improved results with double cannulation. Interact Cardiovasc Thorac Surg 2008; 7: 951–953 – reference: 10) Parr GV, Manley NJ, Williams DR, et al: Obstruction of the true lumen during retrograde perfusion of type I aortic dissections: a simplified solution. Ann Thorac Surg 1980; 30: 495–498 – reference: 5) Gulbins H, Pritisanac A, Ennker J: Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation? Ann Thorac Surg 2007; 83: 1219–1224 – reference: 24) Reece TB, Tribble CG, Smith RL, et al: Central cannulation is safe in acute aortic dissection repair. J Thorac Cardiovasc Surg 2007; 133: 428–434 – reference: 19) Sabik JF, Nemeh H, Lytle BW, et al: Cannulation of the axillary artery with a side graft reduces morbidity. Ann Thorac Surg 2004; 77: 1315–1320 – reference: 25) Preventza O, Bakaeen FG, Stephens EH, et al: Innominate arterycannulation: an alternative to femoral or axillary cannulation for arterial inflow in proximal aortic surgery. J Thorac Cardiovasc Surg 2013; 145: S191–S196 – reference: 9) Eugene J, Aronow WS, Stemmer EA: Retrograde aortic dissection during cardiopulmonary bypass. Clin Cardiol 1981; 4: 356–359 – reference: 14) Neri E, Massetti M, Capannini G, et al: Axillary artery cannulation in type a aortic dissection operations. J Thorac Cardiovasc Surg 1999; 118: 324–329 – reference: 7) Pappas G, Starzl TE: Retrograde false channel perfusion: a complication of cardiopulmonary bypass during repair of dissecting aneurysms. Ann Thorac Surg 1970; 9: 263–266 – reference: 15) Strauch JT, Spielvogel D, Lauten A, et al: Axillary artery cannulation: routine use in ascending aorta and aortic arch replacement. Ann Thorac Surg 2004; 78: 103–108; discussion, 103–108 – reference: 11) Fusco DS, Shaw RK, Tranquilli M, et al: Femoral cannulation is safe for type A dissection repair. Ann Thorac Surg 2004; 78: 1285–1289; discussion, 1285–1289 – reference: 12) Kurisu K, Ochiai Y, Hisahara M, et al: Bilateral axillary arterial perfusion in surgery on thoracic aorta. Asian Cardiovasc Thorac Ann 2006; 14: 145–149 – reference: 21) Lentini S, Savasta M, Ciuffreda F, et al: Treatment of malperfusion during surgery for type A aortic dissection. J Extra Corpor Technol 2009; 41: 114–118 – reference: 2) Schachner T, Vertacnik K, Laufer G, et al: Axillary artery cannulation in surgery of the ascending aorta and the aortic arch. Eur J Cardiothorac Surg 2002; 22: 445–447 – reference: 3) Yavuz S, GoncuGoncu MT, TurkTurk T: Axillary artery cannulation for arterial inflow in patients with acute dissection of the ascending aorta. Eur J Cardiothorac Surg 2002; 22: 313–315 – reference: 18) Imanaka K, Kyo S, Tanabe H, et al: Fatal intraoperative dissection of the innominate artery due to perfusion through the right axillary artery. J Thorac Cardiovasc Surg 2000; 120: 405–406 – reference: 20) Tiwari KK, Murzi M, Bevilacqua S, et al: Which cannulation (ascending aortic cannulation or peripheral arterial cannulation) is better for acute type A aortic dissection surgery? Interact Cardiovasc Thorac Surg 2010; 10: 797–802 – reference: 1) Schachner T, Nagiller J, Zimmer A, et al: Technical problems and complications of axillary artery cannulation. Eur J Cardiothorac Surg 2005; 27: 634–637 – reference: 16) Sabik JF, Lytle BW, McCarthy PM, et al: Axillary artery: an alternative site of arterial cannulation for patients with extensive aortic and peripheral vascular disease. J Thorac Cardiovasc Surg 1995; 109: 885–890; discussion, 890–891 – reference: 8) Robicsek F, Guarino RL: Compression of the true lumen by retrograde perfusion during repair of aortic dissection. J Cardiovasc Surg (Torino) 1985; 26: 36–40 – reference: 4) Shimokawa T, Takanashi S, Ozawa N, et al: Management of intraoperative malperfusion syndrome using femoral artery cannulation for repair of acute type A aortic dissection. Ann Thorac Surg 2008; 85: 1619–1624 – reference: 6) 長沼宏邦：逆行性脳灌流法を用いた弓部大動脈全置換術の検討—術式の変遷と治療成績—．慈恵医大誌2007; 122: 195–200 – reference: 13) Kokotsakit J, Lazopoulos G, Milonakis M, et al: Right axillary artery cannulation for surgical management of the hostile ascending aorta. Tex Heart Inst J 2005; 32: 189–193; discussion, 185 – reference: 17) Baribeau YR, Westbrook BM, Charlesworth DC, et al: Arterial inflow via an axillary artery graft for the severely atheromatous aorta. Ann Thorac Surg 1998; 66: 33–37 – reference: 22) Orihashi K, Sueda T, Okada K, et al: Detection and monitoring of complications associated with femoral or axillary arterial cannulation for surgical repair of aortic dissection. J Cardiothorac Vasc Anesth 2006; 20: 20–25 |
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| Snippet | 症例は40歳代の男性。Stanford A型急性大動脈解離の手術時に右腋窩動脈からの送血を開始したところ左総頸動脈血流の消失を認めた。腋窩動脈送血を中止し左大腿動脈からの送... |
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| SubjectTerms | axillary artery malperfusion type A aortic dissection |
| Title | 右腋窩動脈送血開始後に左総頸動脈血流が消失し大腿動脈送血に切り替え手術を完遂し得たStanford A型急性大動脈解離の1例 |
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