BACKGROUND: Acute @entity1580 (AAD) is a life-threatening disorder with a high rate of mortality and complications. All cannulation techniques currently used to establish arterial flow for cardiopulmonary bypass are associated with a considerable risk of organ malperfusion, @entity64 , or access site @entity130 . Here, we report the impact of transatrial cannulation of the left ventricle on @entity1 outcome after surgical treatment of AAD. METHODS: Between 2010 and 2013, 46 @entity1 underwent emergency surgery for AAD using transatrial cannulation of the left ventricle. Their outcome was retrospectively compared with that of 73 age- and sex-matched @entity1 operated on for AAD between 2006 and 2010 before introduction of the new technique. RESULTS: No differences concerning preoperative details were found. Arterial flow before 2010 was established after preparation of the femoral artery in 46 @entity1 (63.0%) or by direct cannulation of the ascending aorta in 27 @entity1 (37.0%). Operation times were significantly lower in the transatrial cannulation group (271.2    75.4 versus 308.3    78.2; p = 0.02). Postoperatively, we observed a significantly reduced @entity64 rate in the group with transatrial cannulation (6.5% versus 26.5%; p  = 0.007) and a decreased rate of @entity810 (20.0% versus 32.4%; p  = 0.003). Intraoperative mortality (0% versus 6.8%; p  = 0.16), 30-day mortality (8.9% versus 10.3%; p  = 1.00), and mortality during follow-up (9.8% versus 34.4%; p  = 0.08) did not differ. However, overall mortality was significantly lower in the group after transatrial cannulation (17.7% versus 45.2%; p  = 0.003). CONCLUSIONS: In @entity1 undergoing surgery for AAD, transatrial cannulation of the left ventricle proved to be a safe and easy cannulation method that significantly reduced @entity260 .

Transatrial Cannulation of the Left Ventricle for  Acute XXXX : A 5-Year Experience.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity810 :: ('MESH:D058186', 'Disease') :: ['acute renal failure'] @entity1580 :: ('MESH:C562834', 'Disease') :: ['type A aortic dissection'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity1580 :: (MESH:C562834,Disease) :: ['Type A Aortic Dissection']
