Direct True Lumen Cannulation (“Samurai” Cannulation) for Acute Stanford Type A Aortic Dissection Tadashi Kitamura, MD, PhD, Masaki Nie, MD, PhD, Tetsuya.

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Presentation transcript:

Direct True Lumen Cannulation (“Samurai” Cannulation) for Acute Stanford Type A Aortic Dissection Tadashi Kitamura, MD, PhD, Masaki Nie, MD, PhD, Tetsuya Horai, MD, PhD, Kagami Miyaji, MD, PhD The Annals of Thoracic Surgery Volume 104, Issue 6, Pages e459-e461 (December 2017) DOI: 10.1016/j.athoracsur.2017.08.002 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 An intraoperative photograph showing (A) two tourniquets with umbilical tape placed around the ascending aorta, (B) incision of the dissected ascending aorta with large Metzenbaum scissors (note that the aorta is securely supported), (C) direct true lumen cannulation, and (D) fixation of the cannula onto the sternal retractor. The Annals of Thoracic Surgery 2017 104, e459-e461DOI: (10.1016/j.athoracsur.2017.08.002) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Cannula with a bump used for Samurai cannulation. The Annals of Thoracic Surgery 2017 104, e459-e461DOI: (10.1016/j.athoracsur.2017.08.002) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Circumferential dissection of the ascending aorta. The Annals of Thoracic Surgery 2017 104, e459-e461DOI: (10.1016/j.athoracsur.2017.08.002) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions