Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Postoperative peri-axillary seroma following axillary artery cannulation for surgical treatment of acute type A aortic dissection. | Apostolakis et al. Journal of Cardiothoracic Surgery 2010 5 43 http content 5 1 43 Jdfrs JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Postoperative peri-axillary seroma following axillary artery cannulation for surgical treatment of acute type A aortic dissection Efstratios E Apostolakis 1 NikolaosG Baikoussis1 Konstantinos Katsanos2 and Menelaos Karanikolas3 Abstract The arterial cannulation site for optimal tissue perfusion and cerebral protection during cardiopulmonary bypass CPB for surgical treatment of acute type A aortic dissection remains controversial. Right axillary artery cannulation confers significant advantages because it provides antegrade arterial perfusion during cardiopulmonary bypass and allows continuous antegrade cerebral perfusion during hypothermic circulatory arrest thereby minimizing global cerebral ischemia. However right axillary artery cannulation has been associated with serious complications including problems with systemic perfusion during cardiopulmonary bypass problems with postoperative patency of the artery due to stenosis thrombosis or dissection and brachial plexus injury. We herein present the case of a 36-year-old Caucasian man with known Marfan syndrome and acute type A aortic dissection who had direct right axillary artery cannulation for surgery of the ascending aorta. Postoperatively the patient developed an axillary perigraft seroma. As this complication has not to our knowledge been reported before in cardiothoracic surgery we describe this unusual complication and discuss conservative and surgical treatment options. Introduction The arterial cannulation site for optimal tissue perfusion and cerebral protection during cardiopulmonary bypass CPB for surgical treatment of acute type A aortic dissection remains controversial 1-3 . Avoidance of femoral artery cannulation may reduce the risk of retrograde embolic events from atheromatous debris in the thoracic and abdominal aorta but
