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Ann Thorac Surg 2004;78:1838-1839
© 2004 The Society of Thoracic Surgeons

Case report

Use of Saphenous Vein Graft in Axillary Artery Cannulation

Mahmoud Loubani, FRCSI*,a, Jitendra M. Parmar, FRCSa, Nick W. Clowes, FRCAb, Qamar Abid, FRCS(CTh)a

a Department of Cardiothoracic Surgery, Staffordshire, United Kingdom
b Department of Anesthesia, University Hospital of North Staffordshire NHS Trust, Staffordshire, United Kingdom

Accepted for publication July 21, 2003.

* Address reprint requests to Dr Loubani, Department of Cardiothoracic Surgery, University Hospital of North Staffordshire NHS Trust, Princess Rd, Hartshill, Stoke-on-Trent, Staffordshire ST4 7LN, UK.
mahmoud.loubani{at}ntlworld.com

Axillary artery cannulation for cardiopulmonary bypass is becoming increasingly used for surgery of aortic dissections for reoperations and extensively diseased ascending aortas. This can be achieved either directly or with a graft. We describe a case with a repair of chronic type A dissection in which axillary cannulation was achieved by placing the arterial cannula into a saphenous vein graft that had been anastomosed end-to-side to the axillary artery. This provides a natural, inexpensive, readily available, and more hemostatic alternative to the use of prosthetic grafts.




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