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Ann Thorac Surg 2009;87:1286-1288. doi:10.1016/j.athoracsur.2008.07.025
© 2009 The Society of Thoracic Surgeons
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Gabriele Di Luozzo
Christian D. Etz
Randall B. Griepp
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Case Reports

Supradiaphragmatic Inferior Vena Cava Cannulation for Thoracoabdominal Aortic Aneurysm Repair

Gabriele Di Luozzo, MD*, Christian D. Etz, MD, Randall B. Griepp, MD

Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, New York

Accepted for publication July 9, 2008.

* Address correspondence to Dr Di Luozzo, Mount Sinai Medical Center, Department of Cardiothoracic Surgery, 1190 Fifth Ave, Box 1028, New York, NY 10029 (Email: gabriele.diluozzo{at}mountsinai.org).

The selection of the cannulation site and the operative scheme is essential to the preoperative preparation for the repair of thoracoabdominal aneurysms. The site of cannulation will determine the mode of cardiopulmonary support and preparedness for deep hypothermic circulatory arrest. On rare occasions, optimal femoral venous access for establishing cardiopulmonary bypass is not possible. We present our experience with cannulation of the supradiaphragmatic inferior vena cava.






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