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Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan
(Email: ikuofuku@cc.hirosaki-u.ac.jp).
| The first 20% of the full text of this article appears below. |
Shimokawa and colleagues [1] are to be congratulated on their excellent outcomes using standard femoral arterial access for type A acute aortic dissection (AAD). The optimal arterial perfusion site for AAD is controversial. Recently, the use of axillary perfusion has been popular, but this report makes us reconsider the advantage of femoral arterial cannulation. Organ malperfusion may occur due to the dissection. In the past, the incidences of symptomatic cerebral ischemia, visceral organ
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