Right axillary arterial perfusion for a ruptured type B aortic dissection:Report of a case

The results of surgical treatment for a ruptured type B aortic dissection r emain far from satisfactory. If is believed that additional perfusion from the right axillary artery might be more beneficial than perfusion from only the femoral artery during surgery for a ruptured thoracic aneurysm. The ri ght axillary perfusion is more likely to perfuse the vital organs proximal to the ruptured area, and thus avoid retrograde emboli. In addition, if the open proximal method is performed, then the right axillary perfusion is ab le to facilitate the evacuation of air from the aortic lumen. We present he rein the case of a patient in whom a ruptured type B acute aortic dissectio n was successfully heated by applying right axillary perfusion through a le ft thoracotomy.