Synchronized epiaortic two-dimensional and color Doppler echocardiographic guidance enable routine ascending aortic cannulation in type A acute aortic dissection.

摘要

We read with great interest the recent article by Inoue and associates1 describing routine ascending aortic cannula-tion in type A acute dissection with the guidance of epiaortic scanning.Over the past year, we have started adopting a similar strategy as a routine in type A aortic dissection. The procedure has been used in 7 consecutive patients so far with no complications related to cannulation. As we read the authors' impressive work,1 we pondered over queries regarding 2 main differences in our technique.