Perforation in the ascending aorta in Patient with previous CABG and acute ascending aorta dissection and VT

Patient with previous CABG and acute ascending aorta dissection and VT and VF cannulation via free perforation site and femoral vein acceptable intraoperative ABG and alternative cannulation site from perforation in the ascending aorta weak and reduction aortoplasty n LVEF due to LIMA to LAD involvement in dissection learning point of this case is alternative cannulation site.

 Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head of IUMS transplant and cardiovascular surgery department.