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Ann Thorac Surg 2008;86:1030-1032. doi:10.1016/j.athoracsur.2008.03.044
© 2008 The Society of Thoracic Surgeons
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How To Do It

Brain Protection by Using Innominate Artery Cannulation During Aortic Arch Surgery

Shangyi Ji, MD*, Jianan Yang, MD, Xiaoqing Ye, MD, Xiaolei Wang, MD

Department of Surgery, Shenzhen Sun Yat-sen Cardiovascular Hospital, Shenzhen, China

Accepted for publication March 3, 2008.

* Address correspondence to Dr Ji, Sun Yat-sen Cardiovascular Hospital, 1021 Dongmen N Rd, Shenzhen, 518020, China (Email: jonathan.wu{at}atsmedical.com).

The innominate artery cannulation (IAC) through the same sternotomy incision was used for 68 patients with aneurysm, involving the ascending aorta or the aorta arch. The IAC can get adequate flows during cooling and re-warming of cardiopulmonary bypass. It can also provide sufficient antegrade perfusion for brain during hypothermia circulation arrest. There is no relative complication noted for the technique, and we believe it is a simple and effective alternative.




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