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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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TECHNICAL NOTES CARDIAC SECTION
The Journal of Cardiovascular Surgery 2002 Dicembre;43(6):853-5
Ascending aortic cannulation via left thoracotomy for distal aortic arch aneurysm operation
Kanda K., Satoh S., Okano T., Shimada Y., Yaku H., Kitamura N.
Department of Cardiovascular Surgery Kyoto Prefectural University of Medicine, Kyoto, Japan
We have cannulated the ascending aorta for cardiopulmonary bypass via left thoracotomy in order to avoid conventional retrograde perfusion from the femoral arteries, which is associated with an increased risk of cerebral embolism. We use silk sutures to retract the anterior margin of the opened pericardium from the chest wall, which provides good exposure and easy control of the ascending aorta. Between July 1997 and November 2000, cannulation proved easy to do and reliable in 24 serial patients.