Christopher J Knott-Craig*, Steven P Goldberg and James K Kirklin
Corresponding author: Christopher J Knott-Craig firstname.lastname@example.org
Journal of Cardiothoracic Surgery 2008, 3:10 doi:10.1186/1749-8090-3-10
(2008-08-29 05:59) Great Ormond Street Hospital
Just a quick comment: cannulating the innominate artery does nothing to prevent cardiac
injury upon re-entry, it just offers an option for the aortic pipe IN CASE OF CARDIAC
INJURY-we still have to divide the sternum and mostly introduce bicaval cannulae.
I do not see how access for cannulation via the suprasternal notch is safer than redo
sternotomy-the tissues are already adhered given the previous sternotomy, particularly
where thymectomy and innominate cannulation have taken place in the first operation.The
same applies to cavoatrial cannulation without sternotomy-a video showing the technique
would be illuminating!
Aristotle D Protopapas MSc. FRCS
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