How I do it – sole innominate cannulation for acute type A aortic dissection
Consultant Cardiac Surgeon Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK
Journal of Cardiothoracic Surgery 2012, 7:125 doi:10.1186/1749-8090-7-125Published: 20 November 2012
We describe sole direct innominate cannulation for arterial return for establishing both cardiopulmonary bypass and selective antegrade cerebral perfusion in the repair of acute type A dissection and compare it with femoral, axillary, direct aortic and apical cannulations. We believe innominate cannulation has all the advantages of right axillary cannulation and none of its disadvantages. It can be used in all patients in whom innominate artery is not dissected, obstructed, calcified or otherwise diseased.