CC BY 4.0 · Aorta 2019; 07(05): 150-153
DOI: 10.1055/s-0039-3401019
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Percutaneous or Side-Arm Graft Right Subclavian Artery Cannulation via Median Sternotomy

Corrado Cavozza
1  Department of Cardiothoracic and Vascular Surgery, Cardiac Surgery, Santissimi. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy
,
Antonio Campanella
1  Department of Cardiothoracic and Vascular Surgery, Cardiac Surgery, Santissimi. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy
,
Pellegrino Pasquale
1  Department of Cardiothoracic and Vascular Surgery, Cardiac Surgery, Santissimi. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy
,
Andrea Audo
1  Department of Cardiothoracic and Vascular Surgery, Cardiac Surgery, Santissimi. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy
› Author Affiliations
Funding None.
Further Information

Publication History

20 July 2017

02 November 2019

Publication Date:
04 February 2020 (online)

  

Abstract

Several cannulation sites alternative to the ascending aorta, such as femoral, right axillary, carotid, innominate artery, and, less commonly, apical sites, have been proposed. Cannulation of the right subclavian artery, through sternotomy, is one possible means of establishing cardiopulmonary bypass, hence avoiding a second surgical incision. In our experience, cardiopulmonary bypass flow was adequate and circulatory arrest with antegrade cerebral perfusion was successfully performed in all cases. There was no in-hospital mortality.