Cardiovascular Perfusion and Nursing 2019 , Vol 1, Issue 1
High brachial arterial cannulation is safe for cardiac surgery
Onur Hanedan1,Garip Altıntaş2,Adem İlkay Diken3,Sertan Özyalçın3,Ufuk Türkmen3,Adnan Yalçınkaya3,Mehmet Ali Özatik2
1Department of Cardiovascular Surgery, University of Health Sciences, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey
2Department of Cardiovascular Surgery, University of Health Sciences, Bilkent City Hospital, Ankara, Turkey
3Department of Cardiovascular Surgery, Hitit University Faculty of Medicine, Çorum, Turkey
DOI : 10.5606/e-cvpn.2019.113 A 70-year-old male patient was operated for severe mitral insufficiency, aortic valve stenosis, ascending aorta aneurysm, and coronary artery disease. Upper brachial arterial cannulation was performed to establish cardiopulmonary bypass. Aortic and mitral valves replaced with prosthetic mechanical valves and a 30-mm synthetic graft was interposed to the ascending aorta. Finally, five distal anastomoses were performed for multivessel coronary artery disease over a total 118-min cross-clamp time. After an uneventful recovery, the patient was discharged in the postoperative sixth day without any complication. In conclusion, we believe that high brachial arterial cannulation to establish antegrade selective cerebral perfusion seems to be a safe alternative method. Keywords : Antegrade selective cerebral perfusion, axillary artery, brachial artery