A New Arterial Cannulation Technique: Arterial Cannulation through Aortic Anastomosis (“Kaplan” Technique)

Abstract

<jats:p>We performed Bentall procedure on a 65-year-old male patient. Cardiopulmonary bypass was initiated via cannulation of the aneurysmatic segment of the aorta. Distal anastomosis was performed with the open technique under deep hypothermic circulatory arrest at 18°C.&#x0D; We performed arterial recannulation through the anastomosis with a new technique, and cardiopulmonary bypass was reestablished. Cardiopulmonary bypass was terminated after rewarming and de-airing phases, and decannulation was performed without any problems.&#x0D; By this technique, the patient had no additional incisions for arterial cannulation, and there were no additional cannulation sutures left on the patient’s arterial tree or the valved conduit.</jats:p>

A New Surgical Approach for Aortic Root Aneurysm and Small Aortic Annulus

“…Before completion of the anastomosis between graft and the distal aortic tissue, the required suture safety precautions were observed, and the aortic cannula was placed on the top of the anastomosis (Kaplan technique [Kaplan 2019]). The circulation was reinitiated, with DHCA durations of 31 and 34 minutes for each patient.…”