Simplified aortic cannulation (SAC) - a useful technique for neonates with small aortas
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Updated: Aug 8, 2026

Modified Technique for the Use of Neonatal Murine Hearts in the Langendorff Preparation
Published on: March 4, 2022
Christopher J Knott-Craig1, Peter Pastuszko, Edward D Overholt
1Section of Pediatric Cardiothoracic Surgery, Children's Hospital of Oklahoma and Oklahoma University Medical Center, Oklahoma City, Oklahoma, USA. chris-knott-craig@ouhsc.edu
Abstract:
A simplified means of arterial cannulation for cardiopulmonary bypass in small neonates and those infants with diminutive aortas, or requiring reconstruction of the ascending aorta, is presented. It involves suturing a long 3.5 mm graft to the innominate artery and inserting the arterial cannula into the end of the graft. This technique improves exposure, thereby greatly simplifying many complex repairs, and may be used for initiation of ECMO or for hybrid procedures in the postoperative period.

