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Updated: Apr 4, 2026
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Published on: March 28, 2025
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Proximal aortic arch cannulation for proximal ascending aortic aneurysms.
Bilgin Emrecan1, Firat Durna1, Serkan Girgin1
1Department of Cardiovascular Surgery, Pamukkale University, Denizli, Turkey.
Summary
Aortic arch cannulation is a safe and simple technique for ascending aorta replacement, showing no mortality or morbidity in a study of 27 patients. This method offers a low-morbidity option for treating ascending aortic aneurysms.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Background:
- Ascending aorta replacement often requires specific arterial inflow sites.
- Common sites include the ascending aorta, femoral, and subclavian arteries.
- Aortic arch cannulation is less common despite reported use.
Purpose of the Study:
- To evaluate the treatment outcomes of aortic arch cannulation for ascending aorta replacement.
- To assess the safety and efficacy of this technique in patients with ascending aortic aneurysms.
Main Methods:
- Aortic arch cannulation distal to the innominate artery was performed in 27 patients.
- Procedures were conducted between April 2010 and March 2013.
- Patients underwent ascending aorta replacement, with some receiving the Bentall procedure.
Main Results:
- No mortality or cannulation-related morbidity was observed.
- 23 patients had supracoronary ascending aorta replacement.
- 4 patients underwent the button modification of the Bentall procedure.
Conclusions:
- Aortic arch cannulation distal to the innominate artery is a safe and simple technique.
- It is a viable option for aneurysms limited to the ascending aorta.
- The technique demonstrates low morbidity and warrants consideration.
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