Introduction
Open repair for treatment of chronic type B aortic dissection (CBAD) is challenging. Replacement of the descending aorta for treatment of CBAD via a left thoracotomy often requires circulatory arrest during proximal anastomosis. It is important to devise a cardiopulmonary bypass (CPB) strategy to prevent various complications, including cerebrovascular events. We herein describe our transapical cannulation strategy for descending aorta replacement in CBAD repair.