Open surgery for chronic type B aortic dissection has been shown to have
considerable risks of cerebrovascular complications. Because retrograde
perfusion is a potential cause of intraoperative cerebrovascular events,
we report our transapical cannulation strategy for descending aorta
replacement in chronic type B aortic dissection repair with circulatory
arrest. This technique provides an easy and quick establishment of
cardiopulmonary bypass by way of a left thoracotomy, and prevention of
cerebrovascular event. Transapical cannula can be also used as a vent to
ensure a bloodless field during proximal anastomosis and to prevent
extension of left ventricle during rewarming. Transapical cannulation is
a useful option in open repair of the descending aorta for chronic type
B aortic dissection by way of left thoracotomy.