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.